197492800-3-16-2022-12-CC-JDOY-CCKS65-20220316133522

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197492800
Report Date: 03/16/2022
Date Signed: 03/16/2022 01:35:35 PM

Document Has Been Signed on 03/16/2022 01:35 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:	BOBADILLA FAMILY CHILD CARE		FACILITY NUMBER:	197492800
ADMINISTRATOR:	BOBADILLA, WENDY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 403-9317
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93552
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 7	DATE:	03/16/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:21 AM
MET WITH:	Wendy Bobadilla		TIME COMPLETED:	01:49 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) Justin Dorsey and Justeene Tamayo met with Licensee, Wendy Bobadilla, who guided analyst on a tour of the facility for the One Year Required Inspection. This is a one story 4 bedroom, 2 bathroom home with kitchen, dining room, children's dining room, family room and garage. There is no pool on the premises. Upon arrival LPA observed 7 children with Assistant #1. Licensee Wendy Bodadilla later arrived to the home. Physical Plant: Main care is provided in two converted bedrooms (main care area). Children use the bathroom in hallway near the children's dining room. Children have access to the children's dining room, and main care area and children's bathroom. Off limit areas family room, dining room, kitchen, 2 bedrooms. 1 bathroom and garage. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (cabinet above stove), medicines (master bedroom) and hazardous items (cabinet above stove) that can pose a danger to children. Fireplace is screened. The home has safe and age appropriate toys, play equipment and materials. The smoke detector and carbon monoxide detector, and Fire Extinguisher (2A10BC) are in operable condition. Per Licensee no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment were observed on the premises. There is a designated area for ill children as necessary. Per Licensee there are no weapon/firearms in the home. During the inspection LPA's observed Assistant #1 to be in the home without the licensee caring for 7 children. LPA's observed the oldest child present was child #3 (DOB 05/24/17). The last fire/earthquake drill was completed 02/14/22. Roster complete and maintained current. Bathroom: Shower/tub are free of hazards (child care bathroom). Toilet and faucet is clean and operable.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

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 3

Document Has Been Signed on 03/16/2022 01:35 PM - It Cannot Be Edited

Created By: Justin Dorsey On 03/16/2022 at 12:53 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: BOBADILLA FAMILY CHILD CARE	FACILITY NUMBER: 197492800
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/16/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Deficiency Dismissed

Type B

Section Cited

CCR

102416.5(e)

Staffing Ratio and Capacity

(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). 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 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/25/2022
	Plan of Correction
1 2 3 4	Per licensee she will ensure that the home is in ratio befroe leaving the home.

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.

SUPERVISOR'S NAME:

Claretta Yates

LICENSING EVALUATOR NAME:

Justin Dorsey

LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: BOBADILLA FAMILY CHILD CARE	FACILITY NUMBER: 197492800
	VISIT DATE: 03/16/2022

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

Kitchen: Sharp utensils are inaccessible. Breakfast, AM snack, lunch, PM snack and dinner are provided. Licensee reminded If food is brought from the children’s home, the container shall be labeled with the child’s name and properly stored or refrigerated. Cleaning supplies are located in a cabinet above the stove. No chemicals in the kitchen were observed to be accessible.

Outdoor: Per licensee the backyard is currently off-limits due to turf being installed. The backyard is completely fenced. The backyard has turf and concrete areas for children to play. LPA's observed the toys in the backyard to be in safe condition. Licensee was advised that all hazardous items must be removed from the backyard before the outdoor area is made on-limits. LPA's observed one small dog in the backyard.

Advisory/Other: First Aid kit was readily available. CPR/First Aid expire 09/2022. The licensees Mandated Reporter expired 03/07/22. Child nap on mats and cribs in the main care area (converted bedroom).

Documents discussed: Safe Sleep PIN 20-24-CCP and Large Family Child Care ratios.

Licensee Bobadilla 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 Bobodilla 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 Bobadilla 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.

A notice of site visit was given 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 Wendy Bobadilla.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

LIC809 (FAS) - (06/04)

Page: 3 of 3