136610382-2-8-2023-20-CC-RGOU-CNUUKN-20230208143926

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136610382
Report Date: 02/08/2023
Date Signed: 02/08/2023 02:39:40 PM

Document Has Been Signed on 02/08/2023 02:39 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	CARLON, BLANCA FAMILY CHILD CARE		FACILITY NUMBER:	136610382
ADMINISTRATOR:	BLANCA CARLON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 540-5854
CITY:	BRAWLEY	STATE: CA	ZIP CODE:	92227
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 12	CENSUS: 9	DATE:	02/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:36 PM
MET WITH:	Blanca Carlon		TIME COMPLETED:	02:50 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 02/08/2023, at 12:36 p.m., Licensing Program Analyst (LPA), Rajani Goudreau conducted an unannounced Annual Inspection and met with the Licensee, Blanca Carlon. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee. There were nine children in care at time of inspection; including four infants and five preschool age children. In addition, there were two assistants, licensees’ spouse, minor and adult children present during the inspection. The following areas are used for childcare: partial of back yard (located on right side of backyard), daycare room and restroom located in daycare room. The following off-limit areas are made securely inaccessible: kitchen, three bedrooms, two bathrooms and partial of backyard (left side of backyard). Facility operates Monday through Friday from 7:30 a.m. to 3:30 p.m. The fire extinguisher, smoke detector, and carbon monoxide detector meet requirements, per LPA observation. LPA observed hazardous items inaccessible to children in care. LPA informed licensee’s poisons shall be placed in a storage area and locked. No bodies of water were observed on the premises of property. Licensee confirmed there is no bodies of water on the premises of the property. Licensee stated there are no firearms or weapons in the home. LPA informed licensee’s the children shall be supervised during outdoor activities. Based on record review of staff and residents on this date indicates that resident #1 (see LIC811 – confidential names list) did not obtain a criminal record clearance within 30 days of 18^th birthday. Licensee acknowledged resident #1 did not obtain a criminal record clearance. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. Licensee acknowledged understanding of the requirements for criminal record clearances. Licensee First Aid and CPR certifications are valid and expire in 01/2025. Licensee have required immunization’s on file, per file review. Mandated reporter training completed in 07/2021. LPA informed licensee the mandated reporter training shall be completed once every two years.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 4

Document Has Been Signed on 02/08/2023 02:39 PM - It Cannot Be Edited

Created By: Rajani Goudreau On 02/08/2023 at 01:38 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CARLON, BLANCA FAMILY CHILD CARE	FACILITY NUMBER: 136610382
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102370(d)(1)

Criminal Record Clearance

(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review and licensees' statement, the licensee did not comply with the section cited above as resident #1 did not obtain a criminal record clearance within 30 days from 18th birthday, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 02/09/2023
	Plan of Correction
1 2 3 4	Licensee indicated she will obtain a fingerprint clearance for resident #1. Licensee indicated she will provide the LIC9163-Request for Live Scan reflecting completion of the live scan to the Department by 02/08/23.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Tulam Vu

LICENSING EVALUATOR NAME:

Rajani Goudreau

LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CARLON, BLANCA FAMILY CHILD CARE	FACILITY NUMBER: 136610382
	VISIT DATE: 02/08/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Last fire and disaster drills conducted in 11/2022. LPA informed licensee the disaster drills shall be completed once every six months and documented. LPA observed required documents posted. A sample of children’s files and staff files were reviewed and complete. Also, facility roster reviewed and complete.

Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . LPA informed licensee in order to sign up for Quarterly Updates and PINs through our website. Please go to www.cdss.ca.gov and on the right side of your screen click on “Receive Important Updates”, put your email address in and choose which program(s) you would like to subscribe to and click “subscribe. In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CARLON, BLANCA FAMILY CHILD CARE	FACILITY NUMBER: 136610382
	VISIT DATE: 02/08/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

California Code of Regulations, (Title 22, Division 12 & Chapter 3), is being cited on the attached LIC 809-D page. A $500 civil penalty is being assessed on the LIC421BG. Exit interview conducted, and report reviewed with the licensee, Blanca Carlon. Licensee representative shall post licensing reports citing the type A deficiency for 30 days and provide copies to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months. In addition, LIC9224, must be signed by parents/guardians of children currently and newly enrolled in the facility and placed in each child’s record for the next 12 months. LIC9213 (Notice of Site Visit) was given and shall be posted for 30 days from today's date. LPA observed licensee post the Notice of Site Visit near the entrance to the outdoor day care area prior to exiting day care.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

LIC809 (FAS) - (06/04)

Page: 4 of 4