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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700825
Report Date: 06/06/2024
Date Signed: 06/06/2024 12:50:41 PM

Document Has Been Signed on 06/06/2024 12:50 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:SIMPSON FAMILY CHILD CAREFACILITY NUMBER:
197700825
ADMINISTRATOR/
DIRECTOR:		DARLENE SIMPSONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 437-3299
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
06/06/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:56 AM
MET WITH:Applicant Darlene SimpsonTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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On 6/6/2024 at 8:56am, Licensing Program Analyst (LPA) Andrea Pittman conducted an announced prelicensing inspection for a Large Family Child Care Home. LPA was greeted by the Applicant, who permitted entry to the facility and guided the LPA on a tour according to the facility sketch. There are 0 children present during the inspection. The Applicant will operate Monday through Friday from 4:00 am to 9:00 pm. Applicant plans to make overnight care unavailable. The Applicant plans to serve ages 0 to 12 years of age. Applicant was provided information to enroll in a Food Nutrition Program.

This is a one-story family home which consists of three bedrooms, two bathrooms, a kitchen, dining room, living room, and back yard. The two bedrooms on the left, dining room, kitchen, and living room will be the primary location in which care is provided. The Applicant will be providing napping: there are 6 cots, 1 playpen, and 1 crib available for the children in care; however, it does not meet the capacity of the children requested, the Applicant stated that they have ordered four mats and four cots to meet capacity requirements. Children will utilize the bathroom located to the left of the main entrance at the end of the hallway. The off-limit areas include the following: the master bedroom, master bathroom, laundry area, and garage.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating, and central air ventilation. The home has age-appropriate toys, play equipment, and materials. The Applicant stores sharp knives in a kitchen cabinet secured by a safety latch, making it inaccessible to children in care. The Applicant stores medication in the off-limits master bathroom which is secured by a key-lock, making it inaccessible to children. The Applicant stores cleaning supplies in a kitchen cabinet secured by a safety latch. The Applicant has a complete First Aid Kit that includes the following supplies mandatory to the kit: tweezers, scissors, gauze, bandages, adhesive tape, cleansing solution, thermometer, and a first aid manual, which is stored inaccessible to children in the kitchen cabinet with a safety lock device.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2024
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: SIMPSON FAMILY CHILD CARE
FACILITY NUMBER: 197700825
VISIT DATE: 06/06/2024
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· Electrical outlets: LPA observed that all unused electrical outlets have covers.
· Fireplace: There is no fireplace on premises.
· Hanging window blind cords: LPA observed the blind cords were up out of reach of children in care.
· Isolation area (Illness): Per the Applicant, if the child shows signs of illness, they will be separated from other children by having them seated away from the healthy kids in the living room with access to the bathroom.
· Pets: The Applicant stated they do not have any pets.
· Transportation: The Applicant will provide transportation to children in care: the Applicant is aware that any driver must have a valid driver license, vehicle registration, and insurance, and valid Pediatric CPR/First aid.
· Weapons, Firearms, and Ammunition: Per the Applicant, there is one handgun that is locked in a safe and the ammunition is in a locked box stored in the closet of the key-locked master bedroom.
· Smoking: Applicant states that there will be no smoking on the premises.
· Insurance: Applicant states that she does not have separate insurance for the child care. The Applicant was explained that the LIC 282 must be in the children’s records or proof of insurance for the child care.
· Door handles: LPA observed that the off-limit areas had door/key locks making them inaccessible to children in care.
· Meals: The Applicant stated they will provide breakfast, lunch, dinner, and snacks.
  • Phone: The Applicant uses a cell phone which will be charged and kept on the Applicant at all times.
  • Fire clearance: the home has been approved by the local fire authority for a fire clearance of up to 14 children and there is a manual fire alarm and single action door handles on the exits.
· Outdoor: LPA Pittman observed the home’s front, back, and side yards; however, the Applicant designated the back yard and front yards as the only to be used for outdoor play. The back yard includes a concrete, dirt, and grass area which children can play. LPA observed the toys and equipment to be in good condition. The back yard is gated all around and enclosed.
Bodies of water: LPA observed an in-ground swimming pool. Per the Applicant, there is an in-ground pool that will remain off-limits to children in care. There is a cream-colored mesh gate, over 5 feet, and with a self-closing and self-latching gate door. Additionally, the Applicant agrees to the following: the Applicant agrees that the swimming pool fencing will remain in place whenever licensed care is being provided at the facility; whenever the fencing is a mesh fence, the Applicant agrees to the determination of inaccessibility made by licensing staff of the mesh fence in place;
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
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: SIMPSON FAMILY CHILD CARE
FACILITY NUMBER: 197700825
VISIT DATE: 06/06/2024
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the Applicant agrees to ensure the swimming pool gate is operating properly at all times when children are in care; and the Applicant agrees to ensure that the swimming pool is inaccessible to children in care before allowing the children access to the area where the body of water is located. The Applicant completed a declaration attesting the information above. There is an issue with the patio gate near the mesh pool gate that makes the mesh pool gate accessible, the Applicant was made aware that it must be corrected before Licensure. Additionally, the Applicant was made aware that the tarp over the patio gate obstructs the view of the pool and would have to be moved to where it would not obstruct the view of the pool, the Applicant understands.

