191227276-7-14-2025-12-CC-CHEH-DJKPKN-20250714112321

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191227276
Report Date: 07/14/2025
Date Signed: 07/14/2025 11:24:26 AM

Document Has Been Signed on 07/14/2025 11:24 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	HEIL FAMILY DAY CARE		FACILITY NUMBER:	191227276
ADMINISTRATOR/ DIRECTOR:	HEIL, BELLE L.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 722-2236
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93536
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 7	DATE:	07/14/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:38 AM
MET WITH:	Belle Heil		TIME VISIT/ INSPECTION COMPLETED:	11:40 AM

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 7/14/2024, Licensing Program Analyst (LPA) Carol Heath conducted an unannounced Annual/Random inspection at Heil Family Child Care. Upon arrival, the LPA met with the licensee, Belle Heil, who guided the LPA on a facility tour. Two (3) adults (the licensee and the licensee’s 2 adult sons) and no children reside in the home. During this inspection, 7 young children were present with the licensee and 1 assistant. Per the licensee, the hours of operation are Monday through Friday, 6:00 a.m. to 6:00 p.m. Incidental Medical Services (IMS) were discussed. Per the licensee, she does not have children who need IMS. The home is set up as follows: This is a two-story, four-bedroom, three-bath home with a kitchen/dining room, family room, living room, laundry room, and garage. There is an in-ground pool on the premises. The home was inspected for safety, comfort, cleanliness, telephone service, central air, and heat and ventilation. The house has central heating and air conditioning. All windows have screens free of cracks, bugs, and debris. Main Area: Main care is provided in the living room, family room, and bedroom#1. Children use the bathroom in the hallway next to bedroom #1. Children can access the living room, family room, and bedroom #1.

NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Carol Heath
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: HEIL FAMILY DAY CARE	FACILITY NUMBER: 191227276
	VISIT DATE: 07/14/2025

NARRATIVE

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Living Room/ Family Room: LPA observed age-appropriate toys and furniture for the children in the designated childcare areas. One child-size table and eight child-size chairs were observed. Several plastic storage bins were observed in which games and toys are stored for the children. Games and books are on the premises of this facility. A TV plays educational videos for children, and an adult-size couch.
Children's bathroom (#1): The bathroom was toured and inspected, and the sink/toilet is operable. The toilet and faucets are clean and safe. There are some medications and personal items inside the medication cabinet. LPA asked the licensee to remove them during the inspection. All poison and medications are inaccessible to children with child safety latches under the sink cabinet. The bathroom was observed to be free and clear of hazardous items.
Kitchen: The kitchen was inspected to ensure hazardous and dangerous items were inaccessible to children. Sharp utensils, poisons, and medications are unavailable to children in the kitchen, and child safety latches are on kitchen cabinet doors.
Backyard (Declaration): The backyard was inspected. During today’s inspection, LPA observed that the outdoor play equipment was broken and not safe for children to play. The licensee states she is planning to retire on 8/1/2025. She is going to throw away all the toys. LPA asked the licensee to fill out the Declaration to state that the children will not go outside and play.
Off-limit areas include all bedrooms, bathroom #2, the laundry room (safety door knob), and the garage (key lock door knob). LPA reminded the licensee to make the laundry inaccessible at all times.
Others:
The AC/Heating Unit was observed. The AC/Heating Unit is located on the right side of the home and is inaccessible to children with a cover.

NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Carol Heath
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: HEIL FAMILY DAY CARE	FACILITY NUMBER: 191227276
	VISIT DATE: 07/14/2025

NARRATIVE

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Bodies of water: Per the licensee, there are bodies of water in the home. LPA observed an in-ground pool in the backyard. The wrought iron fences are constructed at least five (5) feet high. The bottom of the fence is no more than two (2) / four (4) inches from the soft ground /concrete. The fence does not obscure the pool from view. LPA observed the gates swing away from the pool, self-close, and have a self-latching device no more than six (6) inches from the top of the gate. Licensee understands and agrees that the swimming pool fencing will remain in place whenever licensed care is provided, and so long as the mesh fence makes the swimming pool inaccessible to children as determined by licensing staff. No items around the perimeter of the fence would allow the fence to be climbable. During today’s inspection, LPA asked the licensee if she had received the new pool regulation. According to the licensee, she did not know that. According to the licensee, she did not have any new required equipment, such as a life ring, pole, pool alarm, or daily check log. In addition, LPA asked the licensee if the childcare children swim in the pool. The licensee stated that the older children (ages 6-9) will swim in the pool with her. The licensee has a water safety certification for 2024.
LPA shared the following information with the licensee. The following safety equipment must be visible from the swimming pool and readily accessible for immediate use: A life ring with a minimum exterior diameter of 17 inches, approved by the United States Coast Guard. A rescue pole equipped with a body hook, with a minimum fixed length of 12 feet. All licensed childcare centers and family care homes must inspect drowning prevention safety features and equipment daily before opening. A log of these inspections must be maintained and made available to the department upon request. Daily inspection logs must also be submitted to the Department upon request.

NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Carol Heath
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: HEIL FAMILY DAY CARE	FACILITY NUMBER: 191227276
	VISIT DATE: 07/14/2025

NARRATIVE

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The licensee understands and agrees that the swimming pool fencing will remain in place whenever licensed care is provided, so long as the mesh fence makes the swimming pool inaccessible to children, as determined by licensing staff. No items around the perimeter of the fence would allow the fence to be climbable.
Electrical outlets: Some unused electrical outlets are not plugged in and accessible to children. LPA asked the licensee to secure the outlets and plugs to prevent access by children.
Fire extinguisher (2A10BC): LPA observed a required fire extinguisher (2A10BC) reading in Green, located under the kitchen sink cabinet, and inaccessible to children. It meets standards established by the State Fire Marshall.
Fireplace: In the living room, a fireplace was observed that was properly screened via mirror glass doors. The fireplace is inaccessible to children.
Hanging window blind cords: The cords are inaccessible to children.
Isolation area (Illness): Per the licensee, if the child shows signs of illness, they will be separated from other children and stay in the living room.
Medications and cleaning solutions: Detergents and cleaning compounds are in the upper kitchen and laundry cabinets, and medications are in the upper kitchen cabinet.
Napping: Children will nap in the designated nap areas with adult supervision. LPA observed children (more than 2 years old) sleeping on the rockers.
Overnight Care: According to the licensee, it does not provide overnight care.
Pets: There are 3 dogs. The licensee was unable to find their shop record.
Phone service: There is a working landline or cell phone
Smoke Detectors and Carbon Monoxide: The smoke detectors and carbon monoxide devices were tested and found operable.
Stairs (For two-story hours): A safety gate is barricaded to make the stairs inaccessible to the children.

NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Carol Heath
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: HEIL FAMILY DAY CARE	FACILITY NUMBER: 191227276
	VISIT DATE: 07/14/2025

NARRATIVE

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The first aid kit is in the key-locked closet and is inaccessible to children. The First Aid Kit was observed.
Transportation: The licensee does not provide transportation for children.
Weapons or Firearms: Per the licensee, there are No Firearms at the facility at this time. LPA does not observe any firearms.
Documentation:
Child files: LPA reviewed 5 children's records. The records are incomplete and missing forms. Infant Sleeping Plan (LIC 9227) and Sleeping Log: There is no infant enrolled in the facility.
Staff Personnel File: During an annual inspection on 7/14/2025 at 9:38 a.m., LPA asked the licensee’s assistants for their files. The licensee was unable to provide her two assistants with the following certificates: 9052, IZ, TB test, LIC 9108, Mandated Reporter Training, and CPR/First Aid.
Criminal Record: Per Guardian, the licensee’s son does not have a criminal record clearance (In process).
CPR/First Aid: The licensee was unable to approve her assistant to have current Pediatric CPR and First Aid Training.
Mandated Reporter Training: The licensee has completed and renewed the online mandated reporter training at www.mandatedreporterca.com on 7/23/2024
Facility fees: Per the Licensing Information System, annual facility fees were current.
Fire Drill and Disaster Drill: Per the licensee, she does not practice the fire drill or disaster drill with the children.
LPA observed that the licensee posted the Facility License, Emergency Disaster plan, and Parents' Rights Poster as required. The licensee will need to post Earthquake Preparedness,

NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Carol Heath
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: HEIL FAMILY DAY CARE	FACILITY NUMBER: 191227276
	VISIT DATE: 07/14/2025

NARRATIVE

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The following information was discussed with the licensee:
ü LPA discussed the safe sleep regulations with licensee [or facility representative] 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 [or facility representative] 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.
ü Licensee [or facility representative] was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
ü IF A FACILITY IS CURRENTLY PROVIDING IMS, USE AS FOLLOWS: This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/

NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Carol Heath
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: HEIL FAMILY DAY CARE	FACILITY NUMBER: 191227276
	VISIT DATE: 07/14/2025

NARRATIVE

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ü IF THERE IS NO CHILD AT THE FACILITY THAT CURRENTLY NEEDS IMS, USE AS FOLLOWS: Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.
ü Centers and Family Child Care Homes Licensee [or facility representative] was informed of the MyChildCarePlan.org website, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
ü Family Child Care Homes During the exit interview, the LICENSEE ****, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.
ü Family Child Care Homes A notice of site visit was given and must remain posted for 30 days.
ü To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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-carelicensing/ inspection-proce
Deficiencies cited: (See LIC 809D). The following Type A and B deficiencies are being cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes.
An exit interview was conducted, and the report was reviewed with the licensee, Belle Heil.

NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Carol Heath
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/14/2025 11:24 AM - It Cannot Be Edited

Created By: Carol Heath On 07/14/2025 at 10:27 AM

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: HEIL FAMILY DAY CARE	FACILITY NUMBER: 191227276
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

HSC

1596.814(a)

Pool Safety

(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: 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. LPA called the licensee on 7/7/2025 to make sure she received the new requlation about pool safety. LPA was unable to talk to the licensee due to her phone numer is not correct. The licensee did not have The licensee did not have the new required equipment: Log, pool alarm, a rescue pole equipped with a body hook, with a minimum fixed length of 12 feet., and life ring, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 07/14/2025
	Plan of Correction
1 2 3 4	The licensee agreed that children will not go outside until she has all the pool equipments.

Type A

Section Cited

CCR

102370(k)

Criminal Record Clearance

(k) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of employees, volunteers that require fingerprinting and non-client adults residing in the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on the interview and record review, the licensee did not comply with the section cited above. During today's inspection, LPA observed in the Guardian that the licensee's son's fingerprint is still in process. The licensee stated that she received a letter stating her son is cleared; however, she was unable to provide the letter. LPA called the office for support. According to the licensee, her son had a ticket a few years ago, which caused a problem with his fingerprint process, posing an immediate health, safety, or personal rights risk to persons in care.
	POC Due Date: 07/14/2025
	Plan of Correction
1 2 3 4	The licensee agreed that her son will not return to the facility until she surrenders her license on August 1, 2025.

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

	Claretta Yates
NAME OF LICENSING PROGRAM MANAGER:

	Carol Heath
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

LIC809 (FAS) - (06/04)

Page: 9 of 16

Document Has Been Signed on 07/14/2025 11:24 AM - It Cannot Be Edited

Created By: Carol Heath On 07/14/2025 at 10:27 AM

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: HEIL FAMILY DAY CARE	FACILITY NUMBER: 191227276
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(9)(A)

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: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above. The licensee was unable to provide the fire drill and earthquake dill log, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/18/2025
	Plan of Correction
1 2 3 4	The licensee agreed to practice fire drill and earthquake drill by 7/18/2025 and email the log to LPA

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above. According to the licensee, she has 2 assistants. Assistant #1 is new, she did not have Mandated Reporter training. Assistant #2, the licensee was unable to find her information, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/18/2025
	Plan of Correction
1 2 3 4	The licensee agreed to ask her assistants to complete their training and email LPA their Mandated Reporter Trainng certifications.

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

	Claretta Yates
NAME OF LICENSING PROGRAM MANAGER:

	Carol Heath
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

LIC809 (FAS) - (06/04)

Page: 10 of 16

Document Has Been Signed on 07/14/2025 11:24 AM - It Cannot Be Edited

Created By: Carol Heath On 07/14/2025 at 10:27 AM

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: HEIL FAMILY DAY CARE	FACILITY NUMBER: 191227276
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.622(c)

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above. During today's inspection, the licensee was unable to find Assistants Immunization records for her staff,which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/18/2025
	Plan of Correction
1 2 3 4	The licensee agreed to submit the assistants' shot record by 7/18/2025.

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.

	Claretta Yates
NAME OF LICENSING PROGRAM MANAGER:

	Carol Heath
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

LIC809 (FAS) - (06/04)

Page: 11 of 16

Document Has Been Signed on 07/14/2025 11:24 AM - It Cannot Be Edited

Created By: Carol Heath On 07/14/2025 at 10:27 AM

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: HEIL FAMILY DAY CARE	FACILITY NUMBER: 191227276
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102418(a)

Immunizations

(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above. LPA observed 5 children files, 3 children do not have their shot record, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/18/2025
	Plan of Correction
1 2 3 4	The licensee agreed to ask parent to bring their shot record and put them in the children's file

Type B

Section Cited

CCR

102421(b)

Child's Records

(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above. LPA observed 5 children files. Only 1 child has all requirement paperwor (LIC 700, 995, 627 and IZ), which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/18/2025
	Plan of Correction
1 2 3 4	The licensee agreed to email all missing forms to the LPA by July 18, 2025.

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

	Claretta Yates
NAME OF LICENSING PROGRAM MANAGER:

	Carol Heath
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2025

LIC809 (FAS) - (06/04)

Page: 12 of 16