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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415948
Report Date: 09/25/2024
Date Signed: 09/25/2024 03:37:12 PM

Document Has Been Signed on 09/25/2024 03:37 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:BOGGS FAMILY CHILD CAREFACILITY NUMBER:
197415948
ADMINISTRATOR/
DIRECTOR:		BOGGS, KRISTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 802-4420
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 9DATE:
09/25/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Kristina BoggsTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 09/25/2024, Licensing Program Analyst (LPA) Carol Heath conducted an unannounced Required annual inspection at the Boggs Family Childcare Home. Upon arrival, the LPA met with the licensee, Kristina Boggs, who guided the LPA on a facility tour. Individuals that reside in the home include 2 adults (licensee and licensee spouse). Per Guardian, all adults in this facility obtain a criminal record clearance.
This is a large family childcare facility. The hours of operation are Monday through Friday, 7:00 a.m. to 5:00 p.m. During the inspection, LPA observed 9 childcare children (1 infant and 8 preschools) with Licensee and her assistant. Per the Licensing Information System, annual facility fees were current. Incidental Medical Services (IMS) were discussed. Per the licensee, she does not have children who need IMS at this time.
The home is set up as follows: This is a two-story home with 4 bedrooms, 2.5 bathrooms, a kitchen, a living room, a dining room, a family room, and a garage.
The following areas are used for daycare:
Daycare is provided on the first floor: family room, dining room and kitchen. Children use the bathroom in the hallway on the right. Children have access to the living room and family room. Off-limit areas include all bedrooms, bathrooms #1 and #2 (upstairs barricaded by safety gate), laundry room (safety doorknob), and garage (has safety doorknob). A barricade is present on the bottom and top staircase; the licensee is reminded that barricades (s) must remain in place during daycare hours if children under 5 years old are in care.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: BOGGS FAMILY CHILD CARE
FACILITY NUMBER: 197415948
VISIT DATE: 09/25/2024
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Family Room: The designated playroom contains a sufficient number of age-appropriate toys, books, games, and napping mats. LPA observed toys and furniture suitable for the children's ages and various games and books available at the facility. The carpets and other materials were found to be in good condition.

Children's Bathroom: Children will use the bathroom down the hall to the right. During the tour, the bathroom was clean, sanitized, and in good repair. The toilet and sink were inspected and found to be in operable condition. The toilet and faucets are clean, safe, and functional. The bathroom was observed to be free of any hazardous items.

Kitchen/Dining Room: The kitchen was inspected to ensure that dangerous items were inaccessible to children and safety latches were in place. All sharp utensils, chemicals, and medications are securely stored and unavailable to children, with safety latches installed on cabinet doors and drawers. Sharp knives are stored in a butcher block inside the gated kitchen.



Backyard: The backyard was inspected as the designated outdoor play area for the children. The space was observed to be free of hazards, including any loose or sharp objects. LPA noted a side gate where two pets and a storage area are kept. Age-appropriate toys were available in the yard. Additionally, there are two outdoor storage sheds, both made inaccessible to children with master locks.

