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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364820790
Report Date: 10/05/2023
Date Signed: 10/05/2023 02:52:03 PM

Document Has Been Signed on 10/05/2023 02:52 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MCBATH FAMILY CHILD CAREFACILITY NUMBER:
364820790
ADMINISTRATOR:MCBATH, TYWANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 887-3257
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/05/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Tywana McBathTIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) Babatunde Ibitoye met with licensee, Tywana McBath today for the purpose of conducting a Required 1 year Annual inspection. The licensee guided analyst on a tour of the facility inside and outside. Present today were licensee and Husband. No day-care children present, There are currently (13) children enrolled in the family childcare. The is a is a single story home with with 6 bedrooms and 3 bathrooms. There is a separate residence in the backyard that is occupied by licensee's son: 2790 Duffy St. #B. San Bernardino, CA 92407. **There are no pools, spas or any other bodies of water on the premises. All adults in the home (licensee and husband only) have fingerprint clearances and exams for T.B. Licensee utilizes the living room; 1 bedroom; 1 room addition located off the living room; enclosed patio; backyard; and 2 bathrooms (1 located inside of the room addition and the 2nd bathroom is located near the entrance of the home). Hours of Operation: 6:00 am to 7:00 pm Monday-Friday

Physical Plant: Home is clean and orderly, fireplace is inaccessible, age appropriate toys and play equipment, working smoke detector and carbon monoxide detector, operable Fire Extinguisher (2A10BC). There is a designated area for ill child(ren) as necessary, there are/are no weapon/firearms, off-limit areas are identified as the office, 3 bedrooms, 1 bathroom located in the master bathroom, and storage room. There is a working telephone on the premises. Cleaning compounds inaccessible to children (located on top of the refrigerator and in the laundry room). Medicines are inaccessible to children (located in master bedroom). Licensee does not care for Infants.

Kitchen: The kitchen is toured and there are no hazardous items accessible to children (child latch in place on cabinet), Sharp knives are kept up high in a container in a high cabinet.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/05/2023
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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Document Has Been Signed on 10/05/2023 02:52 PM - It Cannot Be Edited


Created By: Babatunde Ibitoye On 10/05/2023 at 02:01 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: MCBATH FAMILY CHILD CARE
FACILITY NUMBER: 364820790

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/05/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on (record review Licensee Cpr on file expired on 04/2023)], the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/26/2023
Plan of Correction
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Licensee will submit proof of completion by due date.
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:Claretta Yates
LICENSING EVALUATOR NAME:Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:
DATE: 10/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/05/2023


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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MCBATH FAMILY CHILD CARE
FACILITY NUMBER: 364820790
VISIT DATE: 10/05/2023
NARRATIVE
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Bathroom: The following are inaccessible - air freshener, razor blades, soap, mouthwash, shampoo, razor, nail polish. Toilets and faucets are clean, safe and operable.Toilet paper and paper towels are present.

Outdoor: The outdoor play shall be supervised by the licensee , since the fencing that was previously in place is no longer present. There is an area located on the side of the home that has tools. shed, and other miscellaneous items that could pose a hazard to children, this area is fenced off and off limits to day care children (Licensee shall ensure the gate into this area remains locked while day care children are present). There is a climbing structure with artificial grass underneath.

First Aid kit was observed with supplies readily available. CPR/First Aid expires 4/2023 See LIC 809D. Mandated Reporter completed on 10/28/2022; There is a current roster, all he electrical outlets are covered. Children nap on cots in the room addition (located off the living room. There are no hanging window blinds cords accessible to children. Licensee provides transportation, LPA verified current CDL and Insurance coverage, and appropriate car seats.

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.

LPA reviewed 3 children’s records and 1 Staff file, LPA reviewed the childcare facility roster and the fire drills, earthquake drills log, and documentation for both.

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

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MCBATH FAMILY CHILD CARE
FACILITY NUMBER: 364820790
VISIT DATE: 10/05/2023
NARRATIVE
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The following was discussed with the Licensee

Mandatory licensing forms for the children’s files, facility forms/records, and information to be posted in the family child care home; Requirements to conduct fire and disaster drills once every six months and record it; Role and responsibilities of being a mandated reporter were reviewed; Licensee were reminded that 100% supervision is required at all times to children in care; Licensee were made aware that it is her/their responsibility to know the regulations as well as anyone who assists in providing care; Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified;

· Requirements for fire drills, earthquake drills, and documentation for both. The last fire/earthquake drill was completed on 06/17/2023, LPA advised the licensee to conduct a disaster drill every six months.

Licensee was advised of the requirement to report Unusual Incidents. A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. Licensee was informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department.

·On January 1, 2018, or before March 30, 2018, a person who is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the online mandated reporter training and shall complete renewal mandated reporter training every two years. @www.mandatedreporterca.com

· Licensee is made aware that Title 22 Regulation prohibits the smoking of tobacco in a private residence that is licensed as a family child-care home, and in those areas of the family day-care home where children are present.


SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MCBATH FAMILY CHILD CARE
FACILITY NUMBER: 364820790
VISIT DATE: 10/05/2023
NARRATIVE
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Licensee advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days whenever a licensing inspection is conducted. If a Type A deficiency is cited, a copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. Copies of the reports must be provided to each parent when a Type A violation is cited along with Acknowledgment of Receipt of Licensing Reports LIC 9224. If these requirements are not met civil penalties per violation will be assessed.

Deficiencies Cited: one deficiency is being cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes. See LIC 809D.

Notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted and the report was reviewed with the licensee Tywana McBath

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
LIC809 (FAS) - (06/04)
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