197700466-3-9-2023-12-CC-JDMO-CPRSDU-20230309124742

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700466
Report Date: 03/08/2023
Date Signed: 03/09/2023 12:48:07 PM

Document Has Been Signed on 03/09/2023 12:48 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:	TAYLOR FAMILY CHILD CARE		FACILITY NUMBER:	197700466
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 2	DATE:	03/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Melissa Marie Taylor		TIME COMPLETED:	12:50 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 03/09/2023, at 9:00 AM. Licensing Program Analyst (LPA) Joselito L. Del Mundo conducted an unannounced annual inspection at the Taylor Family Child Care Home to assess the Facility operation of their program, its current physical plant status and its ability to meet compliance with California Code of Regulations (CCR) Title 22, Health and Safety requirements, and other applicable State and Licensing Statutory requirements. LPA Del Mundo met with Licensee, Melissa Marie Taylor and stated the reason for the inspection. 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. At 10:00 AM., Licensee guided the analyst on a tour of the day care areas. The day care take place in the following area of the home: living room #2, outside backyard (outdoor play area), bathroom downstairs small hallway between the washer and drier. Licensee states the day care hours of operation is from Monday to Friday, 24 hours excluding weekends. Currently living in the home is licensee, licensee's spouse, and four minor children (ages 5, 7, 9 and 14). Licensee is currently providing transportation to children in care. Physical Plant The facility is a two-story house and the stairs leading to second floor is barricaded. The home has heating and ventilation for safety and comfort, maintains a telephone service, (Licensee was advised that the cell phone shall be charged and available during day care hours) has safe age-appropriate toys, play equipment and materials for children in care to use. At the time of this inspection, there are no fixtures, furniture, and equipment that have been banned or recalled by the United States Consumer Product Safety Commission. Per Licensee, she provides food (breakfast, morning snacks, lunch and afternoon snacks) for children in care. 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.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

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: TAYLOR FAMILY CHILD CARE	FACILITY NUMBER: 197700466
	VISIT DATE: 03/08/2023

NARRATIVE

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The home is free from defects or conditions which might endanger a child. The fireplace is located in front entry of the living room # 1 (off-limits) on the left side and is covered with a metal fence to prevent access by children. It has operational carbon monoxide-smoke detector and fire extinguisher which meet established standards. Poisons, detergents, cleaning compounds are stored underneath the kitchen (off-limits) sink and locked to make it inaccessible to children. Knives are stored in the top cabinet above the stove in the kitchen where they are locked and inaccessible to children. Medicines are stored in the top cabinet of the kitchen (off-limits). First aid kit is stored in the closet located on the right side of the entry way. Per licensee, there are no firearms in the facility. All children, age and ability permitting, and the provider, the assistant provider (if any), and other members of the household, have been instructed in their duties under the disaster plan. Newly enrolled children are informed promptly of their duties as required in the emergency plan. Fire drills and disaster drills are conducted at least once every six months (date last conducted was January 8, 2023), the licensee document the drills, including the date and time of each drill. There are no baby walkers in the facility. Licensee is aware that smoking is prohibited on the premises of a family child care home.

Currently, there is one infant enrolled in their program with one crib/play yard. Licensee is aware that there must be one crib or play yard for each infant who is unable to climb out of the crib or play yard. The crib(s) or play yards use by the facility must meet the United States Consumer Product Safety Commission safety standards. Placement of crib(s or play yards shall not hinder entrance or exit to and from the space where infants sleep. Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. The mattresses shall be made specifically for the size crib or play yard in which they are placed.

The facility has no body of water on the premises. Per licensee, the outdoor play area is currently not being use. Licensee is advised to clean and put a fence on the outdoor play area (rear yard) and around the outdoor air conditioning unit fan. LPA told licensee to send a work order on the currently being repaired concrete post support for the door leading to the outdoor play area The LPA explained to Licensee how to obtain information from the Community Care Licensing (CCL) website (www.cdss.ca.gov).

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

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: TAYLOR FAMILY CHILD CARE	FACILITY NUMBER: 197700466
	VISIT DATE: 03/08/2023

NARRATIVE

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Care and Supervision

Per Licensee, she is present in the home during child care time and ensure all children in care are supervised at all times. When circumstances require her to be temporarily absent from the home, she arranges for a substitute adult to care for and supervise the children during her absence. Per Licensee, her temporary absences do not exceed 20 percent of the hours that the facility is providing care per day. Licensee states that when a child shows signs of illness he/she is separated from other children in the extra-large playpen located in living room #2.

Facility Administration

The licensee has a current mandated reporter training certificate (01/04/2023). The Licensee has current Pediatric CPR and First Aid training certificate which will be expiring in December 2024. Licensee has proof of immunizations against influenza, pertussis, measles and TB skin test. Licensee is advised that if she will be employing assistants, they have to take the training on preventive health practices. 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 within 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

Licensee is aware that personnel records should be maintained on Licensee and each assistant (if any) and contain the following information: Licensee and staff full name; A signed and dated copy of the Notice of Employee Rights [LIC 9052]; Driver's license number if the employee is to transport children; Date of employment; Date of birth; Current home address and phone number; Documentation of completion of training on preventative health practices as required by Section 102416(c). All personnel records are maintained at the facility. Any changes to the facility from an area of the family child care home should be reported to the Department.
The Licensee and other persons associated to the facility have obtained appropriate clearance or a criminal record exemption as required by the Department.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: TAYLOR FAMILY CHILD CARE	FACILITY NUMBER: 197700466
	VISIT DATE: 03/08/2023

NARRATIVE

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Records

Licensee and other adults living in the home, working at and associated to the facility have received criminal record clearance. At the time of inspection, there are emergency information card maintained for children present in the day care during the inspection.

Per Licensee, each child receiving services at the Facility are treated with dignity and respect. They are provided with safe, healthful, and comfortable accommodations, furnishings, and equipment. There is no corporal or unusual punishment of any kind, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

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

Overall, the Facility is in compliance per Title 22 regulations. During today's inspection, LPA Del Mundo did not observed any deficiencies that may hinder the health and safety of the children in care. No deficiencies were cited during inspection. An exit Interview, discussion of observations and this report were conducted.

A copy of this Report, Notice of Site Visit (LIC 9213) and Appeal Rights were provided to Licensee, Melissa Taylor.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

LIC809 (FAS) - (06/04)

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