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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700414
Report Date: 01/15/2026
Date Signed: 01/15/2026 06:14:47 PM

Document Has Been Signed on 01/15/2026 06:14 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:PIERSON FAMILY CHILD CAREFACILITY NUMBER:
367700414
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
01/15/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:50 AM
MET WITH:Licenseee Olajumoke Pierson TIME VISIT/
INSPECTION COMPLETED:
06:25 PM
NARRATIVE
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On January 15, 2026, at 11:50am, Licensing Program Analyst (LPA) Zirbes met with Licensee Olajumoke Pierson. The purpose of the inspection was to conduct a Annual/Random inspection and a capacity increase inspection at the licensed facility. The home was granted a fire clearance on October 31, 2025. LPA disclosed the purpose of the inspection to the Licensee. When LPA arrived to the facility, LPA observed a total of six children being supervised by the Licensee (Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6). LPA asked the Licensee the names of the children and ages of the children in care. LPA then reviewed the facility roster. Based on LPA record review and interview with the Licensee, the family child care was over capacity when LPA arrived, as there six total children in care, four of whom were infants (C1, C4, C5, C6). At approximately 12:30, one infant (C1) and C2 were dropped off with their parents by staff member 1 (S1). Therefore there were a total of three infants and one preschool child bringing the family child care into compliance. A type A citation was issued, refer to LIC 809D.
Current days and hours of operation are 6:30am-06:30pm seven days a week. Currently living in the home is the Licensee, Adult 1 (A1), Adult 2 (A2) and four minor children.
Physical Plant: This is a two-story family home. The home consists of five bedrooms, three bathrooms, kitchen, dining room, living room, family room, laundry room and garage. The primary care will be conducted in the living room. Children will have access to the living room, dining room, kitchen, bathroom in the first floor hallway, and the backyard. The off-limit areas of the home include the entire upstairs area made inaccessible with a safety gate at the bottom of the stairs, the laundry room made inaccessible with key lock, the bedroom downstairs made inaccessible with key lock, and the garage which is accessed through the laundry room.

Report continued on page two
NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2026
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 13
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.

LIC809 (FAS) - (09/23)
Page: 2 of 13
Document Has Been Signed on 01/15/2026 06:14 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 01/15/2026 at 03:14 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: PIERSON FAMILY CHILD CARE
FACILITY NUMBER: 367700414

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102416.5(b)(2)
Staffing Ratio and Capacity
(b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following: (2) Six children, no more than three of whom may be infants; or

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above when the Licensee was caring for six children, four of whom were infants, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/16/2026
Plan of Correction
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Per Licensee, the family child care will meet the capacity and ratio requirements. Licensee has applied for a capacity increase. Licensee will review capacity requirements and training video on the CDSS website. After the Licensee completes the training the Licensee will send the Department an email stating the training has been completed.
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.
Lady King
NAME OF LICENSING PROGRAM MANAGER:
Kendal Zirbes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2026


LIC809 (FAS) - (06/04)
Page: 3 of 13
Document Has Been Signed on 01/15/2026 06:14 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 01/15/2026 at 03:14 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: PIERSON FAMILY CHILD CARE
FACILITY NUMBER: 367700414

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above when cleaning products were accessible to the children in care in the kitchen and bathroom, in addition sharp knives were accessible in the kitchen which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/16/2026
Plan of Correction
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Per Licensee, all items were removed to inaccessible areas during the inspection. Licensee will complete a daily inspection prior to opening the children care to ensure the home is safe. For the next week the Licensee will document the inspection and will send the Department a copy of the documentation .
Type B
Section Cited
CCR
102425(b)
Infant Safe Sleep
(b) Cribs or play yards shall be free from all loose articles and objects.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above when child 6 was sleeping in a play yard with a diaper wipes container, a pillow and two blankets which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/19/2026
Plan of Correction
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Per Licensee, the items were removed during the inspection. The Licensee will ensure sleeping environments are free of loose objects. The Licensee will review the safe sleep training material provided by the Department. The Licensee will send the Department an email confirming the safe sleep training has been completed.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lady King
NAME OF LICENSING PROGRAM MANAGER:
Kendal Zirbes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2026


