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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700784
Report Date: 01/24/2024
Date Signed: 01/24/2024 10:00:30 AM

Document Has Been Signed on 01/24/2024 10:00 AM - 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:TOLEDO RODRIGUEZ FAMILY CHILD CAREFACILITY NUMBER:
197700784
ADMINISTRATOR:GRETCHEN TOLEDO RODRIGUEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 601-2019
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
01/24/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:22 AM
MET WITH:Grethchn RodriguezTIME COMPLETED:
10:15 AM
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On 1/24/2024, Licensing Program Analyst (LPA) Carol Heath announced a Relocation pre-licensing inspection with the licensee, Gretchen Toledo, to ensure the facility meets licensing requirements. The licensee is requested to provide care for a Large family childcare home with a capacity of 14 children. LPA toured the house in and out. Individuals who reside in the home include 4 adults (licensee, husband, aunt, and uncle) and 3 children (daughter 1 year old, son 4 years old and 13 years old ). Per Guardian, all adults in this facility obtain a criminal record clearance.
During today's inspection, there were 2 children (the licensee’s children) with the licensee. The hours of operation are Monday through Friday, 6:00 am to 6:00 pm. The incidental Medical Services (IMS) policy was discussed. The licensees will not provide the IMS at this time.
The home is described as follows:
This two-story home consists of a 6-bedroom, 5-bathroom home with a kitchen, childcare (formal dining area), living/dining room, laundry, and garage. There is no body of water on the premises. Childcare children can access the backyard and kitchen.
Indoor:
Main area: Main care is provided in the Living room used for childcare. Children use the bathroom on the left in the hallway.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024
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: TOLEDO RODRIGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197700784
VISIT DATE: 01/24/2024
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· Living room: A fireplace in the Living room is screened to make it inaccessible to the children. LPA observed a cover in front of the fireplace, which was made inaccessible to children. PA observed many age-appropriate toys, books, and other materials in the Dining room area. Per the licensees, the children will nap in the Living Room.
· Bathroom #1: Children will use bathroom #1 next to the Laundry room. Bathroom #1 was toured and inspected. The toilet is in operable condition. The faucets are clean, safe, and operable.

· Kitchen/Dining: All sharp utensils, cutlery, cleaning supplies, medicines, drawers, cabinets with plastic bags, and pointy things or small things children can swallow are inaccessible to children with a child safety latch under the kitchen sink. The refrigerator, dishwasher, stove, microwave, etc., are clean. The kitchen was clean, orderly, and free of hazardous items. Medications were stored in the off-limits bedroom.


· Outside: The backyard was inspected. The backyard is completely fenced. The backyard is completely fenced (brick). There are age-appropriate toys. LPA observed a swing set which will still need to anchor on the ground. LPA also reminded the licensee to supervise children at all times while playing in the backyard. Both site yards are inaccessible to the children with a gate.

Off-limit area: The areas include all bedrooms, bathroom #2,-5, pantry, laundry, and garage.


