Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153903235
Report Date: 07/25/2018
Date Signed: 07/25/2018 03:42:23 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME:TINOCO, TRINDAD FAMILY CHILD CAREFACILITY NUMBER:
153903235
ADMINISTRATOR:TINOCO, TRINIDADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 854-1723
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY:14CENSUS: 9DATE:
07/25/2018
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Trinidad TinocoTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Joanne Alcala conducted an annual random inspection at the above facility. Upon arrival LPA was greeted by licensee, Trinidad Tinoco. LPA observed 9 day care children including licensee's two minor children. The licensee's assistant was also present which is the licensee mother. Per Licensing Information System (LIS) all adults residing and working in the home have obtained background clearances. Per LIS, facility annual fees are current. The licensee is operating within proper capacity and ratios. LPA observed licensee to be present at the home and providing adequate care and supervision.

The home is clean, orderly, comfortable and well ventilated. LPA observed a working smoke detector and Carbon Monoxide, fully charged 2A10BC fire extinguisher and working telephone. There are several age appropriate toys and a first aid kit on the premises. The day care takes place inside the converted garage that has permits this where the day care takes place at. The day care has a door that leads into the home where the restroom is located for the day care children. The restroom was inspected for inaccessibility of toxins/cleaning compounds and other potentially dangerous objects/materials. Electrical outlets around the home were properly covered. The backyard is completely fenced in. There are no bodies of water in the FCCH. Per the licensee, there are no firearms on the premises. The licensee has current CPR and first aid that expires 12/2/19.

SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Joanne AlcalaTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2018
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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: TINOCO, TRINDAD FAMILY CHILD CARE
FACILITY NUMBER: 153903235
VISIT DATE: 07/25/2018
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The licensee and her assistant have completed the mandated reporter training and have the required immunization's.

LPA observed a current child roster. Per the licensee, fire and disaster drills are conducted monthly. Child files were found to be complete.

Our Quarterly updates are available every 3 months they are also now in Spanish please log in to the CCLD website or you can email our advocates to have the quarterly updates send directly to your email.

The following was discussed with the licensee;


No smoking, No infant walkers, Johnny jumpers, exersaucers and any other item that falls into that category, earthquake safety and necessity of drills (every 6 months), required forms for children’s files, facility files, posting requirements, penalty, fingerprint clearance, and the transfer process and penalty.
For additional information and forms visit our website at: www.ccld.ca.gov
A copy of this report must be made available to the public for 3 years.

For updates on Community Care Licensing please visit the following website at: Childcareadvocatesprogram@dss.ca.gov
https://ccld.childcarevideos.org/

Per the Title 22 regulations, on 07/25/18, the above facility was found to be operating in substantial compliance. An exit Interview was conducted, a copy of this Report and a Notice of Site visit was provided.

SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Joanne AlcalaTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2018
LIC809 (FAS) - (06/04)
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