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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700714
Report Date: 12/03/2024
Date Signed: 12/03/2024 02:10:34 PM

Document Has Been Signed on 12/03/2024 02:10 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ARCHILA FAMILY CHILD CAREFACILITY NUMBER:
197700714
ADMINISTRATOR/
DIRECTOR:		GLADIS ARCHILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 547-0916
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
12/03/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:41 PM
MET WITH:Gladis ArchilaTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On December 3, 2024, Licensing Program Analyst (LPA) Carol Heath conducted an unannounced annual inspection at Archila Family Child Care. Upon arrival, LPA Heath was greeted by the licensee, Gladis Archila, who provided a facility tour. The home is occupied by 3 adults (the licensee, her husband, and her daughter) and 1 minor child. 4 young children and 2 infants were present at the time of the inspection. The licensee stated that the facility operates Monday through Friday from 6:00 a.m. to 11:00 p.m. Incidental Medical Services (IMS) were discussed, and the licensee confirmed that no children currently require IMS.
The home is set up as follows: It is a two-story house with 4 bedrooms, 3 bathrooms, a living room, a family room, a dining room, a kitchen, a laundry room area, and a garage. There is also a spacious backyard with a gate barricading the play area. No pools, spas, or bodies of water are on the premises. The home was inspected for safety, comfort, cleanliness, phone service, and ventilation. The house has central heating and air conditioning, and all windows have intact screens free of cracks, bugs, or debris.
Main Area: Childcare is primarily provided in the family room near the front entrance. Children use the bathroom in the hallway to the left. They have access to the family room for eating. Off-Limit Areas: Off-limit areas include the front yard, living room(barricaded by safety gate), kitchen(barricaded by safety gate), entire upstairs (barricaded by safety gate), all bedrooms, laundry room (key lock), and garage (key lock door knob).
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ARCHILA FAMILY CHILD CARE
FACILITY NUMBER: 197700714
VISIT DATE: 12/03/2024
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Family Room: LPA observed age-appropriate toys and furniture in the designated childcare areas. There is a child table with chairs and multiple plastic storage bins containing games and toys. The facility also provides books and games for the children. Educational mats were placed on the floor in good condition.
Children's Bathroom (#1): The bathroom was inspected, and the sink and toilet were operable. The toilet and faucets were clean and safe. The medication cabinet was free of medications or personal items, and all poisons and medications were secured under the sink with child safety latches. The bathroom was clear of any hazardous items.
Kitchen (Safety Gate): The kitchen was inspected and found to be safe. Hazardous items were stored out of children’s reach using child safety latches. Sharp utensils, poisons, and medications were inaccessible to children, and sharp knives were stored in the upper kitchen cabinet near the refrigerator, unreachable to childcare children. Backyard: The fully gated backyard was inspected for outdoor play. It was free of hazards, loose objects, and sharp items. There is a grass and concrete area designated for active play.
Additional Information:
The AC/Heating unit is located on the right side of the home and is blocked by barrels, making it inaccessible to children. The swamp cooler unit is also inaccessible. There are no bodies of water in the facility. All unused electrical outlets are plugged and inaccessible to children. The licensee, enrolled in the Food Program, provides breakfast, lunch, snacks, and sometimes dinner.
A 2A10BC fire extinguisher in the kitchen and reading in the green meets State Fire Marshall standards and is inaccessible to children. There is a fireplace in the living room, and all window blind cords are out of children's reach. If a child shows signs of illness, they will be isolated near the living room area.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ARCHILA FAMILY CHILD CARE
FACILITY NUMBER: 197700714
VISIT DATE: 12/03/2024
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Cleaning compounds are stored in an upper kitchen cabinet, and medications are kept in an off-limits bedroom, both inaccessible to children. Children nap in designated areas with adult supervision, and 14 cots were observed. The licensee does not offer overnight care at this time. The house has a working phone line.
