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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700572
Report Date: 09/17/2024
Date Signed: 09/17/2024 12:28:12 PM

Document Has Been Signed on 09/17/2024 12:28 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 CAREFACILITY NUMBER:
197700572
ADMINISTRATOR/
DIRECTOR:		SONIA TOBARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 440-2294
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
09/17/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Licenee SONIA TOBARTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 09/17/2024 Licensing Program Analyst (LPA) Alemoh, met with licensee Sonia Tobar, and her spouse 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 2 bathrooms. Upon arrival LPA observed 3 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 area. There are cubbies for children to place their belongings upon arrival. Age appropriate toys, play equipment, paint/coloring materials, blocks, and books were observed around the playroom. There is an extra room for diaper changing. LPA observed the diaper changing room to be clean and orderly. The changing table had extra diapers, and cleanings wipes. The children use the bathroom located down the hallway. 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 and or

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2024
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: 09/17/2024
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underneath the kitchen sink with a safety latch. 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(tested at 10:50am) and Fire Extinguisher(2A10BC reading in the green zone along with last inspected in May 2024) 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 area. 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 not current at the time of this inspection. Last fire disaster drill was completed on Feb 2024. LPA advised license to conduct an fire drill as soon as possible and send proof of documentation.

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. Underneath the bathroom sink was

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, along with underneath the kitchen sink with a safety latch. 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.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
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: 09/17/2024
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Outdoor: The front yard is off limits. The right side of the home is off-limits and barricaded by a fence. 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 dogs on the premises. Per licensee, dogs do not come in contact when children are present. There is a safety gate barricading the play area. The AC unit was observed to be in the off-limits right side of the home barricaded. The BBQ was observed to located on the off-limits left side of the back yard. LPA observed age appropriate toys, well secured and safe for children. There are cameras located around the property.

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.

Advisory/Other: First Aid kit was observed with supplies readily available stored in the cubbies. CPR/First Aid expires on 08/17/26. Mandated Reporter expired, however spouse mandated reporter expires on 11/18/2025. 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.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
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: 09/17/2024
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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.

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 daycare.

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: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
LIC809 (FAS) - (06/04)
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