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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364820126
Report Date: 02/25/2025
Date Signed: 02/25/2025 01:57:06 PM

Document Has Been Signed on 02/25/2025 01:57 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:FLORES FAMILY CHILD CAREFACILITY NUMBER:
364820126
ADMINISTRATOR/
DIRECTOR:		JESSICA FLORESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 228-3343
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 4DATE:
02/25/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Licensee Jessica Flores TIME VISIT/
INSPECTION COMPLETED:
02:05 PM
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On February 25. 2025, at 09:50 a.m., Licensing Program Analysts (LPA) Zirbes and Cha met with Licensee Jessica Flores. The purpose of the inspection was to conduct a Annual/Random inspection at the licensed facility. LPA disclosed the purpose of the inspection to the Licensee. When LPA arrived to the facility, the Licensee was providing supervision to four preschool age children. Current days and hours of operation are Monday thru Friday 06:00am- 06:00pm.
Physical Plant: This is a single story house with five bedrooms, three bathrooms, kitchen, dining room, living room, attached garage, front and back yard with a in ground pool. Per Licensee the living room, kitchen, dining room, playroom, left hallway bathroom, and front patio are utilized for family child care activities. Per licensee the off-limit areas of the home include all bedrooms (secured by locked door knobs), master bathroom, bathroom down the hall to the right, backyard and garage. Currently residing in the home is the licensee, and five adults.
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. According to Licensee and LPA observations, all cleaning products are stored in the laundry room. Sharp knives were stored on an inaccessible kitchen counter. Household medications were stored on a high inaccessible shelf in the kitchen and in the off limits bedrooms. Per recorded documentation Fire/earthquake drills were last completed in November 2024. The fire extinguisher was purchased in 2024.
Safe and age appropriate toys, play equipment and materials were present. Smoke detector and carbon monoxide detector were observed in the facility. Per Licensee no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment were observed on the premises. Per Licensee, there are zero firearms stored in the home. The home has a fireplace, which was inaccessible via a glass barrier. The home has central heating and air conditioning.
Report continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/25/2025
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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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: FLORES FAMILY CHILD CARE
FACILITY NUMBER: 364820126
VISIT DATE: 02/25/2025
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Report continued from page one
Bathroom: Toilet, sink, faucet, were clean and operable. The following were inaccessible: Sharp items, mouthwash, shampoo, razor, nail polish.
Outdoor: The front patio is completely fenced and is used by the children for outdoor play. The outdoor play area was inspected and play equipment was observed to be free of hazards. LPA observed bikes and little tikes climbing equipment. LPA advised the Licensee to place padding under the little tikes climbers which are currently placed on cement. The backyard is off limits to the child care children. The in ground pool is surrounded by a 5’ removable mesh fence and a wrought iron fence that is mounted into concrete and dirt.  There are three gates that provide access to the in ground pool. The two mesh gates were observe to be self closing and self latching with a key lockable device placed no lower than 60 inches. The mesh gate was equipped with a label stating the mesh fence was in accordance with ASTM. The one wrought iron gate on the side of the home opened away from the pool however was not self closing and self latching according to a statement by the Licensee. Furthermore, LPAs observed the gate was not equipped with a key lockable device placed no lower than 60 inches from the ground. Furthermore LPAs observed an approximate four inch gap between the dirt and the bottom of the wrought iron fence.

Licensee expressed the backyard is off limits and the child care children do not go into the backyard. A type A deficiency is being cited based on LPAs observation, interviews conducted, and record review in accordance with the Health and Safety Code 1596.814 (a) (1), refer to LIC809D

LPAs observed there are zero items around the perimeter of the fence that would allow the fence to be climbable.  LPAs observed a life ring with a diameter of at least 17 inches with a United States Coast Guard approval label, and a rescue pole with a body hook that is at least 12 feet long. LPAs observed a pool alarm placed in the pool. The pool alarm was tested and found to turned on, in working condition. LPAs heard the alarm make an audible sound inside the home. At the time of this inspection, the Licensee was unable to provide documentation that the alarm was compliant with ASTM International Standard F2208. A technical advisory notice was issued, and the Licensee will submit the information to the Department. In addition, per record review, the Licensee was performing a daily inspection of the pool. The licensee understands and agrees that the mesh fence will remain in place whenever licensed care is provided.

Report continued on page three

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: FLORES FAMILY CHILD CARE
FACILITY NUMBER: 364820126
VISIT DATE: 02/25/2025
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Per Licensee, the family has two dogs and one cat. Per Licensee the animals do not interact with the child care children.

File Review: LPA reviewed six child files which included one infant. All child files were accurate and contained all required information. LPA reviewed the Licensees files and two additional staff members. The Licensees mandated reporter training expired on February 17, 2025, per Licensee about half of the 2 year mandated reporter renewal course has been completed. LPA advised the Licensee to ensure the course is completed every two years following the date the training was initially completed.



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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/..

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.

During the exit interview, the Licensee Jessica Flores, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. Report continued on page four
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: FLORES FAMILY CHILD CARE
FACILITY NUMBER: 364820126
VISIT DATE: 02/25/2025
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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.

As a result of this inspection one type A citation was issued along with one technical advisory notice. LPA Zirbes informed Licensee Jessica Flores that this report dated February 25, 2025, documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Zirbes informed the Licensee to provide a copy of this licensing report dated February 25, 2025, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

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

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

Exit interview conducted and report was reviewed with the licensee Jessica Flores.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/25/2025 01:57 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 02/25/2025 at 01:08 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: FLORES FAMILY CHILD CARE
FACILITY NUMBER: 364820126

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/25/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.814(a)(1)
Pool Safety
(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (1) The swimming pool shall be equipped with, at minimum, the following drowning prevention safety features:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, the licensee did not comply with the section cited above when one gate was not self closing/self latching and was not equipped with a key lockable device. furthermore there was more than 2 inches vertical clearance below the wrought iron fence, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/26/2025
Plan of Correction
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Per Licensee, the children will not play outside until the gate and fence meets the new pool regulations. By February 28, 2025, the Licensee will notify the Department of the plan to correct the above deficiencies.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Lady King
LICENSING EVALUATOR NAME:Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:
DATE: 02/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/25/2025


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