Smoke detectors and carbon monoxide devices were tested and found to be operable. A First Aid kit with supplies and a manual is kept in the kitchen, out of children's reach. The licensee provides transportation and has a valid driver’s license, vehicle insurance, and registration. The licensee confirmed that there were no firearms at the facility, and none were observed during the inspection.
Documentation Review:
Child Files: LPA reviewed 5 children's records. All necessary licensing documents were observed in the files.
Infant Sleeping Plan (LIC 9227) and Sleeping Log: Two infants have LIC 9227 forms, and their sleeping logs were in place, in accordance with the Safe Sleep Regulation.
Staff Personnel File: During the inspection, LPA reviewed 1 staff file, which included LIC 508, LIC 9052, immunization records, a TB test, LIC 9108, Mandated Reporter Training, and CPR/First Aid certificates. All required documents were in place.
Immunization Records: The licensee and her assistant have up-to-date immunizations for MMR and DTaP, and both have submitted written statements declining the influenza vaccine.
Criminal Record: According to the Guardian, all adults living and working in the facility have criminal record clearance.
CPR/First Aid: LPA verified that the licensee holds current Pediatric CPR and First Aid certifications, which expire on 05/2025. The licensee also completed one hour of nutrition training and eight hours of Preventive Health and Safety Training.
Mandated Reporter Training: The licensee completed the online mandated reporter training at www.mandatedreporterca.com, which expires on 8/29/26.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ARCHILA FAMILY CHILD CARE
FACILITY NUMBER: 197700714
VISIT DATE: 12/03/2024
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Facility Fees: According to the Licensing Information System, the annual facility fees are current.
Fire/Disaster Drill: The licensee conducts fire and disaster drills every six months, with the last drill documented on 04/2024. No current documentation of earthquake/fire drills was observed during this inspection. The licensee will have the dill this week.
Required Postings: LPA observed that the licensee (does/does not) have the Facility License, Emergency Disaster Plan, and Parents' Rights Poster displayed as required.

The following information was discussed with the licensee:
o A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code sections 1596.848(b) and (c). State law prohibits baby walkers, bouncy seats, exersaucer, and other items that fall into that category.
o The licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B
o Licensee was advised to visit the CCL website (www.ccld.ca.gov) to obtain updates on courses and updates/changes to the regulations. Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. The licensee was advised that the inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must always have the facility's phone number; if the phone number is changed, licensing must be notified.
o Requirements for fire drills, earthquake drills, and documentation for both.
o The Duty Worker is available for questions Monday through Friday at (661) 202-3318 from 8:00 a.m. - 5:00 p.m.
o The licensee is reminded that 100% supervision is required for children at all times.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ARCHILA FAMILY CHILD CARE
FACILITY NUMBER: 197700714
VISIT DATE: 12/03/2024
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o The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hotline at 1-800-540-4000. Also, call the CCL office and follow up with a written Unusual Incident/Injury Report (LIC 624B).
o The regulation prohibits the smoking of tobacco in a private residence that is licensed as a family childcare home and in those areas of the family childcare home where children are present (24/7 ban).
ü LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and- resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] 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.
ü Licensee [or facility representative] was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC809 (FAS) - (06/04)
Page: 5 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ARCHILA FAMILY CHILD CARE
FACILITY NUMBER: 197700714
VISIT DATE: 12/03/2024
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ü IF THERE IS NO CHILD AT THE FACILITY THAT CURRENTLY NEEDS IMS, USE AS FOLLOWS: Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.
ü Centers and Family Child Care Homes Licensee [or facility representative] was informed of the MyChildCarePlan.org website, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
ü Family Child Care Homes During the exit interview, the LICENSEE ****, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.
ü Family Child Care Homes A notice of site visit was given and must remain posted for 30 days.
ü To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-carelicensing/ inspection-process.
No deficiencies are being cited at this time.
An exit interview was conducted, and the report was reviewed with the licensee,Gladis Archila.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC809 (FAS) - (06/04)
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