LIC809 (FAS) - (06/04)
Page: 4 of 13
Document Has Been Signed on 01/15/2026 06:14 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 01/15/2026 at 03:14 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: PIERSON FAMILY CHILD CARE
FACILITY NUMBER: 367700414

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review and interview, the licensee did not comply with the section cited above when the Licensee stated S1 has not been immunized against measles and pertussis. S1 file did not contain evidence that S1 had received the immunization's which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/19/2026
Plan of Correction
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Per Licensee, S1 will not be employed or volunteer at the day care until S1 receives the required immunization's. Licensee will submit documentation of the immunization's to the Department.
Type B
Section Cited
CCR
102418(g)(1)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in six out of six child files did not contain the PM 286 as required, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/22/2026
Plan of Correction
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Per Licensee, the PM 286 will be completed for each enrolled children.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lady King
NAME OF LICENSING PROGRAM MANAGER:
Kendal Zirbes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2026


LIC809 (FAS) - (06/04)
Page: 5 of 13
Document Has Been Signed on 01/15/2026 06:14 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 01/15/2026 at 03:14 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: PIERSON FAMILY CHILD CARE
FACILITY NUMBER: 367700414

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(m)(3)
Operation of A Family Child Care Home
(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in six out of six child files did not contain an affidavit regarding informing the parents that the family child care does not carry liability insurance, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/22/2026
Plan of Correction
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Per Licensee, the LIC 282 will be provided to each parent and added to the child files.
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.
Lady King
NAME OF LICENSING PROGRAM MANAGER:
Kendal Zirbes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2026


LIC809 (FAS) - (06/04)
Page: 6 of 13
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: PIERSON FAMILY CHILD CARE
FACILITY NUMBER: 367700414
VISIT DATE: 01/15/2026
NARRATIVE
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Report continued from page one
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. At approximately 1:00pm LPA and the Licensee completed a tour of the kitchen. When the licensee opened a lower cabinet kitchen drawer two sharp knives were present and therefore accessible to the children in care. The licensee opened the cabinet under the kitchen sink and approximately six cleaning products were present which included Old English furniture cleaner, oven cleaner, Clorox wipes. Licensee attempted to engage the magnetic lock on the cabinet however the magnetic lock did not work right away. When LPA asked the Licensee why the sharp knives and cleaning products were accessible to the children care, the Licensee expressed she did not know why the lock was not working. Licensee stated the knives were placed in the drawer after being washed. During the inspection the children in care did not enter the kitchen, therefore this was a potential risk to the children in care. A type B citation was issued on the LIC 809D. LPA observed household medications stored in the kitchen in a cabinet equipped with a magnetic child safety lock. Safe and age appropriate toys, play equipment and materials were present. Smoke detector and carbon monoxide detector were tested. An audible beep was heard when the items were tested therefore, the carbon monoxide and smoke detector were in working order at the time of this inspection. Per Licensee no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment were observed on the premises. Per Licensee, there are zero firearms or weapons stored in the home. The home has one fireplace, which was inaccessible via a barrier. The home has central heating and air conditioning. The exit doors met the requirements at this time.
During LPAs tour with the Licensee, LPA observed C6 sleeping in a play yard . LPA observed a bag of diaper wipes, a pillow and two blankets in the play yard when C6 was sleeping. When asked why the safe sleep regulations were not being followed Licensee expressed the items were in the crib for the comfort of the infant and expressed the diaper wipes were not removed from the crib on accident. LPA and License discussed the safe sleep requirements. All items were removed from the play yard during this inspection. A Type B citation was issued refer to LIC 809D.