Applicant did have all the required posted documents: (Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A), and Earthquake Preparedness Checklist (LIC 9148). Applicant has posted the parent board and other Licensing required forms at the entrance of the day care, visible to parents.



The Applicant does not have insurance on the family child care home and plans on having the parents complete the LIC 282-Affidavit Regarding Liability Insurance for Family Child Care Homes.

LPA observed a fire extinguisher (2A10BC) that meets the State Fire Marshal standards (reading in green purchased 4/2024). Applicant tested the dual smoke detector and carbon monoxide detector at 9:39 am and it was found to be in operable condition.



The Applicant’s Pediatric CPR/First Aid expires in 2026. The Applicant had the required immunizations against Pertussis (Tdap), Measles (MMR), and Tuberculosis (TB). Family Child Care Orientation was completed. Preventative Health and Safety training with lead and nutrition component is current. Child Care Provider Mandated Reporter training is expiring in 2026.

The following were discussed: No smoking, infant walkers, Johnny jumpers, exersaucers and any other item that falls into that category which are not permitted in the facility. The LPA also discussed earthquake safety and necessity of drills, required forms for children’s files, facility files, posting requirements, and penalties. Applicant was reminded about ensuring proper care and visual supervision at all times.

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
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: SIMPSON FAMILY CHILD CARE
FACILITY NUMBER: 197700825
VISIT DATE: 06/06/2024
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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. The Applicant was reminded to report Unusual Incidents. A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The Applicant was informed to utilize the Unusual Incident Report/Injury Report Form LIC624B when submitting the report to the department.

LPA discussed the safe sleep regulations with the Facility Representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/
safe-sleep as an additional resource. LPA also informed the 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. Provided Applicant with an Infant Sleep Plan form LIC 9227 and the sleep log.

Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

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/.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: SIMPSON FAMILY CHILD CARE
FACILITY NUMBER: 197700825
VISIT DATE: 06/06/2024
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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.

During the exit interview, the Applicant confirmed that there are no Registered Sex Offenders living in the facility and the RSO profile has been completed in FAS.

Child Care Advocates:
To sign up for our Quarterly Updates please email the Child Care Advocates at
chilcareadvocatesprogram@dss.ca.gov & (916) 654-1541.

The Applicant was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot-line at 1-800-540-4000.

Facility does not meet Title 22 Regulations. The Applicant is not yet ready for licensure. The Applicant has stated the changes listed below to make their family child care home meet Title 22 Regulations with the following:

· Proof of making the pool inaccessible that is located in the backyard to children in care where the mesh fence is closest to the patio gate
· Proof of acquiring eight additional bedding of cots/mats/playpens/cribs up to the capacity
· Proof of moving the tarp on the patio gate to another location obstructing the view of the pool or using a material that will not obstruct the view of the pool

Once the above has been completed by the Applicant, the facility will be ready to be licensed.
The Applicant agrees to have the correction completed by 6/20/2024 .

All licensing reports are recommended to keep for 3 years.

An exit interview was conducted, a copy of the report and the Notice of Site visit was read and provided to the Applicant. The Notice of Site visit is to be posted, visible to parents for 30 days.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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