197700549-12-29-2022-12-CC-AALH-CMKUKV-20221229143945

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700549
Report Date: 12/29/2022
Date Signed: 12/29/2022 02:40:22 PM

Document Has Been Signed on 12/29/2022 02:40 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:	YANEZ FAMILY CHILD CARE		FACILITY NUMBER:	197700549
ADMINISTRATOR:	MARISELA YANEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 878-4089
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93551
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	12/29/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Marisela Yanez		TIME COMPLETED:	03:00 PM

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On 12/29/22 Licensing Program Analysts (LPA) Andrew Alemoh met with licensee Marisela Yanez who guided analyst on a tour of the facility for the One Year Required inspection. This is a 4 bedroom 3 bathrooms home. Upon arrival LPA observed licensee 4 children 2 adults caring for them. Family members residing in the home include 2 adults and 4 children (licensee, licensee's husband and licensee's children). Facility hours of operation are Monday - Thursday 6:30AM- 6PM Friday: 6:30 - 5:30PM . Incidental Medical Services (IMS) policy was discussed.

Physical Plant: Main care is provided in the playroom. The children use the bathroom located to the right of the front entrance. The off-limits areas are all upstairs bedrooms, 2 bathrooms, laundry room and garage are also off limits and are kept locked during business hours. The home was inspected inside and out for safety, clean and orderly, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds which are kept in the top cabinet of the laundry room, medicines are kept in kitchen top cabinet and hazardous items (sharp knives are kept in the kitchen in the upper cabinet high enough that they are inaccessible to children).

Safe and age appropriate toys, play equipment and materials were observed. The smoke detector, carbon monoxide detector and Fire Extinguisher (2A10BC) are all in operable condition. Electrical outlets are inaccessible.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: YANEZ FAMILY CHILD CARE	FACILITY NUMBER: 197700549
	VISIT DATE: 12/29/2022

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No recalled and or prohibited toys or sleep/ play equipment were observed on the premises. There is a designated area for ill children as necessary in the living room. Per Licensee, there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone (cell).

Roster is maintained current. Fire/Disaster drills are maintained current. Last fire disaster drill was completed on 12/05/22 .

Bathroom: Toilet and faucet are clean and operable. LPA did not observe any cleaning solutions in the bathroom.

Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. The home has a clean and fully stocked refrigerator/freezer. Cleaning supplies are in the laundry room which is locked during business hours. Breakfast, lunch, snacks and dinner are provided. Licensee stated she currently does have a food program with Ventura. Naps are provided on cots the living room.

Outdoor: The front yard is off limits. The backyard is completely fenced in with a brick wall. There are three dogs on in the premises. Dogs do not come in contact with daycare children. LPA observed age appropriate toys, well secured and safe for children.

LPA reminded licensee that to provide overnight care to children whenever the children are awake at night, the licensee must be awake to ensure supervision. LPA advised licensee to ensure that the front door or any doors that provide exit to the facility must have door knobs to ensure children cannot leave the home at anytime . Door knobs must have a safety lock.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022

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: YANEZ FAMILY CHILD CARE	FACILITY NUMBER: 197700549
	VISIT DATE: 12/29/2022

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There are no bodies of water in the premises.

Advisory/Other: First Aid kit was observed with supplies readily available and located in the playroom. CPR/First Aid expires 12/17/24. Mandated Reporter expires on 12/29/23. LPA reminded licensee; mandated reporter training must be completed every 2 years.

Documents Provided and or Discussed: Fire Drill Log, Postings, Employee's and Children's records, Safe Sleep PIN 20-24-CCP and Individual Sleeping Plan (LIC9227). Licensee currently does not have child care insurance.

Licensee Marisela 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 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPAs discussed the safe sleep regulations with licensee Feil and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. 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.

An exit interview was conducted, a copy of this report was reviewed and provided to licensee along with the appeal rights.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022

LIC809 (FAS) - (06/04)

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