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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700045
Report Date: 04/24/2024
Date Signed: 04/24/2024 01:07:14 PM

Document Has Been Signed on 04/24/2024 01:07 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:HANEY FAMILY CHILD CAREFACILITY NUMBER:
367700045
ADMINISTRATOR/
DIRECTOR:		HANEY, CASSANDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 910-3573
CITY:TWENTYNINE PALMSSTATE: CAZIP CODE:
92277
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
04/24/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Licensee Cassandra Haney TIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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On April 24, 2024, at 09:05 a.m., Licensing Program Analyst (LPA) Zirbes met with Licensee Cassandra Haney who guided analyst on a tour of the home for the Annual/Required inspection. Upon arrival, LPA observed six children in care (all over age 2) with the Licensee providing supervision. During the inspection one additional child age 4 arrived. Currently living in the home are the Licensee, and three minor children ages (15, 11, 10). All adults are associated and have eligible clearances. Current days and hours of operation are Monday through Friday 6:00am to 5:00pm.

Physical Plant: This is a single story house with three bedrooms, two bathrooms, kitchen, dining room, living room, daycare room, attached garage, with a front and backyard. The following areas of the home are on limits: the daycare room, living room, dining room, kitchen, backyard and hallway bathroom. The off-limits areas consist of: all three bedrooms, bathroom within the primary bedroom, and the garage. These areas have been made inaccessible via the use of door locks and child safety locks.
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. During the inspection, LPA observed the child safety latch on the kitchen cabinet containing cleaning supplies was not engaged and laundry soap was on top of the children's cubbies. LPA did not observe the children accessing these areas without supervision during the inspection. LPA advised the Licensee to check all cabinets containing cleaning supplies and conduct a walk through of the on limit areas prior to opening to ensure cleaning products are inaccessible. LPA observed household medications were stored in high inaccessible kitchen cabinets. LPA advised the Licensee to relocate the medications or install a child safety lock on the cabinet since the Licensee is enrolling additional school age children in the program. Technical advisory notices were issued. Knives and sharp kitchen items were stored in a container located in a high inaccessible kitchen cabinet shelf. Per Licensee at the time if this inspection, zero medications are provided to the child care children. Report continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 7
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: HANEY FAMILY CHILD CARE
FACILITY NUMBER: 367700045
VISIT DATE: 04/24/2024
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Report continued from page one
LPA observed a smoke detector and carbon monoxide detector in the living room and hallway of the home. Smoke detector and carbon monoxide detector were tested during this inspection and found to be operable at this time. The home has central heating and air conditioning. A fireplace was in the living room. The fire place was inaccessible via a child safe lock placed on the glass fire place door. LPA did not observe baby bouncers/saucer chairs, or any recalled and or prohibited toys on the premises. Per Licensee, there are zero firearms or weapons stored in the family child care.
Bathroom (located in the hallway of the home): Toilet, sink, shower/tub were clean and operable. Personal hygiene materials were not present in this area at the time of the inspection.
Outdoor: The backyard is fully enclosed with a wooden fence. LPA observed two of the plastic tricycle seats had tears and one of the tricycle was missing one wheel. LPA also observed animal droppings in the outdoor activity space. During this inspection LPA did not observe the children play in the outdoor activity space and Licensee stated the children had not gone outside today. Therefore the above mentioned observations were not a hazard to the children at the time of this inspection. LPA advised the Licensee to monitor the play equipment and play space to ensure the area is free of hazards.

During the inspection LPA and Licensee discussed the requirement for Large Family Child Care homes to have single action door handles on exit doors. Based on LPA observation and conversation with the Licensee the exit doors are not equipped with single action door handles, therefore a advisory notice was issued.

Per Licensee, there is one dog on the property at the time of this inspection. Per Licensee the dog is current on shots and does not interact with the child care children.

LPA reviewed five child files, and the Licensees file. Per LPA review, all child files were complete and contained the required documentation. Per LPA review of the Licensees file, the Licensee did not complete the two year renewal of the mandated reporter training as required. A technical advisory notice was issued.


Review of records to be maintained: LPA reviewed with licensee the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Per recorded documentation the last fire drill occurred in March 2024.
The following was discussed with the licensee:

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. Report continued on page three

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

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
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: HANEY FAMILY CHILD CARE
FACILITY NUMBER: 367700045
VISIT DATE: 04/24/2024
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Report continued from page two
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.
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.

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/.

During the exit interview, the Licensee Cassandra Haney, confirmed that there are no Registered Sex
Offenders living in the facility and LPA completed the RSO profile in FAS.
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.
Based on LPAs observations, interviews conducted with the Licensee and record review there were four technical advisories notices issued today.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Cassandra Haney.

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

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
LIC809 (FAS) - (06/04)
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