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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845858
Report Date: 07/02/2021
Date Signed: 07/02/2021 02:20:05 PM

Document Has Been Signed on 07/02/2021 02:20 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:BONNER FAMILY CHILD CAREFACILITY NUMBER:
364845858
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 3DATE:
07/02/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Jazmine BonnerTIME COMPLETED:
02:30 PM
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(1) On date and time listed, Licensing Program Analyst (LPA) Diana Brasel arrived at the facility to conduct a Required – 1 year inspection. LPA was greeting by the licensee and granted access to the facility. LPA observed 3 children present. LPA toured the facility, inside and out, records were reviewed and the following was observed and/or discussed:
Normal days and hours of operation are: Monday - Friday 7:00 am - 9:00 pm.
OFF-LIMIT AREAS INCLUDE: The entire upstairs.
· The facility is operating within the licensed capacity and appropriate ratios, per roster.
· A working telephone is present.
· Appropriate fire extinguisher, smoke detector and carbon monoxide detector present and were
tested by the licensee during this inspection.
· All hazardous items are stored inaccessible to children.
· Toxins are locked.
· No guns or weapons present as stated by the Licensee.
· Stairs are barricaded.
· Verification of control of property on file.
· Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights poster are posted.
· Pediatric CPR and First Aid Card expire on 06/07/2022.
· Health & Safety Certificate - completed and a copy maintained in facility file.
- No bodies of water at this time. Licensee understands all bodies of water including ponds, above· ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 Regulations. The Department must be notified before and after installation of the
above types of bodies of water. In addition, all wading pools or similar product must be emptied
immediately after use and stored in an upright position.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2021
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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BONNER FAMILY CHILD CARE
FACILITY NUMBER: 364845858
VISIT DATE: 07/02/2021
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· Clean, safe and age appropriate toys.
· There are no toxic plants at this time.
· Current roster on file.
· Documentation of fire drills on file, last drill conducted on 03/16/2021.
· Children’s records are complete.
· The Licensee was informed of their reporting requirements and is provided with the Regional
Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov, and
UnusualIncidentReportsDO10@dss.ca.gov
· Criminal record clearances are required prior to all adults living or working in a Family Child Care
Home. A civil penalty of $100.00 per day the person has been present, may be assessed. Resident
and/or staff records reviewed on indicate that all adults who require caregiver background checks
have received all required clearances or exemptions.
· Facility is not currently providing IMS Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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) / (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
· For more information on SIDS and Safe Sleep Environments, please visit:
California Department of Public Health – California SIDS Program:
http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx
AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html