Other:
The AC/Heating Unit and Swamp Cooler were observed during the inspection. The AC/Heating Unit is located on the right side of the home and is inaccessible to children, with barrels placed to block access. Similarly, the swamp cooler unit is also out of children's reach.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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: BOGGS FAMILY CHILD CARE
FACILITY NUMBER: 197415948
VISIT DATE: 09/25/2024
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Bodies of Water: According to the licensee, no bodies of water are on the premises. A decorative water fountain was observed, but it did not contain water.
Electrical Outlets: All unused electrical outlets are covered and inaccessible to children.
Food: The licensee is enrolled in the Food Program and will provide the children with breakfast, lunch, and snacks.
Fire Extinguisher (2A10BC): LPA observed the required fire extinguisher, reading in the green, located in the kitchen and inaccessible to children. The licensee plans to purchase a new extinguisher and will send the receipt to LPA.
Fireplace: The fireplace in the family room is screened off and inaccessible to children.
Hanging Window Blind Cords: All window blind cords were observed to be out of children's reach.
Isolation Area for Illness: According to the licensee, if a child shows signs of illness, they will be separated from the other children and remain in the kitchen.
Medications and Cleaning Solutions: Detergents and cleaning supplies are stored in the upper kitchen cabinets, making them inaccessible to children. Medications are stored in an off-limits bedroom.
Napping: Children will nap in designated areas under adult supervision. LPA observed 12 mats stored in the closet.
Overnight Care: The licensee does not offer overnight care.
Pets: Two small dogs are in the backyard, and they are kept inaccessible to children.
Phone Service: A working landline or cell phone is available at the facility.
Smoke Detectors and Carbon Monoxide Detectors: The smoke detectors and carbon monoxide devices were tested and found to be operable.
First Aid Kit: The First Aid kit is stored in the bathroom and is inaccessible to children. It was observed to be fully stocked with supplies, including a first aid manual.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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: BOGGS FAMILY CHILD CARE
FACILITY NUMBER: 197415948
VISIT DATE: 09/25/2024
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Transportation: The licensee does not provide transportation services for children but holds a valid California driver's license, vehicle insurance and registration.
Weapons or Firearms: According to the licensee, there are no firearms at the facility. LPA did not observe any during the inspection.
LPA reviewed the following Documentation:
Child files: LPA observed 5 children's files, and the records were in order with the required forms.
CPR/First Aid: LPA observed that the licensee has current Pediatric CPR and First Aid Training with an expiration date of 03/2024.
Fire Drill and Disaster Drill: Per the licensee, fire, and disaster drills are conducted every 6 months; the last drill was documented and performed on 7/18/2024.
Immunization: The assistant must find their immunization records (MMR and DTaP). The licensee and her assistant provided a written statement declining the influenza vaccination.
Infant Sleeping Plan (LIC 9227) and Sleeping Log: There is 1 infant during the inspection. LPA advises the licensee to create a file for the infant and follow safe sleeping regulations.
The licensee (does not) post all required information.
Mandated Reporter Training: The licensee completed and renewed the online mandated reporter training at www.mandatedreporterca.com on 1/2023 (it needs to be renewed in 2 years).
Staff Personnel File: LPA observed 1 staff information. The assistant will need to provide MMR, Dtap and flu shot.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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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: BOGGS FAMILY CHILD CARE
FACILITY NUMBER: 197415948
VISIT DATE: 09/25/2024
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The following information was discussed with the licensee:
o A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code sections 1596.848(b) and (c). State law prohibits baby walkers, bouncy seats, exersaucer, and other items that fall into that category.
o Capacity requirements, Roster requirements, Posting requirements, and Documentation requirements for disaster drills (fire and earthquake). Mandatory Forms for the children's and provider's files and Safe Sleep Awareness. The role and responsibilities of being a mandated reporter were reviewed. The licensee was reminded that supervision is always required for children in care.
o The licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B
o Licensee was advised to visit the CCL website (www.ccld.ca.gov) to obtain updates on courses and updates/changes to the regulations. Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. The licensee was advised that the inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must always have the facility's phone number; if the phone number is changed, licensing must be notified.
o Mandatory Forms for the children's files and provider's files.
o Our Quarterly updates come out every 3 months. They are also now in Spanish. Please log in to the CCLD website, or you can email our advocates to have the quarterly updates sent directly to your email. Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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: BOGGS FAMILY CHILD CARE
FACILITY NUMBER: 197415948
VISIT DATE: 09/25/2024
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o Requirements for fire drills, earthquake drills, and documentation for both.
o The Duty Worker is available for questions Monday through Friday at (661) 202-3318 from 8:00 a.m. - 5:00 p.m.
o The licensee is reminded that 100% supervision is required for children at all times.
o The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hotline at 1-800-540-4000. Also, call the CCL office and follow up with a written Unusual Incident/Injury Report (LIC 624B).
o The regulation prohibits the smoking of tobacco in a private residence that is licensed as a family childcare home and in those areas of the family childcare home where children are present (24/7 ban).
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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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: BOGGS FAMILY CHILD CARE
FACILITY NUMBER: 197415948
VISIT DATE: 09/25/2024
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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/
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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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: BOGGS FAMILY CHILD CARE
FACILITY NUMBER: 197415948
VISIT DATE: 09/25/2024
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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-process.

Deficiencies cited: (See LIC 809D). The following Type 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, Kristina Boggs.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/25/2024 03:37 PM - It Cannot Be Edited


Created By: Carol Heath On 09/25/2024 at 03:09 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: BOGGS FAMILY CHILD CARE
FACILITY NUMBER: 197415948

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/25/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(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
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Based on record review, the licensee did not comply with the section cited above. LPA observed the assistant does not have her MMR and DTap in the file, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/09/2024
Plan of Correction
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The licensee will email or text the shot record to LPA
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. During the inspection, LPA observed the licensee and her assistan do not have current CPR/First Aid, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/09/2024
Plan of Correction
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The licensee and her assistant will complete CPR/First Aid training by the POC due date. Upon completion, the licensee will email the certification for both herself and her assistant to the LPA.
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:Claretta Yates
LICENSING EVALUATOR NAME:Carol Heath
LICENSING EVALUATOR SIGNATURE:
DATE: 09/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/25/2024


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