197700572-9-13-2023-12-CC-AALH-CVMTM7-20230913145039

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700572
Report Date: 09/13/2023
Date Signed: 09/13/2023 02:51:22 PM

Document Has Been Signed on 09/13/2023 02:51 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:	TOBAR FAMILY CHILD CARE		FACILITY NUMBER:	197700572
ADMINISTRATOR:	SONIA TOBAR		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 440-2294
CITY:	CANYON COUNTRY	STATE: CA	ZIP CODE:	91351
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 2	DATE:	09/13/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Licensee Sonia Tobar		TIME COMPLETED:	03:30 PM

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On 09/13/2023 Licensing Program Analyst (LPA) Alemoh, met with licensee Sonia Tobar, who guided analyst on a tour of the facility for the One Year Required inspection. This is a one story home with 4 bedrooms and 1 bathroom. Upon arrival LPA observed 2 children in care and 2 adults caring for them. Family members residing in the home include 2 adults (licensee, licensee's husband and minor son). Facility hours of operation are Monday - Friday 7AM- 5PM. Incidental Medical Services (IMS) policy was discussed.

There is a pool on the premises.

Physical Plant: Main care is provided in the playroom. There are cubbies for children to place their belongings upon arrival. Age appropriate toys and play equipment were observed around the playroom. There is an extra room for changing diapers. LPA observed the changing room to be clean and orderly. The changing table had extra diapers, and wipes for cleaning. The children use the bathroom located in the hallway to the right. The off-limits areas are all three bedrooms, and the kitchen. 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 on top of the refrigerator.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

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: TOBAR FAMILY CHILD CARE	FACILITY NUMBER: 197700572
	VISIT DATE: 09/13/2023

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No medicines on the premises however vitamins are stored in the top kitchen 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. 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 playroom. Per Licensee, there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone (cell).

Fire/Disaster drills are maintained current. Last fire disaster drill was completed on August 28th 2023.

Bathroom: LPA observed the toilet and faucet are clean and operable. The shower/tub was free of prohibited items such as body soaps and razors.

Kitchen: Off-limits barricaded by a safety gate. Sharp utensils, open bottles or alcohol are inaccessible. The home has a clean and fully stocked refrigerator/freezer. Cleaning supplies are on top of the fridge making it inaccessible to children. Breakfast, two snacks and lunch are provided. Licensee stated she currently does have a food program. Naps are provided on cots/mats in the play room.

Outdoor: The front yard is off limits. The backyard is completely fenced in with a brick wall. There is a safety gate separating a dog run on the left side of the backyard. There are three dogs on the premises. Per licensee, dogs do not come in contact when children are present. The is a safety gate barricading the play area.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

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: TOBAR FAMILY CHILD CARE	FACILITY NUMBER: 197700572
	VISIT DATE: 09/13/2023

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The right side of the home is off-limits and barricaded by a fence. The AC unit and BBQ pit was observed to be in the off-limits area on the right side of the home. LPA observed age appropriate toys, well secured and safe for children.

There is a swimming pool in the backyard. The bodies of water are completely enclosed by a 5 ft mesh fence. The fence runs all the way down to the concrete on which it sits, leaving no room between the bottom of the fence and the concrete. The pool gate was tested and observed to be self-closing and self-latching. The gate has an installed mechanism containing a key to lock the gate and it is located within 6 inches from the top of the gate. The lever to open the gate is located at the top of the gate. The pool gate opens away from the bodies of water. All items rendering the fence climbable are moved away from the fence. The mesh fencing is sturdy and capable of withstanding the impact of children's toys including bicycles. LPA took photos to document in the file.

Advisory/Other: First Aid kit was observed with supplies readily available. CPR/First Aid expires 05/25/25. Mandated Reporter expires on 04/12/24. LPA reminded licensee; mandated reporter, and CPR/Pediatric 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 Sonia 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.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

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: TOBAR FAMILY CHILD CARE	FACILITY NUMBER: 197700572
	VISIT DATE: 09/13/2023

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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.

LPA discussed the safe sleep regulations with licensee Sonia and observed safe sleep charts for the infants that are enrolled in the day.

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

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

LIC809 (FAS) - (06/04)

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