198014941-11-2-2023-12-CC-AALH-CX6UK9-20231101153846

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198014941
Report Date: 11/01/2023
Date Signed: 11/02/2023 02:00:29 PM

Document Has Been Signed on 11/02/2023 02:00 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:	LOPEZ FAMILY CHILD CARE		FACILITY NUMBER:	198014941
ADMINISTRATOR:	AURORA LOPEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 470-9974
CITY:	SUN VALLEY	STATE: CA	ZIP CODE:	91352
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 5	DATE:	11/01/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	01:57 PM
MET WITH:	Licensee Aurora Lopez		TIME COMPLETED:	04:00 PM

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On 11/01/23 Licensing Program Analyst (LPA) Andrew Alemoh, met with licensee, Aurora Lopez who guided analyst on a tour of the facility for the One Year Required inspection. Upon arrival LPA observed 5 children in care and the licensee caring for them. Family members residing in the home include 2 adults (licensee, and licensee adult son). Facility hours of operation are Monday - Sunday 6AM- 12AM. Incidental Medical Services (IMS) policy was discussed.

There are no bodies of water on the premises.

Physical Plant: Main care is provided in the family room and the playroom. There is a crib in the family room that meets the safe sleep regulations. LPA observed appropriate number of chairs for children to sit. The playroom was observed to contain age appropriate toys and play equipment. There is a closet in the playroom that is a storage for clothes with a safety latch. A filing cabinet for children files was also observed in the playroom. The children use the bathroom located in the hallway to the left. The off-limits areas are two bedrooms, and the outside detached garage area which is locked during business hours. The laundry room gives access to the backyard area, however their is a safety gate barricading the laundry room area when the access area is not being used.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

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: LOPEZ FAMILY CHILD CARE	FACILITY NUMBER: 198014941
	VISIT DATE: 11/01/2023

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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 underneath the bathroom/kitchen sink with a safety latch, medicines are kept in the top kitchen cabinet and hazardous items (sharp knives are kept in the kitchen cabinet with a safety latch and is made inaccessible to children.

Safe and age appropriate toys, play equipment and materials were observed. The smoke detector, carbon monoxide detector were tested and working properly as well as the 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 family room 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 maintained current. Last fire disaster drill was completed and documented on 09/10/23.

Bathroom: LPA observed the toilet and faucet are clean and operable. Shampoos and body wash were observed to be high enough making them inaccessible to children. Underneath the bathroom sink are cleaning supplies with a safety latch attached.

Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. The home has a clean and fully stocked refrigerator/freezer. Cleaning supplies are located in a top kitchen cabinet as well as underneath the kitchen sink with a safety latch. Breakfast, lunch, snacks and dinner are provided.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

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: LOPEZ FAMILY CHILD CARE	FACILITY NUMBER: 198014941
	VISIT DATE: 11/01/2023

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Sharp knives stored in the kitchen cabinet with a safety latch. Licensee stated she currently does have a food program. Naps are provided on cots playroom. Medications are stored in top kitchen cabinet making them inaccessible to children.

Outdoor: The front yard is off limits. The backyard is completely fenced in with a brick wall. There is a gate separating a dog run in the backyard and the door was observed to be locked. There are two dogs on the premises. Per licensee, dogs do not come in contact when children are present. LPA observed age appropriate toys, well secured and safe for children. There is a BBQ pit on the premises in the off limits area. There is a storage shed in the off-limits dog run area. The right side of the backyard has a gate that gives access to the front year and was observed to be locked. LPA observed cameras around the property.

There are no bodies of water in the premises.

Advisory/Other: First Aid kit was observed with supplies readily available. CPR/First Aid expires on 02/2024. Mandated Reporter was reviewed and expires on 04/24. LPA reminded licensee; mandated reporter 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 Aurora 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.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

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: LOPEZ FAMILY CHILD CARE	FACILITY NUMBER: 198014941
	VISIT DATE: 11/01/2023

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LPA discussed the safe sleep regulations with licensee Lopez and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee 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.

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

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

LIC809 (FAS) - (06/04)

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