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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191223990
Report Date: 10/25/2023
Date Signed: 10/25/2023 02:17:54 PM

Document Has Been Signed on 10/25/2023 02:17 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:HASTINGS FAMILY DAY CAREFACILITY NUMBER:
191223990
ADMINISTRATOR:HASTINGS, CONNIE LYNNEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 272-5605
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 0DATE:
10/25/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Connie HastingsTIME COMPLETED:
02:20 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
Licensing Program Analyst (LPA) Carol Heath and Licensing Program Manager (LPM) Claretta Yates met with Licensee Connie Hastings for the purpose of discussing best practices for the operation of the Family Child Care Home. The goal of this meeting is for Licensee to achieve and maintain compliance with the Title 22 California Code of Regulations. This meeting was conducted in the Palmdale Regional Office (RO).

There was an incident that occurred on November 16, 2020 at the facility involving law enforcement. The licensee failed to report the law enforcement incident to the department. There was one daycare child present during the time of the incident.

During today's meeting, the following was discussed:

  • The operation of a family childcare home, Reporting requirements, and Unusual Incident LIC 624B.
  • It is required that the licensee report to the department any unusual incident that occurs in the daycare facility by telephone within 24 hours and submit an Unusual Incident Report (LIC 624 B) within 7 days to the department.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: HASTINGS FAMILY DAY CARE
FACILITY NUMBER: 191223990
VISIT DATE: 10/25/2023
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
During this meeting, the department recommended the licensee take a “Child Care Reporting Requirements” training on the CDSS website. When she completes the training, the license will submit a statement by 11/3/2023 and email it to the LPA.

The licensee was provided a copy of Title 22 102416.2 Reporting Requirements and a copy of the Unusual Incident Report (LIC 624 B).

LPM Yates reminded Licensee Hastings that a safe environment for children to ensure the health and safety of children in care must be maintained at all times.

An exit interview was conducted and the information was shared with the Licensee, Connie Hastings.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2