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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360906689
Report Date: 09/16/2025
Date Signed: 09/16/2025 01:22:42 PM

Document Has Been Signed on 09/16/2025 01:22 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ROES FAMILY DAY CAREFACILITY NUMBER:
360906689
ADMINISTRATOR/
DIRECTOR:		ROES, SIMONETTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 884-2592
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 1DATE:
09/16/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Licensee Simonetta Roes TIME VISIT/
INSPECTION COMPLETED:
01:35 PM
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On September 16, 2025, at 09:10 a.m., Licensing Program Analyst (LPA) Zirbes met with Licensee Simonetta Roes who guided analyst on a tour of the home for the Annual/Random inspection. Upon arrival, LPA observed one preschool age child in care with the Licensee providing supervision. Based on LPA observation, the child care was meeting the staffing/ratio requirements at the time of this inspection. According to the Licensee currently living in the home are the Licensee, Adult 1 (A1), Adult 2 (A2) and child 1. All adults are associated and have eligible clearances. Current hours of operation are Monday to Friday 7:30am -5:30pm.
Physical Plant: This is a single story house with three bedrooms, two bathrooms, kitchen/dining room, living room, activity room/Den. Per Licensee the activity Room/Den, and the bathroom are utilized for the family child care activities. Per licensee off-limit areas of the home are all the bedrooms, kitchen dining room and living room and the bathroom located in primary bedroom. The off limit areas of the home were inaccessible via locked doors and a child safety gate. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds, medicines and hazardous items that can pose a danger to children. During the inspection, LPA did not observe cleaning products in the on limit spaces. Per Licensee, all chemicals and household medications are stored in the off limit areas of the home. Per Licensee, zero medications are currently being provided to the child care children. Knives and sharp items were stored in a high inaccessible kitchen cabinet. During the inspection the smoke detector and carbon monoxide detector were tested. An audible sound was heard when the items were tested therefore the smoke detector and carbon monoxide detector were found to be operable at this time. The home does not have a fireplace. LPA did not observe baby bouncers/saucer chairs, or any recalled and or prohibited toys on the premises. Per Licensee, there are zero firearms or weapons stored in the family child care.
Report continued on page two
NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ROES FAMILY DAY CARE
FACILITY NUMBER: 360906689
VISIT DATE: 09/16/2025
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Report continued from page one
Bathrooms (located in the hallway of the home). Toilet, sink, shower/tub were clean and operable. Per Licensee zero chemicals are stored in the bathroom. All personal hygiene materials were stored in areas equipped with child safety locks.
Outdoor: The outdoor space consists of areas of cement and grass.LPA observed an elevated inground pool in the backyard. The pool was surrounded by an approximate three-foot, three-inch retaining cinder block wall with an approximate three-foot chain-link fence mounted on top of the cinder block wall. The chain link opening was approximately two inches 3/4 wide. Since the chain link opening was greater than 1 3/4 inch, the chain link fence is considered climbable and therefore does not meet the regulation and is considered a safety risk. Five steps provided access to the elevated pool. The steps were enclosed with a mini chain link. An approximate 24-inch cinder block wall for the garden was perpendicular to the steps leading to the pool. The wall acts as a foothold to access the pool. The mini chain link fence was four feet two inches which did not meet the five-foot requirement and is a safety risk. LPA observed there is one area between the neighbor’s gate and the chain link fence that 10 inches. Since the opening is greater than 4 inches the regulation is not meet and this is a safety risk. There is one gate that leads to the pool. The gate was self-closing and self-latching at the time of this inspection. LPA observed the gate was not equipped with a key lockable device place no lower than 60 inches as required by the regulations therefore this is a safety risk. When LPA measured the distance between the concrete and the bottom of the gate the distance was between 2.5 and 3 inches which exceeded the two inch requirement. LPA observed the pool was not equipped with a pool alarm or pool cover meeting the required ASTM requirements as required by the regulations, therefore this is a safety risk. LPA observed a life ring approved by the US Coast guard and a fixed pole with a body hook measuring at least 12 feet was present in the pool area. LPA observed a bbq, pool equipment, bicycles and household items placed against the cinder block retaining wall, Licensee expressed these items are not normally against the wall and Licensee will move the items. Based on LPA observations, at this time the pool does not meet Health and Safety Code 1596.814, a technical violation was issued. Licensee expressed zero changes have been made to the existing pool enclosure since the childcare was licensed in 1984. LPA expressed the regulation regarding existing pool fences being grandfathered in if licensed prior to 1985 was removed with the passing of AB2866. Per Licensee the in order to keep all children safe, the backyard will not be utilized until the the pool fencing is complainant with the Health and Safety Code. The door leading to the backyard will remain locked when child care is being provided. Licensee will remove all items against the pool prior to opening on September 17, 2025. A picture will be submitted to LPA. Report continued on page three
NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ROES FAMILY DAY CARE
FACILITY NUMBER: 360906689
VISIT DATE: 09/16/2025
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Report continued from page two

Outdoor Continued: The Licensee will review the regulations, receive bids for required work and make a decision about how the home will comply with the Health and Safety Code. Licensee will provide LPA with an update by September 30, 2025 regarding how the Licensee will proceed. LPA advised the Licensee to reach out to the Palmdale Regional Office for guidance.

LPA observed age appropriate toys for the children in care and the area was free of hazards.
Per Licensee, there are two dogs on the property who do not interact with the child care children.

LPA reviewed three child files and the Licensees file. All files were current and contained all required information.

Review of records to be maintained: Per LPA record review the license is conducting emergency drills every six months as required. According to the documentation the fire extinguishers were serviced in March 2025. Therefore the fire extinguishers meets the state fire marshal standards.
The following was discussed with the licensee:
Licensee 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.

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-andresources/
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.



Report continued on page three
NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ROES FAMILY DAY CARE
FACILITY NUMBER: 360906689
VISIT DATE: 09/16/2025
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Licensee 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 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.

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/.

During the exit interview, the Licensee Simonetta Roes, confirmed that there are no Registered Sex
Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

As a result of this inspection, one technical advisory notice was issued.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Simonetta Roes.

NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
LIC809 (FAS) - (06/04)
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