Bathroom: Toilet, sink, faucet, were clean and operable. LPA completed a tour of the bathroom with the Licensee, at approximately 1:09pm. LPA observed two glass cleaners under the bathroom sink. The glass cleaners were labeled keep out of reach of children. Report continued on page three
NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC809 (FAS) - (06/04)
Page: 9 of 13
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: PIERSON FAMILY CHILD CARE
FACILITY NUMBER: 367700414
VISIT DATE: 01/15/2026
NARRATIVE
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Report continued from page two
Bathroom continued: When asked why the glass cleaners were accessible to the children in care, Licensee stated that she cleaned the mirror yesterday and must have placed the items under the sink. Type B citation was issued, refer to LIC 809D.
Outdoor: The on limit outdoor space is accessible via a sliding door in the living room. The backyard is completely fenced. LPA observed various bikes and balls for the children to engage in play. Zero bodies of water were observed, and the Licensee confirmed there are zero bodies of water on the property. In the backyard LPA observed approximate 12 in high weeds, debris on the grass and one wooden boards were missing from the fence shared with the neighbor. Three sharp nails were present in the wooden fence. LPA observed two paint cans on the side of the home. Licensee shared due to the cold weather and the high winds the children have not been engaged in outdoor play for the past week. LPA advised the licensee that missing fence board had to be replaced and the area had to be cleaned prior to the children going outdoors. Licensee stated she understood and expressed again the children had not been outside due to the weather. A technical advisory notice was issued.
Per Licensee, the family has zero pets.
Facility Records: Per Disaster drill log, drills were completed in 5/02/2025 and 11/25/25, therefore the drills are being conducted every six months as required. The Fire Extinguisher was approved during the fire clearance. The Licensee had a facility roster however the roster was not complete and was missing required information such as the Physician Name and phone number and date of enrollment. A technical violation was issued. The Licensee updated the roster during this inspection.
File Review: LPA reviewed six child files which included four infants. Per the immunization record one enrolled child (C3) present today has one received immunization and therefore is not immunized against diseases as required. Licensee expressed they have been asking the authorized representative for the immunization record however the parent has not provided the documentation. During this inspection the parent confirmed the child had only received one immunization. A type B citation was issued. Six of six child records were missing the PM286, a type B citation was issued. Six of Six child files reviewed did not contain an affidavit informing the parent the family child care does not carry liability insurance. During the inspection the License confirmed the family child care does not have carry liability insurance. A type B citation was issued. LPA reviewed the Licensees files, one staff members file and one household members file. Staff 1 (S1) record did not contain evidence of S1 pertussis and measles immunization's.
Report continued on page four
NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC809 (FAS) - (06/04)
Page: 10 of 13
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: PIERSON FAMILY CHILD CARE
FACILITY NUMBER: 367700414
VISIT DATE: 01/15/2026
NARRATIVE
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Report continued from page three
File Review continued: When the documents were requested from the Licensee, Licensee stated she did not have S1 measles and pertussis immunization's as S1 has not been immunized against measles and pertussis. A type B citation was issued. The Licensees mandated reporter training expires on 2.9.26. Per LPA record review the Licensee has Red Cross- Pediatric first aid/CPR training with an expiration date of 4/10/26.

Because the licensee rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the Licensee confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/..

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.

During the exit interview, the Licensee Olajumoke Pierson, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. Report continued on page five
NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC809 (FAS) - (06/04)
Page: 11 of 13
Document Has Been Signed on 01/15/2026 06:14 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 01/15/2026 at 04:28 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: PIERSON FAMILY CHILD CARE
FACILITY NUMBER: 367700414

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(a)
Immunizations
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
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Based on interview and record review, the licensee did not comply with the section cited above when one enrolled child present today has one received immunization and therefore is not immunized against diseases as required, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/19/2026
Plan of Correction
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Per Licensee, the CDPH immunization training for child care staff will be completed. After the training is completed the Licensee will submit a written statement to the Department confirming the training was completed. Per Licensee the child will not return until immunuzations have been received.
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.
Lady King
NAME OF LICENSING PROGRAM MANAGER:
Kendal Zirbes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2026


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: PIERSON FAMILY CHILD CARE
FACILITY NUMBER: 367700414
VISIT DATE: 01/15/2026
NARRATIVE
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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.

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

As a result of this inspection, one type A citation, six type B citations, and two technical advisory notices were issued.
LPA Zirbes informed licensee Olajumoke Pierson that this report dated 1/15/2026 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.
Also, LPA Zirbes informed the licensee to provide a copy of this licensing report dated 1/15/2026, that documents 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.

Approval of the capacity increase is pending completion of the citations, technical advisory and final approval from the Licensing Program Manager.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Olajumoke Pierson.
NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC809 (FAS) - (06/04)
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