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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700011
Report Date: 09/23/2026
Date Signed: 09/23/2026 10:57:40 AM

Document Has Been Signed on 09/23/2026 10:57 AM - 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:KERSH, VANESSA FAMILY CHILD CAREFACILITY NUMBER:
367700011
ADMINISTRATOR/
DIRECTOR:		KERSH, VANESSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 757-1835
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
09/23/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Vanessa Kersh - LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:10 AM
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On Wednesday September 23, 2026, at 9:00 AM, Licensing Program Analyst (LPA) Giovanni Cristales, met with licensee Vanessa Kersh, who guided the analyst on a facility tour. The purpose of the inspection is to conduct an unannounced Annual/Random Inspection. Licensee is licensed to provide care and supervision for a Large Family Child Care for a capacity of up to 14 children. LPA toured the areas of the home utilized for the Family Child Care to ensure the home follows Community Care Licensing Title 22 Regulations. Present during the time of this inspection are Licensee, licensee’s husband and six (6) children in care. Family members residing in the home include two (2) adults, licensee, licensee’s husband. All adults residing in the home have a Criminal Record Clearance. Days/hours of operation are Monday through Friday, 7:00 AM to 5:30 PM. Incidental Medical Services (IMS) policy was discussed.

Physical Plant: This is a single story, 3-bedrooms, 3-bathrooms home with kitchen/dining area (open concept), living room, family room, laundry room, garage, enclosed front yard patio and backyard. There is a spa in the back yard that was off-limits, locked and inaccessible to children in care.

Main care is provided in the living room, bathroom #1, bedroom #1, childcare room, enclosed front patio, kitchen (only for eating purposes), front and backyard. The home was inspected inside and out for safety, comfort, cleanliness, telephone service (cell and landline), heating and ventilation (A.C unit, swamp cooler, ceiling fans), inaccessibility to poisons, detergents/cleaning compounds, medicines (inaccessible in off-limits pantry on top shelve). The home is clean and orderly; there are two (2) fireplaces in the home (in accessible with metal screens and board).

LPA observed age-appropriate toys, books, materials, play equipment, and a TV for educational purposes, no recalled and prohibited toys or sleep/ play equipment were observed on the premises. All windows are

Francisco Pedroza
Giovanni Cristales
DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

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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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KERSH, VANESSA FAMILY CHILD CARE
FACILITY NUMBER: 367700011
VISIT DATE: 09/23/2026
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free of cracks, bugs, or debris. Per licensee when a child becomes ill, the isolation area is in the living room near the front entrance to the left until the parent can pick up the child. LPA observed one small dog (Yorky). Per licensee, the dog does interact with children in care and is vaccinated.

Off limit areas: Include Bedrooms #2 - #3, bathroom #2 - #3, laundry/garage (all inaccessible with key locks), family room, living room (inaccessible with metal gate), and a section of backyard.

Kitchen (Gate Barrier): Home has a clean and fully stocked refrigerator/freezer. LPA observe a refrigerator, stove, dishwasher microwave and center island. Cleaning supplies are located and made, (inaccessible in laundry and pantry). Hazardous items, sharp knives (inaccessible in off-limit garage) that can pose danger to children. Licensee is part of the food program, and provides breakfast, lunch, two snacks, and dinner. LPA observed 4 highchairs for children to eat. Water is readily available in the form of a water dispenser. Children also have their own water bottles

Bathroom: Children use bathroom #1 located between the childcare room and bedroom #1. LPA observed the bathroom and shower to be clean and sanitized. The following are inaccessible: Sharp items, mouthwash, shampoos, razor, nail polish, etc. LPA observed toilet and faucet to be in operable condition. LPA observed cabinet underneath the sink to be accessible. LPA did not observe any hazardous items.

Napping: LPA observed three (3) playpens, and cots, enough for children to nap. Per the licensee, infants are monitored every 15 minutes and documented. LPA observed the sleep logs to be complete and current.

