<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910064
Report Date: 07/12/2023
Date Signed: 07/12/2023 03:47:44 PM

Document Has Been Signed on 07/12/2023 03:47 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:OSORIO FAMILY CHILD CAREFACILITY NUMBER:
153910064
ADMINISTRATOR:OSORIO, REYNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 623-1606
CITY:TAFTSTATE: CAZIP CODE:
93268
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
07/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Reyna OsorioTIME COMPLETED:
01:35 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 07/12/2023, Licensing Program Analyst (LPA) Beneroso conducted an unannounced ­Required 1-Year inspection at the Osorio Family Child Care Home. Upon arrival, the LPA met with the Licensee, Reyna Osorio, who guided the LPA on a tour of the facility. Family members residing in the home include 3 adults (licensee, licensee’s spouse and licensee’s adult son son) and 2 minor daughters. Licensee’s son does not have a fingerprint clearance, a Type A Citation and Civil Penalty has been issued. Per Licensee, the hours of operation are Monday through Friday, 5:00AM to 5:00 PM. Per licensee, no overnight care is provided. Upon arrival, LPA observed 6 children in care and one adult providing care and one minor daughter assisting licensee. Licensee is within the ratio for a large facility. Incidental Medical Services (IMS) were discussed.

Physical Plant:
This is a two-story, 5-bedroom, 3-bathroom home with a kitchen, living room, dining area, day care room and backyard. The home was inspected for safety, comfort, cleanliness, telephone service, central air, and heat and ventilation. The house has multiple AC units in the walls and two wall heaters. All windows are free of cracks, bugs, and debris. All electrical outlets are covered.
Stairs: Stairs to second floor of the facility is barricaded by a baby gate located in the entrance to the kitchen (access to send floor is through the kitchen).
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2023
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 7
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: OSORIO FAMILY CHILD CARE
FACILITY NUMBER: 153910064
VISIT DATE: 07/12/2023
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
Main Care Area: Main care area is provided in the living room, dining area and bedroom #1. Children use the bathroom located on bedroom #1 which is part of the main care area. Children have access to the backyard through bedroom #1.LPA observed the area of care to be cluttered and not kept clean. A Type B Citation was issued for this deficiency. LPA observed age-appropriate toys and furniture for the children. Per licensee, there is a designated area for ill/sick children in the dining area. Children nap in cots in the day care room.

Children's bathroom: Children use the bathroom located in bedroom #1. The bathroom was in good repair. The bathroom was toured and inspected sink and toilet which is in operable condition. Toilet and faucets are clean, safe, and operable.



Kitchen/Dining Room: The kitchen was made off-limits by use of a gate. Sharp knives are inaccessible and kept on bathroom. The dining area is accessible to children where, they have their meals. During inspection LPA observed a barbecue fork in the floor, accessible to children. LPA Cited a Type A violation for this deficiency.

Backyard/Outdoor areas: The backyard is completely fenced (with wooden fence). LPA inspected and was observed the backyard to contain hazards such as pieces of wood, sharp items, and tools. Said area has a gate that was open during inspection. LPA also observed licensee close the gate in which these items were located during inspection. Per licensee, children are not using the backyard currently due to the extreme weather. There is a part of the backyard that remains off-limits where two dogs are kept. LPA observed gate that gives access to that area to be locked. Per licensee and LPA’s observations, there are no pools or bodies of water in the premises.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023
LIC809 (FAS) - (06/04)
Page: 7 of 7
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: OSORIO FAMILY CHILD CARE
FACILITY NUMBER: 153910064
VISIT DATE: 07/12/2023
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
Off-limits: The Off-limit areas include the second floor of the house and Bedroom#2, Bedroom #3 and Bedroom #4 and bathrooms #2 and #3, these rooms are made inaccessible by a safety gate located in the kitchen. The laundry room is made inaccessible to children by a child safe gate.
Others:
Per licensee and LPA’s observations, there are no bodies of water. Electrical outlets are covered and made inaccessible to children. There are 4 pets in the facility.
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 is located in a hallway, inaccessible to children and was observed complete with supplies including thermometer, tweezers, scissors, gauze, bandages, cleansing pad/solution, and a first aid manual. Per LPA’s observations, there were no hanging window blind cords. LPA observed a required fire extinguisher (2A10BC) reading in Green and currently serviced.

