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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700481
Report Date: 06/21/2023
Date Signed: 06/21/2023 03:34:06 PM

Document Has Been Signed on 06/21/2023 03:34 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:ARANDA FAMILY CHILD CAREFACILITY NUMBER:
197700481
ADMINISTRATOR:ELBA ARANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 678-8125
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
06/21/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Elba ArandaTIME COMPLETED:
03:30 PM
NARRATIVE
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On 06/21/2023, Licensing Program Analyst (LPA) Joselito L. Del Mundo arrived at the facility to conduct a case management inspection. The purpose of the case management visit was to follow-up on a self-reported Unusual Incident Report submitted by the facility on 05/23/2023.

During the visit, LPA took a census of the children present, and met with licensee Elba Aranda to discuss the reported incident. During the visit, LPA observed 7 children with three assistants (licensee’s son or assistant #1, female assistant #2, volunteer- female assistant#3). LPA spoke with the licensee’s son and 2 children where the incident happened. LPA was not able to take copies of sign in sheet on the day of the incident.

According to interviews conducted in the daycare, children are happy with their daycare provider or other adults in the home. However, during LPA’s interview with the assistant #1, assistant #1 told LPA that he admits he went too far and that he was wrong when he was guiding child #1 in eating during dinner on 05/18/2023. This constitutes a personal rights violation. CCR Title 22 Division 12, Article 06 Continuing Requirements Section 102423 Personal Rights states that (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons. Therefore, the allegation is deemed to be substantiated. Type B Deficiency will be cited during this inspection.

During this inspection, LPA also observed that assistant #2 is not fingerprint cleared. Based on the licensee’s statement, assistant #2 started working three months ago even if the assistant #2 is not yet
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: ARANDA FAMILY CHILD CARE
FACILITY NUMBER: 197700481
VISIT DATE: 06/21/2023
NARRATIVE
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fingerprint cleared. Per CCR Title 22, Division 12, Article 03 Application Procedures, 102370(k) Criminal Record Clearance states that (k) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of employees, volunteers that require fingerprinting and non-client adults residing in the facility. A Type A Deficiency will be cited and an immediate civil penalty of $100 per day for a maximum of five (5) days totalling $500.00 is assessed during this inspection.

An exit Interview was conducted and a copy of this report, Notice of Site Visit, and Appeal Rights were discussed and provided to the licensee, Elba Aranda. A Notice of Site Visit was posted and must remain for 30 days. Removal of the posting is subject to a $100 civil penalty.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023
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Document Has Been Signed on 06/21/2023 03:34 PM - It Cannot Be Edited


Created By: Joselito DelMundo On 06/21/2023 at 02:39 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: ARANDA FAMILY CHILD CARE
FACILITY NUMBER: 197700481

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/07/2023
Section Cited
CCR
102423(a)(1)

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102423 Personal Rights states that (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons. This requirement is not met as evidence by:
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Licensee's assistant #1 will take a anger management course and will provide proof or certificate of the training to LPA.
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Based on the interviews conducted, assistant #1 admitted that he he went too far and that he was wrong when he was guiding child #1 in eating during dinner on 05/18/2023. This posed a potential Health, Safety or Personal Rights risk to persons in care.
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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:Lady King
LICENSING EVALUATOR NAME:Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2023


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Document Has Been Signed on 06/21/2023 03:34 PM - It Cannot Be Edited


Created By: Joselito DelMundo On 06/21/2023 at 02:49 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: ARANDA FAMILY CHILD CARE
FACILITY NUMBER: 197700481

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/22/2023
Section Cited
CCR
102370(k)

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102370 Criminal Record Clearance
(k) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of employees, volunteers that require fingerprinting and non-client adults residing in the facility.
This requirement is not met as evidence by:
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Licensee will not allow assistant #2 to stay in the faciltiy to provide assistance to day care children until assistant #2 is fingerprint cleared. Licensee will inform LPA if assistant #2 is fingerprint cleared.
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Based on the Guardian website roster and the licensee's statement, assistant #2 is not fingerprint cleared which posed an immediate Health, Safety or Personal Rights risk to persons in care.
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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:Lady King
LICENSING EVALUATOR NAME:Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2023


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