197700401-8-17-2021-12-CC-LKIG-C5YSFW-20210817135102

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700401
Report Date: 08/17/2021
Date Signed: 08/17/2021 01:52:07 PM

Document Has Been Signed on 08/17/2021 01:52 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:	COLMENERO FAMILY CHILD CARE		FACILITY NUMBER:	197700401
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 14	CENSUS: 6	DATE:	08/17/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Brenda Colmenero		TIME COMPLETED:	02:00 PM

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Licensing Program Analyst (LPA), Lady King-Lewis met with licensee for the purpose of a capacity increase visit. Licensee was initially licensed in April 2020 as a small Family Child Care Home (FCCH). Licensee meets the qualification to increase the capacity to a large FCCH. A fire clearance has been received and approved. Present during the visit was the licensee and 6 preschool children.

Day care is being provided in living room for napping, hallway bathroom, family room and rear yard. Licensee has provide the department with an updated facility sketch to show the living room is no longer off limit. Napping equipment was observed. Children utilize the bathroom located in the hallway. The bathroom was observed to be free of chemicals or toxic items.

Off limit areas include the entire upstairs area of the home, the attached garage and the kitchen. There is a safety gate at the kitchen entrance to make it inaccessible to children in care. The garage is used for storage only. No child care activities are conducted in the garage.

The facility Licensee, Notification of Parents’ Rights Poster, and Emergency Disaster Plan are posted. Pediatric CPR and First Aid will expire on 01-24-22.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Lady King
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021

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: COLMENERO FAMILY CHILD CARE	FACILITY NUMBER: 197700401
	VISIT DATE: 08/17/2021

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The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Knives are stored in a kitchen top cabinet. Cleaning supplies are stored under the kitchen sink secured with safety latches.

There are age appropriate toys and equipment on the premises. Appropriate fire extinguisher (2A10BC) is mounted on the kitchen wall. Smoke detectors and Carbon Monoxide detector are in operable condition at time of visit. The fireplace is screen. Home is equipped with central Air conditioning and Central heating. There is no pool, spa or other bodies of water on the premises. Licensee stated there are no firearms or weapons of any kind in the facility. LPA did no observe any weapons or fire arms. First aid kit was observed and complete.

Licensee is reminded that with a capacity increase she must have a qualified assistant present whenever there are more than 8 children in care. Licensee is also reminded that with the capacity increase to a total of 14 children she is to have no more than 3 infants in care (0-2yrs), 1 child enrolled in Kindergarten, 1 child at least 6 years of age and a qualified assistant.

Licensee understands that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome). Children will nap on cots, portable crib and playpen. Licensee aware no infant shall be swaddled,

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Lady King
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021

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: COLMENERO FAMILY CHILD CARE	FACILITY NUMBER: 197700401
	VISIT DATE: 08/17/2021

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and car seat shall not be used for sleeping. Licensee is aware to supervise infants while they are sleeping by physically checking every 15 minutes and documenting the child status. Licensee should refer to regulation 102425(J) for documentation requirement. LPA reviewed requirement with licensee during this inspection visit. LPA also discussed earthquake safety and necessity of drills, required forms for children’s files, facility files and posting requirements. Fingerprint clearance and transfer process. Capacity and ratio and reporting requirements.

The department will increase the license capacity to 14 children. Licensee is r

An exit interview conducted a copy of this report and a notice of site visit was provided to licensee.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Lady King
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021

LIC809 (FAS) - (06/04)

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