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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400280
Report Date: 09/21/2021
Date Signed: 09/22/2021 11:48:30 AM

Document Has Been Signed on 09/22/2021 11:48 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:TURNER FAMILY CHILD CAREFACILITY NUMBER:
198400280
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
09/21/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:LIcensee - Kristin Turner TIME COMPLETED:
02:20 PM
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Licensing Program Analyst (LPA) R. Derraco conducted an unannounced annual inspection to the above facility on 09/21/21. LPA arrived at the facility at 9:20 AM and met with licensee Kristin Turner, who guided analyst on a tour of the facility. Also present during this inspection was an assistant (S1). Per Licensee, there are 8 children that are currently enrolled. There were 5 children present upon arrival. LPA observed 1 child being dropped off for care at 9:40 AM. Covid-19 protocols were observed upon receiving the child for care. LPA observed S1 leaving the facility at 10:00 AM. LPA observed S3 arriving at the facility at 11:25 AM. S1 was observed arriving back to the facility at 11:45 AM. LPA observed 3 total adults in the home. A facility entrance checklist was provided to licensee upon arrival

This is a two story duplex home which consists of 4 bedrooms, 2 bathrooms, kitchen/dining room, living room, an attached garage, and a backyard (fenced). The off limit areas include 2 bedrooms upstairs, 1 bedroom downstairs, a bathroom upstairs, the kitchen/dining area and the attached garage. LPA observed child proof knob covers for inaccessible bedrooms and garage door. LPA also observed a baby gate separating the off limits kitchen/dining room from the main care area. LPA also observed a baby gate at the entrance of the stairs making the upper level inaccessible. Upon entry into the home, LPA observed a sign in sheet and Covid-19 posters in the front entrance. The living room has been converted to the main care area. LPA observed the main care area to have age appropriate toys, play equipment and materials. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted on the wall in the main care area. LPA observed a bedroom converted for day care use to have a wall mounted television and two Dream On Me cribs model PA-24946. Additional toys and materials were observed in the room as well as a wooden infant changing station. LPA observed a working smoke detector and carbon monoxide detector in the bedroom and hall way. A baby gate was observed between the hall way and the bedroom. The valve on the required 2A 10BC fire extinguisher was observed to be fully charged and was serviced on 03/11/21, as indicated on service tag. The restroom that children use was observed to be safe and sanitary. A child lock
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SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2021
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: TURNER FAMILY CHILD CARE
FACILITY NUMBER: 198400280
VISIT DATE: 09/21/2021
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was observed at the bottom sink cabinet. Per licensee, cleaning supplies are kept locked beneath the bathroom sink. All areas identified on the facility sketch that are accessible for children to use were inspected
for safety, comfort, and cleanliness. There is telephone service via a cellphone that is used and the cellphone stays at the facility during operation hours. Individuals who reside in the home were noted and discussed. LPA observed a wall heater to be barricaded in the day care area. Detergents, cleaning compounds, and other items which could pose a danger to children were observed to be inaccessible in the off-limits kitchen/dining area. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked. No sharp objects were observed to be accessible in the kitchen area. Per Licensee, she currently has 2 assistants. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed childcare home. Licensee states that there are no firearms stored in the home. LPAs did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs. Currently, children are using the back yard for outdoor play time. The outdoor play area was observed to have perimeter fencing. LPA observed that the outdoor yard has toys and other materials for children to play with. A baby gate was observed making the side of the duplex inaccessible from the backyard area. LPA did not observe any objects that can pose a danger to children in care. No bodies of water were observed in the back yard play area. A pet dog was observed to be in the off limits garage area. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

LPA discussed the safe sleep regulations with licensee 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 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. Cribs were observed to be free of loose articles and objects. No objects were observed to be hanging above or attached to the side of the crib. LPAs advised the Licensee that infants shall be placed on their backs for sleeping and shall be supervised. Infants shall be checked on every 15 minutes and the time of each 15-minute check shall be documented with child’s name and date. The LIC 9227 Individual Infant Sleeping Plan shall be completed for each infant up to 12 months of age.

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SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: TURNER FAMILY CHILD CARE
FACILITY NUMBER: 198400280
VISIT DATE: 09/21/2021
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The licensee has completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 10/2021. LPAs observed that the Licensee has proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. Children’s records were reviewed, including emergency information and were observed to be complete. A current children’s roster was available for review. Personnel records were observed to be incomplete. Licensee states she did not know exactly what goes into the file. Per licensee, CPR for assistants expired recently and they are currently working to renew the certificate. Technical violations was provided to licensee regarding personnel records to be kept at the facility.


Licensee 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.

Incidental Medical Services (IMS):


IMS was discussed with licensee. Per licensee, there are no children enrolled that require IMS at this time. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm.

LPA advised the licensee to access forms, regulations and quarterly updates online at: www.ccld.ca.gov. LPA also discussed and provided copies of the Provider Information Notices (PINS) on Recently Approved Safe Sleep Regulations in Effect: PIN 20-24-CCP, Safe Sleep Awareness Campaign: PIN 19-02-CCP, Statewide Launch of Child Licensing Program Compliance and Regulatory Enforcement (CARE) Tools: PIN 21-25-CCP. Checklists for assistant and children files were provided for licensee. LPA provided licensee with an example of an infant sleep chart. LPA advised licensee that the checklists and the sleep chart are not resources that are provided by the Department.


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SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: TURNER FAMILY CHILD CARE
FACILITY NUMBER: 198400280
VISIT DATE: 09/21/2021
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At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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-care-licensing/process.

A notice of site visit was given and must remain posted for 30 days.


Exit interview conducted and report was reviewed with the licensee Kristin Turner.

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SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
LIC809 (FAS) - (06/04)
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