197417863-1-12-2024-12-CC-AVIA-CZEU2J-20240112141200

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417863
Report Date: 01/12/2024
Date Signed: 01/12/2024 02:12:24 PM

Document Has Been Signed on 01/12/2024 02:12 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:	ROSALES FAMILY CHILD CARE HOME		FACILITY NUMBER:	197417863
ADMINISTRATOR:	CLAUDIA ROSALES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 480-7421
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93551
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 12	DATE:	01/12/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Claudia & William Rosales, Licensees		TIME COMPLETED:	03:00 PM

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On January 12, 2024, Licensing Program Analyst (LPA) Annelise Villa met with Licenses Claudia and William Rosales, who guided analyst on a tour of the facility for the Three Year Required inspection. Upon arrival, LPA observed 9 preschool age children and 3 infants in care with Licensees caring for them. Family members living in the home are Licensees and 2 minor children. Hours of operation are 6:00 am to 6:00 Monday through Friday. Incidental Medical Services (IMS) policy was discussed.

Physical Plant: This is a two story home 4 bedrooms, 3 bathrooms with kitchen, living room/play room, enclosed patio, and attached garage. The attached garage was observed to be locked. The garage is used for storage only, the garage is off limits to children. Main care is provided in the living room and enclosed patio. LPA observed two baby gates barricading the stairs. The children use the bathroom located in the hallway to the right. The off-limits areas are all upstairs bedrooms/restrooms, kitchen, and the garage. The home was inspected inside and out for safety, clean and orderly, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds, and medicines. Hazardous items (sharp knives are kept in the kitchen which is off limits and inaccessible to children).

Safe and age-appropriate toys, play equipment and materials were observed. LPA tested the smoke detector and carbon monoxide detector and observed both to be in operable condition. Fire extinguisher (2A10BC) was found to be in operable condition in the kitchen. Electrical outlets were inaccessible. No recalled and or prohibited toys or play equipment were observed on the premises. There is a designated area for ill children as necessary.

Bathroom: Children use the restroom located on the right side of the home. LPA observed toilet and faucet to be clean and operable with no hazardous items. Bathroom #1 is a half bathroom with no shower and no tub. LPAs reminded applicant the children's bathroom must be free of accessible shampoos, mouthwash, medication, perfumes, razor, air freshener, nail polish and polish remover.

Continued on LIC 809-C

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ROSALES FAMILY CHILD CARE HOME	FACILITY NUMBER: 197417863
	VISIT DATE: 01/12/2024

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Kitchen: The kitchen is off limits to children in care. The home has a clean and fully stocked refrigerator/freezer. Breakfast, lunch, dinner, and snacks are provided as needed. Licensee stated she is a participant in a food program.

Outdoor: The front yard is off limits. Children utilize the back yard for outdoor play. The backyard is completely fenced in with a brick wall. There are three dogs on the premises. LPAs observed age appropriate toys, well secured and safe for children. LPA observed 3 storage sheds in the back yard. All three sheds had locks and the contents are inaccessible to children in care.

Pools/Spas/Bodies of Water: There are no pools, spas, or bodies of water on the premises.

Advisory/Other: First Aid kit was observed in the kitchen with supplies readily available. Licensee’s First Aid/CPR is valid and expires on 8/5/2025. Mandated reporter training for licensees expires in 1/12/2024. LPA reminded licensee mandated reporter training and CPR must be completed every 2 years. Licensee will renew Mandated Reporter Training. Per Licensee, there are no guns, weapons, or firearms in the home. Per Licensee, there is no smoking in the home. Last fire/disaster drill was completed on 12/28/2023.

Licensee’s annual fees are current. LPAs observed all required facility postings on premises. Licensee had the following required posted documents: Notice of Parent's Rights Poster (PUB 394), Facility License (LIC 203) and Emergency Disaster Plan (LIC 610A), Earthquake Preparedness Checklist (LIC 9148) and Fire/Disaster Log.

Documents Provided and or Discussed: Fire Drill Log, Earthquake Preparedness Checklist (LIC 9148), Safe Sleep PIN 20-24-CCP and Individual Sleeping Plan (LIC9227). Licensee currently does not have childcare insurance.

Licensee 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.

Continued on LIC 809-C

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ROSALES FAMILY CHILD CARE HOME	FACILITY NUMBER: 197417863
	VISIT DATE: 01/12/2024

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Licensee advised of the requirement to report Unusual Incidents. Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov. A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.

LPAs discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep. More information on Infant Safe Sleep procedures can be found online on the CDSS web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPAs 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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-care-licensing/process

An exit interview was conducted, a copy of this report was reviewed and provided to licensee along with the appeal rights.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

LIC809 (FAS) - (06/04)

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