The following was reviewed with the licensee:
- SB 277 – Immunization's, Personal Beliefs Exemption, effective January 1, 2016
- AB 290 – Child Nutrition, effective January 1, 2016 - – In accordance with California Health and
Safety Code Section 1596.866 -
- SB 792 – Immunization requirements for staff, volunteers, effective September 1, 2016 –
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BONNER FAMILY CHILD CARE
FACILITY NUMBER: 364845858
VISIT DATE: 07/02/2021
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- AB 2231 (2016) – Increased Civil Penalties, effective July 1, 2017 – For failing to correct a
violation the civil penalty is increased to $100 per day for EACH violation until corrected; For failing
to correct a repeated violation the civil penalty is increased to $250 immediately assessed , and
$100 per day afterwards for EACH repeated violation until corrected; For an Immediate Risk
violation the civil penalty is increased to $500 immediately assess, and $100 per day for EACH
violation after that until corrected; For any repeated Immediate Risk violations the civil penalty is
increased to $1,000 immediately assess, and $100 per day afterwards for EACH repeated violation
until corrected.
NOTE: Repeat violations are defined as a violation of a previously cited statutory or regulatory
Section and/or subsection within 12 months prior.
- AB 1207 – Mandated Child Abuse Reporting: Child Day Care Personnel Training, beginning
January 1, 2018 – In accordance with California Health and Safety Code Section 1596.8662 –
requires all licensed providers, applicants, directors and employees to complete training as
specified on their mandated reporter duties and to renew their training every two years. Applicants
must meet requirements as a precondition to licensure. Existing licensees must meet requirements
by March 30, 2018. New employees shall have 90 days to complete training as required. This
training requirement may be directly met by using the Department’s Office of Child Abuse
Prevention (OCAP) online training modules. The OCAP modules are free of cost and available at:
http://www.mandatedreporterca.com/ and are provided in English and Spanish. If no training is
made available in a required person’s primary language then those persons shall be exempt from
this requirement. The licensee will submit updated certificates within the next 10 days.
- AB 2370 – Effective January 1, 2019 – Lead Poisoning – providers are required to provide a lead
toxicity prevention handout to parents/guardians of newly enrolled and newly re-enrolled children with
information on risks and effects of lead poisoning; blood lead testing recommendations and
requirements; and options for obtaining blood lead testing, including free and/or discounted testing.
AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care:
http://shop.aap.org/Reducing-the-Risk-of-SIDS-in-Early-Education-and-Child-CareAnd Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction:
http://cfoc/nrckids/org/standardview/spccol/safesleep
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BONNER FAMILY CHILD CARE
FACILITY NUMBER: 364845858
VISIT DATE: 07/02/2021
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There will be a training component of this added to the Preventative Health Training beginning July
1, 2020.
- Effective January 1, 2017 – Children under 2 years of age shall ride in a rear-facing car seat
unless the child weighs 40 or more pounds OR is 40 or more inches tall. For additional information
regarding car seat laws see www.chp.ca.gov
- Access to forms & Regulations for Family Child Care Homes online at www.ccld.ca.gov
- Responsibility to know the regulations for anyone providing care
- Inaccessibility of hazards must be constantly reassessed depending on the children in care
- Current facility’s phone numbers must be on file at all times.
- Failure to meet the posting requirements shall result in an immediate $100 civil penalty.
- Documentation of fire & earthquake drills to be conducted every six months
- Responsibilities of being a mandated reporter
- Baby walkers, bouncy seats, exersaucers and other similar items are prohibited
- The applicant is urged to visit the U.S. Consumer Product Safety Commission web-page at
www.cpsc.gov to ensure that equipment purchased for the day care has not been recalled- Once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of
30 days. If a serious violation is cited, a copy of the licensing report (LIC809/LIC9099) must also be
posted for 30 days. A civil penalty of $100 per violation will be assessed for noncompliance.
- Access to forms & Regulations for Family Child Care online at www.ccld.ca.gov.
- Please subscribe at www.childcareadvocatesprogram@dss.ca.gov to receive Department
updates. They will be sent directly to your e-mail account once you have set up an account. This
website can also be accessed through www.ccld.ca.gov
- The Duty Officer is available to answer questions Monday – Friday at 1-844-LET-US-NO
(1-844-538-8766).

During the exit interview, the LICENSEE, Jazmine Bonner confirmed that there are no Registered Sex
Offenders living in the facility and to the best of her knowledge not using the facility address for their mailing address.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BONNER FAMILY CHILD CARE
FACILITY NUMBER: 364845858
VISIT DATE: 07/02/2021
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As a REMINDER: when your child(ren) turn 18 years of age, you MUST SUBMIT an updated
LIC279, LIC508 and TB Screen and have your child submit for LIVESCAN background clearance. This also applies to any adult PRIOR to them moving into the home or who currently lives in the home. Also, PRIOR to employment of any adult, you must submit the LIC508, TB screening and obtain a background clearance through LIVESCAN.

A NOTICE OF SITE VISIT WAS ISSUED AND SHALL BE POSTED IN A PROMINENT LOCATION AT THE FACILITY. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

A copy of this report was provided to the licensee on this date and must be made available to the public upon request for the next 3 years.

A confidential name list was also provided.

Infant safe sleep regulation 102425 reveiwed
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021
LIC809 (FAS) - (06/04)
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