153910039-10-16-2023-12-CC-BBEO-CWNL4H-20231016082535

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153910039
Report Date: 10/13/2023
Date Signed: 10/16/2023 08:27:00 AM

Document Has Been Signed on 10/16/2023 08:27 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	HOVEN FAMILY CHILD CARE		FACILITY NUMBER:	153910039
ADMINISTRATOR:	HOVEN, KIMBERLEE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 245-3070
CITY:	FRAZIER PARK	STATE: CA	ZIP CODE:	93225
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS:	DATE:	10/13/2023
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:07 AM
MET WITH:			TIME COMPLETED:	12:30 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 10/13/2023, Licensing Program Analyst (LPA) Beneroso conducted an unannounced Required 1-Year inspection at the Hoven Family Child Care Home. Upon arrival, the LPA met with licensee, Kimberlee Hoven who guided LPA on a tour of the facility. Family members residing in the home include 2 adults (licensee and licensee’s spouse) and licensee’s 3 minor children. All adults living in the house have been background cleared. Per the Licensee, hours of operation are a day Monday through Friday 8:30am – 4pm Per licensee, no overnight care is provided at the moment. Upon arrival, LPA observed 4 day care children in care and the 1 adults providing care and supervision. Licensee is within the ratio for a large facility. Incidental Medical Services (IMS) were discussed. Physical Plant: This is a two-story, 4-bedrooms, 3-bathrooms home with a kitchen, living room, dining area, backyard, garage, and laundry area. The home was inspected for safety, comfort, cleanliness, telephone service, central air, and heat and ventilation. All windows are free of cracks, bugs, and debris. There are no cords hanging from the windows. All electrical outlets are covered. Main Care Area: Main care is provided in the in the living room, dining area and bedroom #1 (all downstair). Children use the bathroom located next to the kitchen and laundry room. LPA observed age-appropriate toys and furniture for the children. There are age-appropriate games and books on the premises. There are cubbies located near the main entrance labeled with children’s names. Per licensee, there is a designated area for ill/sick children in a couch near the main entrance. Children nap in the living room area in mats that are properly stored.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023

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

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: HOVEN FAMILY CHILD CARE	FACILITY NUMBER: 153910039
	VISIT DATE: 10/13/2023

NARRATIVE

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Stairs: The stairs are properly barricaded with a child safety gate.
Fireplace: The fireplace is located in the living room and was observed to be properly barricaded with a metal gate surrounding it.
Children's bathroom: Children use the bathroom located in the hallway, next to the kitchen and laundry room. The bathroom was clean, sanitized, and in good repair. The bathroom was toured and inspected sink and toilet which is in operable condition.
Kitchen/Dining Room: The kitchen does not have a physical barrier. LPA observed safety latches installed in the cabinets and drawers. Cleaning compounds are stored in a locked closet cabinet, made inaccessible by safety latches. Per licensee, she does currently have a food program. Meals offered: AM snack, Lunch and PM Snack.
Backyard/Outdoor areas: The backyard is completely fenced (cement block and chain linked fence). The backyard has play equipment that is safe and in well repair. Per licensee and LPA’s observations, there are no bodies of water in the premises. There are no pets in the home.

Off-limits: Off-limit areas include the entire second floor, bathroom #2 & #3 all upstairs, made inaccessible by a child safety gate. Garage is made inaccessible by a door safety knob.

Care and Supervision: Licensee is within the ratio for a large facility. The Licensee was reminded that supervision is always required for children in care.

Fire/Health/Safety: There is a cell phone kept charged and on the Licensee at all times.

Smoke Detectors and Carbon Monoxide were observed to be in operable conditions.
The First Aid kit was observed to be complete with supplies including thermometer, tweezers, scissors, gauze, bandages, cleansing pad/solution, and a first aid manual. LPA observed a required fire extinguisher (3A40BC) reading in Green and currently serviced. The facility currently does not have childcare insurance. Per licensee, she currently does not offer transportation.
Medications/ Hazardous Materials: Medications are stored in the master bathroom, made off-limits an inaccessible by child safety gate in the stairs. Cleaning compounds were observed to be kept in a locked closet. There is one gun kept in the home. LPA observed gun to be properly locked and kept in the master bedroom and the ammunition to be kept in the off limits garage in a safe.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: HOVEN FAMILY CHILD CARE	FACILITY NUMBER: 153910039
	VISIT DATE: 10/13/2023

NARRATIVE

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Incidental Medical Services (IMS): 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 Licensee will not be providing IMS to the children at this time.

Records: Children’s records were observed to be complete.

Licensee’s CPR/First Aid is maintained current, it expires on 05/2025. Mandated Reporter Certificate is maintained current and it expires on 04/16/25. Per Licensee, fire and disaster drills are conducted every 6 months; the last drill was documented and conducted on 09/18/2023. Per LPA’s observations, the Facility License, Emergency Disaster plan, Earthquake Preparedness and Parents Rights Poster were posted.

Documents Provided and or Discussed: Safe Sleep PIN 20-24-CCP and LIC9227 (Individual Sleeping Plan) and Sleep Logs.

Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links. Put your email address and choose which program(s) you would like to subscribe to and click “subscribe. Applicant was advised that all LIC forms can be found at: www.cdss.ca.gov/inforesources/forms-brochures/forms-alphabetic-list/i-l

Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care.

Licensee Hoven 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.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: HOVEN FAMILY CHILD CARE	FACILITY NUMBER: 153910039
	VISIT DATE: 10/13/2023

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LPA discussed the safe sleep regulations with licensee Hoven and discussed the Child Care Licensing Safe Sleep webpage at 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 www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

There were no citations issued during inspection. A copy of this report was submitted electronically to licensee Hoven and Notice of Site Visit (to be posted for 30 days). Exit interview conducted and report was reviewed with the licensee Hoven, along with her appeal rights and Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023

LIC809 (FAS) - (06/04)

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