Fireplace: There is a chimney that was observed in the living room and is was properly barricaded with a baby gate. Per LPA’s observations, there were no hanging window blind cords.
Medications/ Hazardous Materials: Medications are in the off-limits bathroom #2 inaccessible by a child safe gate. Cleaning compounds were observed to be located in bathroom#3, both bathrooms made inaccessible to children by a child safety gate. Per licensee, there are No Firearms at the facility at this time. The facility currently does not have childcare insurance.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023
LIC809 (FAS) - (06/04)
Page: 6 of 7
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: OSORIO FAMILY CHILD CARE
FACILITY NUMBER: 153910064
VISIT DATE: 07/12/2023
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
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 and infant’s records were observed to be incomplete. LPA did not observe an Individual Sleeping Plan and Sleep Logs. A child’s record was fund not to have the vaccination records. A type B citation was issued for this deficiency.

Licensee’s CPR/First Aid is maintained current. It expires on 03/2025. Mandated reporter is not maintained current, licensee agrees to send proof of mandated reporter training no later than 07/13/2023. Per Licensee, fire and disaster drills are conducted every 6 months; the last drill was documented and conducted on 07/12/2023. Per LPA’s observations, the Facility License, Emergency Disaster plan, Earthquake Preparedness and Parents Rights Poster were posted.

Documents Provided and or Discussed: Fire Drill Log, Roster, Postings, Safe Sleep PIN 20-24-CCP and LIC 9227 (Individual Sleeping Plan). The Licensee was reminded that supervision is always required for children in care.

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

Facility was not found to be in compliance with Tittle 22 regulations. Two Type A Citation and a civil penalty of $500 was assessed and Two type B citation was issued during the inspection as a of result of the violations in accordance with Title 22 of the California Code of Regulations.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023
LIC809 (FAS) - (06/04)
Page: 5 of 7
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: OSORIO FAMILY CHILD CARE
FACILITY NUMBER: 153910064
VISIT DATE: 07/12/2023
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
Facility was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. A copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of infants currently and newly enrolled at the facility during the next 12 months and facility must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian and place it in each infant’s file. If these requirements are not met, civil penalties per violation will be assessed.

Licensee Osorio 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.

LPA discussed the safe sleep regulations with licensee Osorio 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.

Inspection was conducted in Spanish, LPA is certified as bilingual by the department.

A notice of site visit was electronically sent to licensee and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Osorio, along with her appeal rights and Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023
LIC809 (FAS) - (06/04)
Page: 4 of 7
Document Has Been Signed on 07/12/2023 03:47 PM - It Cannot Be Edited


Created By: Barbara Beneroso On 07/12/2023 at 12:34 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: OSORIO FAMILY CHILD CARE
FACILITY NUMBER: 153910064

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above. LPA observed a barbecue fork in the dinning area which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/12/2023
Plan of Correction
1
2
3
4
LPA observed licensee put the barbecue fork in an off limits area, innacessible to children.
Type A
Section Cited
CCR
102370(d)
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:

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above. Licensee's son does not have a criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/13/2023
Plan of Correction
1
2
3
4
During inspection, LPA observed uncleared adult leave the facility. Licensee will make unclear adult obtain the fingerprint clearance no later than 07/14/2023
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:Mariela Ramon
LICENSING EVALUATOR NAME:Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:
DATE: 07/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/12/2023


LIC809 (FAS) - (06/04)
Page: 2 of 7
Document Has Been Signed on 07/12/2023 03:47 PM - It Cannot Be Edited


Created By: Barbara Beneroso On 07/12/2023 at 12:34 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: OSORIO FAMILY CHILD CARE
FACILITY NUMBER: 153910064

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observations, the licensee did not comply with the section cited above. LPA observed kitchen to be cluttered and not kept clean which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/20/2023
Plan of Correction
1
2
3
4
Licensee will send proof of facility being decluttered and clean no later than 07/20/2023
Type B
Section Cited
CCR
102418(g)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview and record review, the licensee did not comply with the section cited above. Licensee did not have immunization records for one of the preschool age children present, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/20/2023
Plan of Correction
1
2
3
4
Licensee will send proof of child's file with immunization record included no later than 07/20/2023
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:Mariela Ramon
LICENSING EVALUATOR NAME:Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:
DATE: 07/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/12/2023


LIC809 (FAS) - (06/04)
Page: 3 of 7