· Bedrooms (Second floor with safety gate): The master bedroom, Bedroom #2, has safety doorknobs to make the room inaccessible to the children.
· Bathroom #2-5 (Second floor with safety gate): LPA toured and inspected upstairs bathrooms. The toilet and sink are in operable condition.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
LIC809 (FAS) - (06/04)
Page: 2 of 7
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: TOLEDO RODRIGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197700784
VISIT DATE: 01/24/2024
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· Laundry: The clean supplies and poison are in the laundry room. LPA observed there is no safety door lock to make this area inaccessible to the children. The licensee will need to the area inaccessible to children
· Garage (safety doorknob): LPA inspected the garage. According to the licensee, the garage is off-limit for the children. No childcare activities will be conducted there.
Other:
Ø AC/Heating Unit was observed. The AC/Heating Unit is located on the right side of the home and is inaccessible to children with a gate.
Ø Bodies of water: Pre the licensee, there were no bodies of water in the home. There is a decorative water fountain that has no water.
Ø Electrical outlets: All unused electrical outlets are plugged in and inaccessible to children.
Ø Food: The licensee will enrolling in the Food program. The licensee will provide Breakfast, lunch, and snacks.
Ø Fire extinguisher (2A10BC): LPA observed a required fire extinguisher (2A10BC) reading in Green, located in the kitchen, and inaccessible to children. It meets standards established by the State Fire Marshall.
Ø Fireplace: The fireplace was observed in the living room and is screened to make it inaccessible to the children.
Ø Hanging window blind cords: The cords are inaccessible to children.
Ø Isolation area (Illness): Per the licensee, if the child shows signs of illness, they will be separated from other children and stay near the classroom area.
Ø Medications and cleaning solutions: Detergents/cleaning compounds are in the laundry cabinet. Medications are in the off-limits bedroom.
Ø Napping: Children will nap in designated areas with adult supervision. LPA observed 6 cots ,5 mats and 4 playpens in the closet.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
LIC809 (FAS) - (06/04)
Page: 3 of 7
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: TOLEDO RODRIGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197700784
VISIT DATE: 01/24/2024
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Ø Overnight Care: According to the licensee, it does not provide overnight care.
Ø Pets: There are 1 small dog (in the kitchen). The dog has current vaccinations.
Ø Phone service: There is a working cell phone.
Ø Smoke Detectors and Carbon Monoxide: The smoke detectors and carbon monoxide devices tested operable.
Ø The First Aid kit is in the kitchen cabinet, inaccessible to children. The First Aid Kit was observed to be complete with supplies and a first aid manual.
Ø Transportation: The licensee does provide transportation for children. The licensee has a valid California driver's license, valid vehicle insurance, and vehicle registration.
Ø Weapons or Firearms: Per the licensee, there are No Firearms at the facility at this time. LPA does not observe any firearms.
Documentation:
The licensee has current CPR and First Aid Training with the expiration dates of 06/2024 and Prevented Health and Safety Training completed on 3/13/2021. The licensee has her fingerprint clearance and TB exam. The licensee has proof of being immunized against influenza, pertussis, and measles. The licensee has proof of Mandated Reporting Training dated 7/25/2022. LPA shared LIC 311D with the licensee.

The following 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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
LIC809 (FAS) - (06/04)
Page: 4 of 7
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: TOLEDO RODRIGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197700784
VISIT DATE: 01/24/2024
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o Discuss the Safe Sleep Proposed Regulations with the licensee. Safe Sleep: LPA discussed the safe sleep regulations with the 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 the licensee [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.
o Capacity, Roster, Posting, and Documentation requirements for disaster drills (fire and earthquake). Mandatory Forms for the children's and provider's files and Safe Sleep Awareness. The role and responsibilities of being a mandated reporter were reviewed. The licensee was reminded that supervision is always required for children in care.
o Criminal Record Statement: The licensee [or facility representative] 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 before the initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/ person will be assessed if this regulation is violated.
o The licensee was advised of the requirement to report unusual incidents and 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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
LIC809 (FAS) - (06/04)
Page: 5 of 7
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: TOLEDO RODRIGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197700784
VISIT DATE: 01/24/2024
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o 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 Mandatory Forms for the children's files and provider's files.
o Notice of Site Visit: A notice of site visit was given and must remain posted for 30 days.
o Our Quarterly updates come out every 3 months. They are also now in Spanish. Please log in to the CCLD website, or you can email our advocates to have the quarterly updates sent directly to your email. Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov
o Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
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 always required for children.
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).
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
LIC809 (FAS) - (06/04)
Page: 6 of 7
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: TOLEDO RODRIGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197700784
VISIT DATE: 01/24/2024
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Before being licensed, the following is required: Due 1/26/2024.

The laundry area needs to make it inaccessible to the children
The licensee needs to make the fireplace stone corners safe to the children
In the backyard, a swing set which will need to anchor on the ground

**As a result of this inspection, the home does not meet Title 22 Regulations. Corrections are required.

An exit interview was conducted, and the report was reviewed with the licensee, Gretchen Toledo.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
LIC809 (FAS) - (06/04)
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