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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841605
Report Date: 06/08/2023
Date Signed: 06/08/2023 03:00:33 PM

Document Has Been Signed on 06/08/2023 03:00 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:SILER FAMILY CHILD CAREFACILITY NUMBER:
364841605
ADMINISTRATOR:SILER, APRILFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 915-7065
CITY:VICTORVILLESTATE: CAZIP CODE:
92394
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
06/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:21 PM
MET WITH:April Siler, LicenseeTIME COMPLETED:
03:00 PM
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On June 8, 2023, Licensing Program Analyst (LPA) Calloway met with Licensee who granted access. LPA and Licensee toured the facility inside and outside for a One Year Required Inspection. This is a two story 3-bedroom, 3-bathroom home with kitchen, family room, living room, formal dining room, laundry room, den, loft and garage. Upon arrival LPA observed six children, four napping: (two toddlers, two preschool), and two school aged during the inspection. Family members residing in the home include 3 adults (licensee, licensee spouse, adult son) and two children. One assistant present during the inspection. Incidental Medical Services (IMS) policy was discussed.
Physical Plant: Main care is provided in the living room (at entrance) and family room. Bookshelf observed the wall is wobbly and recommended (anchoring for safety). The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (laundry, upstairs), medicines (bathroom cabinet - locked) and hazardous items (sharp knives in upper cabinet in tight fitting container) that can pose a danger to children. Fire/earthquake drills complete and maintained current. Roster complete and maintained current. Stairs are gated.
Children bathroom: in hallway next to the family room (inspected). There is a designated area for ill children as necessary in the family room. Age-appropriate toys, books, and play equipment. The smoke detector and carbon monoxide detector are in operable condition.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2023
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: SILER FAMILY CHILD CARE
FACILITY NUMBER: 364841605
VISIT DATE: 06/08/2023
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LPA observed the required fire extinguisher (2A10BC) is fully charged. Working cell phone, no landline phone. There is no pool/spa or body of water on the premises. Transportation is provided. Liability insurance verified.
Off limit areas: include the entire upstairs (Bedroom #1, #2 and #3, Bathroom #2 and #3, laundry, loft), Den and garage (key lock) and back yard.
Outside: Off limits (facility sketch needs to be updated) no play equipment observed. Concrete and dirt. Small repairs needed to the gate. Two AC units in the yard (uncovered-recommended covers).
Per Licensee, there are no weapons or firearms inside the home. LPA did not observe any weapons/firearms. Age-appropriate napping equipment (cots). Fireplace screened (safety latch) gate recommended it is low to the ground and glass if heated, poses a safety hazard. Home has central AC and heat. CPR/First Aid expires 6/6/2025. The First Aid kit was observed and is complete. Staff and children’s files were reviewed.
The following was discussed with the Licensee: Capacity requirements, Notification of Parent's Rights (posted), Roster requirements (keep updated names), Documentation requirements for disaster drills (fire and earthquake). Mandatory Forms for the children’s files and provider’s files, updated Safe Sleep regulations were provided. The role and responsibilities of being a mandated reporter were reviewed. Everyone working in the home must renew mandated reporter training every two (2) years. www.mandatedreporterca.com. Licensee reminded that 100% supervision is always required to children in care. If food is brought in, it is properly labeled. Check food expiration dates periodically. Licensee was advised on how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov. Licensee was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SILER FAMILY CHILD CARE
FACILITY NUMBER: 364841605
VISIT DATE: 06/08/2023
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Licensee advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Report Unusual Incidents to Licensing (LIC 624B) within 24 hours of incident occurring. Licensing must always have the facility’s phone number; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco in a private residence that is licensed as a family childcare home and in those areas of the family day care home where children are present (24/7 ban). Type A citation: Type A citation(s) shall be posted for 30 consecutive days along with the Notice of Site Visit Letter (printed out after every visit) and posted during hours of operation, as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Licensee shall provide a copy any Type A citation(s) 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. Failure to do so will result in a Civil Penalty being assessed. State law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category. Licensee is advised visit www.shotsforschool.org for Immunization information.

--Licensee was informed of responsibility to report suspected Child Abuse, 1-800-827-8724/760-243-6640


--Family Child Care Providers (Disaster Planning information): https://cccld.childcarevideos.org/family-child-care-providers/disaster-planning-and-fire-safety/
--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SILER FAMILY CHILD CARE
FACILITY NUMBER: 364841605
VISIT DATE: 06/08/2023
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-Child Care Videos: https://ccld.childcarevideos.org
--Licensee advised to visit the CCL website (www.ccld.ca.gov) to obtain updates of courses and updates/changes to the regulations.

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
The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm. LPA provided consultation (Safe Sleep) during the inspection.

There are no deficiencies cited during this inspection.

An exit interview was conducted, LPA read and provided a copy of this report and Notice of Site Visit were given to April Siler, Licensee at the facility.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC809 (FAS) - (06/04)
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