Outdoor: Backyard initially declared off limits (Declaration on file, 4/17/2019). Per new facility sketch, a good portion of the back/side yard is now accessible to children in care. LPA toured the backyard which is completely fenced with a combination of chain link, wooden fencing and metal gate. LPA observed an attached shed pergola structure, large olive tree providing shade and a swamp cooler to keep children cool. The ground is composed of cement, dirt and turf for proper playing. LPA observed patio furniture, few toys, Children lunch tables, hammocks and raised garden beds.

There is an above ground spa locked on all four sides and empty located in an off-limit area. LPA observed the front yard that is used for childcare, with grass, also fully gated with wrought iron fencing. There is age-appropriate playing equipment. LPA observed sport equipment, one swing/slide structure sturdy to the ground, octagon climbing structure, and one teeter-totter in the form of a plane, and a monkey bar in form of a

NAME OF LICENSING PROGRAM MANAGER: Francisco Pedroza
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KERSH, VANESSA FAMILY CHILD CARE
FACILITY NUMBER: 367700011
VISIT DATE: 09/23/2026
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rope with equipment where children can hang on from. LPA reminded licensee 100% supervision must be given when children are in the front yard.

Advisory/Other: First Aid kit was observed to be full of supplies readily available (scissors/ tweezers), inside closet upon home entrance to the left. CPR/First Aid, Expires: 1/24/2028), Mandated reporter, Expired (4/22/2027). Electrical outlets (inaccessible and blocked with wooden cubbies), LPA observe window cords tied up high.

The smoke and carbon monoxide detectors are in operable condition. LPA’S observed the required fire extinguisher in the kitchen to the right of the sliding door (2A10BC) being fully charged with needle in the green. Per licensee there are no weapons/firearms in the home. Per licensee nobody smokes in the home.

LPA observed documents to be posted in a prominent, publicly accessible area (License, PUB 394, Earthquake Preparedness, facility sketch, Emergency Disaster Plan and verification of fire and earthquake drills, (8/28/26), facility roster to be complete and current. Per licensee, transportation is provided currently for drop off only. Per licensee, the facility carries liability insurance.

The following was discussed with the Licensee:

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters, and other important information communication platforms.

Any change from an area of the family childcare home previously identified as "off limits" to an area where care and supervision will be provided to children in care. The Licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector as a result of the alteration, addition or construction.

Criminal Record Clearance - FCCH - 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.

NAME OF LICENSING PROGRAM MANAGER: Francisco Pedroza
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KERSH, VANESSA FAMILY CHILD CARE
FACILITY NUMBER: 367700011
VISIT DATE: 09/23/2026
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Safe Sleep – FCCH – LPA’s 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-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for and removing any 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) – FCCH - This facility does not provide Incidental Medical Services – IMS currently. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22- 02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

MyChildCarePlan.org – FCCH - Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at: https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Licensee was reminded that 100% supervision is required at all times to children in care; Licensee was made aware that it is 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; Regulation prohibits the smoking of any kind during the operation of the day care.

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

NAME OF LICENSING PROGRAM MANAGER: Francisco Pedroza
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KERSH, VANESSA FAMILY CHILD CARE
FACILITY NUMBER: 367700011
VISIT DATE: 09/23/2026
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specified above. Licensee was informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department unusualincidentreport@dss.ca.gov.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, inspect the facility. The Licensee shall permit the Department to inspect the family childcare home and to privately interview children or staff, to determine compliance with or to prevent violations of family childcare laws or regulations, also enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.

Prior to making alterations or additions to a family childcare home or grounds, the Licensee shall notify the Department of the proposed changes, including, but not limited to, the following: Conversion of a garage (either attached or detached) into a "childcare" room; Room additions to the family childcare home.

Megan’s Law - FCCH - On this date, 9/22/2026, the California Attorney General - Megan’s Law website was verified for information on sex offenders which required to register with local law enforcement under California's Megan's Law. There are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

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.

No deficiencies during today’s visit in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes.

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 Licensee Vanessa Kersh, along with a copy of the Appeal Rights.

NAME OF LICENSING PROGRAM MANAGER: Francisco Pedroza
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC809 (FAS) - (06/04)
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