197700245-5-21-2024-12-CC-JDMO-D5H293-20240521171116

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700245
Report Date: 05/21/2024
Date Signed: 05/21/2024 05:11:35 PM

Document Has Been Signed on 05/21/2024 05:11 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:	HARPER FAMILY CHILD CARE		FACILITY NUMBER:	197700245
ADMINISTRATOR/ DIRECTOR:	BRENDA HARPER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 855-9915
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93535
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 7	DATE:	05/21/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:10 PM
MET WITH:	Brenda Harper		TIME VISIT/ INSPECTION COMPLETED:	05:10 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	On May 21, 2024, at 2:10 P.M., Licensing Program Analyst (LPA) Joselito L. Del Mundo conducted an unannounced annual inspection at Harper Family Child Care Home to assess its ability to meet compliance with California Code of Regulations (CCR) Title 22, Health, and Safety requirements. LPA Del Mundo met with Licensee, Brenda Harper and stated the reason for the inspection. LPA was granted access to the facility. However, the licensee stated that she has an appointment and that she needs to sign documents. She also stated that she will pick up children after school. Licensee guided the analyst on a tour of the day care areas: Family room (main day care area), homework area, bathroom, and outdoor play area. The licensee also provided her file and 5 children’s files. The smoke detector and carbon monoxide detector are tested at 2:32 P.M. and are in operable conditions. The facility has a fully charge fire extinguisher (2-A:10-B:C type) (reading in green, checked at 2:33 P.M.) and the last service date was on February 21, 2024. The licensee left the facility at 2:40 P.M. Upon arrival of the licensee at 3:40 P.M., the LPA provided copies of the LIC 126 Entrance Checklist Form, LIC 311D Forms/Records to Keep in the Family Child Care Home, and all records/forms that need to be maintain in the facility. Licensee guided the analyst on a tour of the day care areas. The day care take place in the following area of the home: family room, dining room, bedroom #1, bathroom #1, and backyard (outdoor play area). Licensee states the day care hours of operation is Monday to Friday, from :30 A.M. to 7:00 P.M. Currently living in the home is the licensee, and 3 minor children (17, 15, and 11). Licensee is currently providing transportation to children in care. Licensee has current California Driver’s License, vehicle registration, and car insurance. During this visit, LPA observed seven children present in the facility with the licensee providing care and supervision. Licensee has no outstanding fees. Physical Plant: The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds, medicines and

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024

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: HARPER FAMILY CHILD CARE	FACILITY NUMBER: 197700245
	VISIT DATE: 05/21/2024

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hazardous items that can pose a danger to children. Licensee stated that she owns no firearms, and no one smokes in the facility. LPA observed cleaning products and detergents are stored inside the closet beside the bathroom and are inaccessible to children. Knives and other sharp items are stored inside the kitchen drawers with child safety latch. LPA did not observe household medications and zero medications are provided to children in care. Licensee is not enrolled in a food program but is providing meals and snacks to children in care.

The facility is a two-story house. All rooms upstairs are off limits. LPA did not observe a child safety baby gate installed on the stairs. Licensee was advised to install a child safety baby gate to barricade the entrance upstairs. Per licensee, she took the gate and put it in the garage. Licensee will send photos of the child safety baby gate when installed. There is a fireplace in the living room and is covered with a small cabinet. The home has central heating and air conditioning units.

Based on records review, licensee conducted the fire/earthquake drills on January 20, 2024, at 3:50 P.M.

Safe and age-appropriate toys for different ages, children’s books, puzzles, cubbies, numbers, colors, toy house, short and long vowels, and calendar. Per licensee, she has six sleeping cots but only two children take nap during nap time.

Licensee has first aid kit boxes stored on the top of the cubbies. LPA observed electrical outlets have missing child safety plugs. Licensee was advised to put child safety plugs on the outlets.

Licensee is advised that baby bouncers, saucer chairs, or any recalled and or banned toys or sleep/ play equipment are prohibited on the premises. Licensee is advised to check for fixture, furniture and equipment that have been banned or recalled by the United States Consumer Product Safety Commission.

Bathroom: Toilet, sink and faucet were clean and operable. LPA did not observed razors and/or sharp objects, shampoos, mouthwash, medications, perfumes, air freshener, nail polish and nail remover that will pose a health and safety risk to children in care.

Currently, the licensee has seven children enrolled in the facility. Licensee stated that when a child shows signs of illness, the child is separated from other children in bedroom #1 and parents are called immediately to pick up their child.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024

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: HARPER FAMILY CHILD CARE	FACILITY NUMBER: 197700245
	VISIT DATE: 05/21/2024

NARRATIVE

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Outdoor: The facility has no body of water on the premises. The outdoor play area ig a covered patio at the outdoor play area. LPA observed tricycles, small cars, and basketball hoop at the outdoor play area. Per licensee, she supervised children when they play outside.

At the time of inspection, Licensee is aware of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing on the day of the incident and/or 24 hours of incident by telephone, fax and/or in writing to the Department. Licensee is familiar with the Unusual Incident Report form, LIC624B. The report on unusual incident/injuries can also be mailed to unusualIncidentreport@dss.ca.gov

Review of records to be maintained: LPA reviewed with licensee the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. LPA reviewed five children’s files and licensee files. Based on records review, the children’s files are complete. Licensee has current mandated reporter training and CPR/First Aid training. Licensee has proof of immunization against Measles, Pertussis, and Influenza on file. Licensee has TB skin test on file.

Licensee has received criminal record clearance. Licensee was advised to have her child fingerprint cleared once the child turns eighteen.

The following was discussed with the licensee:

The licensee was reminded that 100% supervision is always required for children in care. Licensee was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care. Licensing must always have the facility’s phone number; if the phone number is changed, licensing must be notified.

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 day care home where children are present (24/7 ban). State law prohibits baby walkers, bouncy seats, exersaucers, and any other items that fall into that category.

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

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024

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: HARPER FAMILY CHILD CARE	FACILITY NUMBER: 197700245
	VISIT DATE: 05/21/2024

NARRATIVE

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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 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 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee was advised to visit the CCL website (www.ccld.ca.gov) to obtain updates on courses and updates/changes to the regulations. Our Quarterly updates come out every 3 months and are also 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

The Licensee is informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

The Duty Worker is available for questions Monday through Friday at (661) 202-3318 from 8:00 AM to 5:00 PM.

The facility is in compliance per Title 22 regulations. During today's inspection, LPA Del Mundo did not observed deficiencies that may hinder the health and safety of the children in care. No deficiencies were cited

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: HARPER FAMILY CHILD CARE	FACILITY NUMBER: 197700245
	VISIT DATE: 05/21/2024

NARRATIVE

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during this inspection. An exit Interview and discussion of observations were conducted with the licensee.

During the exit interview the licensee Brenda Harper confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Notice of Site Visit: A Notice of Site Visit (LIC 9213 was given and must remain posted for 30 days.
Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

A copy of this Report was reviewed, and Appeal Rights were also provided to Licensee, Brenda Harper.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024

LIC809 (FAS) - (06/04)

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