364815675-2-3-2023-12-CC-DMAX-CNPUDC-20230203142920

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364815675
Report Date: 02/02/2023
Date Signed: 02/03/2023 02:29:29 PM

Document Has Been Signed on 02/03/2023 02:29 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:	PRICE FAMILY CHILD CARE		FACILITY NUMBER:	364815675
ADMINISTRATOR:	PRICE, CASEY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 880-0316
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92407
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 3	DATE:	02/02/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Casey Price, Licensee		TIME COMPLETED:	04:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), Maddox met with with Licensee's Assistant Sandra Artega, Licensee, arrived soon after. The purpose of this inspection was to conduct an unannounced Required 1 year inspection. Present today were Licensee, Assistant, and 3 day care children. This is a 2 story home (barricade in place) with 4 bedrooms, 3 bathrooms. Family members residing in the home include licensee, her spouse, and 3 biological children. All adults in the home have fingerprint clearances and exams for T.B. LPA verified licensee has required immunization's. Main area of care is conducted in the family room; living room, 1 bathroom, and the backyard. Children use the 1 bathroom located downstairs. Off limit areas include the upstairs area (3 bedrooms and 2 bathrooms), laundry room, office, and storage closet. All areas of the physical plant for child care were inspected according to the facility The backyard was toured during this inspection, LPA did not observe any pools, spas or any other bodies of water on the premises and the yard is completely fenced. There is a swing set in the backyard that is not in use at this time (swings have been removed. The required fire extinguisher (2A 10BC), smoke detector, and carbon monoxide devises were are present and in operable condition. Licensee has maintained a current roster. Last Fire/Emergency Disaster Drill conducted 11/09/2022. CPR and First Aide exp 4/2024. Licensee has a current Mandated Reporter Certification (exp 12/9/2024).

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023

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: PRICE FAMILY CHILD CARE	FACILITY NUMBER: 364815675
	VISIT DATE: 02/02/2023

NARRATIVE

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The licensee is reminded of the requirement to report and unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC 624B.

Licensee does not care for Infants at this time. The kitchen and bathroom were toured and inspected for proper storage of chemicals, detergents, cleaning compounds, medications and sharp pointed objects, all items were made inaccessible to children. All unused electrical outlets are plugged and age appropriate toys and play equipment available. Licensee is aware that baby walkers, bouncer, or any similar equipment are prohibited in any licensed facility.

******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 o 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 - No IMS at this time

**Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). Family child care homes shall post during hours of operation. **Failure to meet the posting requirements shall result in an immediate $100.00 civil penalty. In addition; all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report documenting the Type A citation and sign form LIC 9224 acknowledging receipt. Civil Penalty assessments will be assessed if all above requirements are not adhered to. Staff is aware of required forms for children's files and forms that shall be posted after licensure.

The On Duty Worker is available for questions at 661-202-3318 Monday through Friday 8am-5pm. There were no violations of Title 22 Regulations noted. Exit Interview conducted a copy of this report is discussed and left at the facility.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023

LIC809 (FAS) - (06/04)

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