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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846476
Report Date: 02/26/2024
Date Signed: 02/26/2024 12:50:28 PM

Document Has Been Signed on 02/26/2024 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MORFIN-HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
334846476
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/26/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:27 AM
MET WITH:Belia Morfin and Emily HernandezTIME COMPLETED:
01:00 PM
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On 02/26/2024 at 9:27 AM, Licensing Program Analysts (LPAs) Samuel Lopez and Susan Brewer arrived at the facility to conduct a Pre-licensing inspection. LPA Samuel Lopez, joined the inspection to assist with interpretation during the Pre-licensing inspection process. Present during this inspection were: Emily Hernandez and Belia Morfin Applicant. LPAs toured the facility, inside and out and the following was observed and/or discussed:

Normal days and hours of operation are Monday-Friday, 6:00 AM to 6:00 PM

OFF-LIMIT AREAS INCLUDE: The 1st Floor Laundry room, Garage and Entire 2nd Floor.

· Appropriate fire extinguisher (2A:10BC), smoke detector and carbon monoxide detector are NOT present. LPAs observed a miniature sized fire extinguisher which is not compliant with Title 22 regulation. In addition, the applicants did not have a carbon monoxide or smoke alarm devices installed in the home.
· The home has a working telephone.
· All hazardous items are NOT inaccessible. During the inspection, LPAs observed knives and medications accessible in the kitchen, Poisons, Toxins and hazardous items, cleaning solutions and accessible in the laundry room, and personal hygiene products accessible in the medicine cabinet located in the designated children’s restroom.
· No guns or weapons present as of 02/26/2024. The applicants Belia Morfin and Emily Hernandez, understand all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 Regulations.
· Stairs are barricaded on today’s date.
· The fireplace is properly screened on today’s date.
· Storage of poisons are NOT inaccessible to children. During the inspection LPAs observed Poisons, toxins and hazardous items located in the garage, which is accessible to daycare children.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2024
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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MORFIN-HERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 334846476
VISIT DATE: 02/26/2024
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· Verification of control of property on file by rental agreement.
· The LIC9149 Property Owner/Landlord consent is on file and dated 10/16/2024.
· Facility Sketch and Emergency Disaster Plan are NOT posted on 10/16/2024.
· Pediatric CPR and First Aid certificates 11/04/2024 and expire on 11/04/2025, for both applicants.
· Health & Safety Certificate - completed on 01/26/2024 for both applicants.
· Mandated reporter General: 11/05/2023; AB1207 Child Care expires: 11/2025 for Belia Morfin
· Mandated reporter General: 11/07/2023; AB1207 Child Care expires: 11/2025 for Emily Hernandez
· Fire clearance: Not required for a small family childcare home.
· Applicants Belia Morfin and Emily Hernanez, understand all bodies of water including ponds, above ground pools and spas, in-ground pools and spas, and some fountains must be properly covered or fenced per title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position when not in use.
· Clean, Safe and age-appropriate toys and equipment are present for both indoor and outdoor activities.
· There are no toxic plants observed at this time and outdoor perimeter is secured with a fence and gates/unsecured on 02/26/2024.
· The Applicant was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
· Issued applicant the following: SIDS information and Shaken Baby Syndrome pamphlet.

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: http://www.ada.gov/childqanda.htm

LPAs Samuel Lopez and Susan Brewer, discussed the safe sleep regulations with Applicants Belia Morfin and Emily Hernandez 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.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2024
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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MORFIN-HERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 334846476
VISIT DATE: 02/26/2024
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 LPAs also informed both Applicants 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.

The Applicants Belia Morfin and Emily Hernandez were reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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. The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov for Riverside Regional Office.

As a REMINDER: when your child(ren) turn 18 years of age, you MUST SUBMIT an updated LIC279 and TB Screen and have your child submit for LIVESCAN background clearance.

LPAs reviewed with Applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Additionally, The following was discussed with the applicant(s): AB 1207 – Mandated Child Abuse Reporting: Child Day Care Personnel Training, beginning January 1, 2018 – 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.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MORFIN-HERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 334846476
VISIT DATE: 02/26/2024
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Effective January 1, 2017 – Children under 2 years of age shall ride in a rear-facing car seat unless the child weighs 40 or more pounds OR is 40 or more inches tall. For additional information regarding car seat laws see www.chp.ca.gov
- Pre-Licensing Visit Packet provided
- Failure to meet the posting requirements shall result in an immediate $100 civil penalty.
- Documentation of fire & earthquake drills to be conducted every six months
- Responsibilities of being a mandated reporter:
- Access to forms & Regulations for Family Child Care online at www.ccld.ca.gov
- Responsibility to know the regulations for anyone providing care
- Inaccessibility of hazards must be constantly re-assessed depending on the children in care
- Current facility’s phone numbers must be on file with the licensing office at all times
- Baby walkers, bouncy seats, exer-saucers, and other similar items are prohibited
- Once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809/LIC9099) must also be posted for 30 days.
v The Duty Officer is available to answer questions Mon. – Fri.at 1-844-LET-US-NO (1-844-538-8766).

Before licensure, the following needs to be corrected/completed on or before 03/26/2024:
1. Proof of a fire extinguisher (2A:10BC), smoke detector and carbon monoxide detector.
2. Make poisons, toxins, medications, cleaning supplies and hazardous materials and/or equipment inaccessible to children in the Kitchen, Laundry, Garage and designated restroom for children.
3. Proof of required postings for public view in the home.

Once all corrections have been verified, the application for a Small Family Child Care Home will be submitted for approval with a maximum capacity of 6, or 8 with parent notification. Applicant advised that all corrections are due within 30 days, or the application may be withdrawn.

During the exit interview, the Applicant confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

Exit interview conducted and report was reviewed with the Applicants Belia Morfin and Emily Hernandez.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2024
LIC809 (FAS) - (06/04)
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