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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700450
Report Date: 10/21/2022
Date Signed: 10/21/2022 10:48:11 AM

Document Has Been Signed on 10/21/2022 10:48 AM - 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:FERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
197700450
ADMINISTRATOR:BLANCA FERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 964-7262
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/21/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Blanca Fernandez, LicenseeTIME COMPLETED:
10:48 AM
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A Supervisory Conference was held by Licensing Program Manager (LPM) Mariela Ramon, Licensing Program Analysts (LPAs) Justeene Tamayo and Annelise Villa who met with licensee, Blanca Fernandez.

The purpose of the meeting was to discuss the department’s concerns with the operation of your facility and more in particular with a recent violation concerning the Operation of a Family Child Care Home.

LPM Mariela Ramon explained the purpose of the conference and the Administrative process when facilities continue to violate licensing regulations. A Non-Compliance conference may be scheduled if this facility violates any future serious deficiencies that immediately affect the health and safety of children.

LPM informed licensee that she is always required to provide proper care and supervision to the day care children. LPM advised that supervision is critical considering the violation issued on 09/27/22 as of result of licensee leaving a 17-year-old assistant for approximately 20 minutes to care for 4-day care children while licensee went to pick up other children from an elementary school.

See continuation page 809-C
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2022
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: FERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 197700450
VISIT DATE: 10/21/2022
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Licensee must ensure that the children’s needs are met. LPM reviewed the licensee's current operation hours, Monday-Friday 6AM-6PM. Licensee was reminded that when she is providing transportation services to day care children and she is the person transporting children; she must ensure that a qualified assistant stays with children at the home. Licensee stated she has hired an assistant, and if the assistant is not available, licensee will make sure she has another assistant who is qualified.

Licensee agrees to ensure compliance with the Department's regulations and ensure that children are guarded and protected. LPM explained that when a child is accepted in care, the licensee is responsible for ensuring that the child's needs are met and the health of safety of that child is primary. LPM reminded licensee of the importance of reassessing the supervision in the facility.

Licensee was informed that increased monitoring inspections will be made by the Department to ensure compliance for 1 year starting today 10/21/22 through 10/21/23.

Licensee was also informed that the Licensing Department's goal is to maintain compliance and keep the lines of communication open with the licensee by means of consultation with LPA Justeene Tamayo or an On Duty Analyst assistance.

The meeting was concluded, and a copy of this report was provided to the licensee today 10/21/22.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2022
LIC809 (FAS) - (06/04)
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