147700026-7-2-2024-12-CC-CALI-D6SVUN-20240702164502

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 147700026
Report Date: 07/02/2024
Date Signed: 07/02/2024 04:45:21 PM

Document Has Been Signed on 07/02/2024 04:45 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:	SANTANA FAMILY CHILD CARE		FACILITY NUMBER:	147700026
ADMINISTRATOR/ DIRECTOR:	SANTANA, LEONOR		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 937-6017
CITY:	BISHOP	STATE: CA	ZIP CODE:	93514
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 8	DATE:	07/02/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:00 PM
MET WITH:	Leonor Santana, Licsenee		TIME VISIT/ INSPECTION COMPLETED:	04:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 7/2/2024, Licensing Program Analysts (LPAs) Crystal Ali and Carol Heath conducted an unannounced annual random inspection. The LPAs disclosed the purpose of the inspection and was granted entry by the Licensee. The Licensee guided the LPAs on a tour of the home. Upon entry to the facility, the LPAs observe 8 children in care, licensee, and her assistant providing care and supervision (fingerprint cleared and associated to the center). Licensee's facility child roster is not current and needs to be updated. There are no IMS children. The operational childcare hours are Monday through Friday from 5am to 5pm. Staffing Ration and Capacity: This is a one-story family home. There is a living room (daycare area), dining room (daycare area), kitchen, three bedrooms, two bathrooms, garage, and backyard. The off-limits areas are the two bedrooms and garage. In the daycare area there are cubbies for the children belongings can be placed. Parent board posted on wall in dining room. Licensee did show the required documents to LPAs. LPAs reviewed parent board documentation and provided updated documents to the licensee to post. Licensee had all the required posted documents: Facility License (LIC 203A, Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A), and Earthquake Preparedness Checklist (LIC 9148).

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SANTANA FAMILY CHILD CARE	FACILITY NUMBER: 147700026
	VISIT DATE: 07/02/2024

NARRATIVE

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Physical Plant: Daycare area is the living room, dining room, and first room on the right next to the front door. Licensee does provide afternoon snacks and water for the children. The children bring their own packed lunches. Lunchboxes are placed in the refrigerator for the children in care. Licensee is not in the food program. 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. There are no window blind cords on the windows. There is one dog on premises that does interact with the children. Licensee stated the dog is vaccinated. LPAs did review with Licsenee about the interaction between the dogs and safety of the children. There is no working landline. Licensee utilizes her cell phone which is always charged and kept on her. There are age-appropriate toys and equipment on the premises. The First Aid kits included a temperature thermometer, tweezer, scissors, gauzes, and cleansing pads/solution was observed to be complete and inaccessible to children located in bathroom and garage. The facility is a larger capacity licensee of 14. The facility does not have a fire pull alarm system and does not have a single action door handle for the front and back door exits. LPAs discussed the process in obtaining this task.
Napping: Children are provided napping daily. Nap time is around 1pm. Licensee provides blankets for older children for napping. Licensee has one play pen, one crib with nothing in them per safe sleep regulations, mats, and 3 toddler beds. The napping room (first room on the right) is the isolation room for when a child is sick.
Transportation: The licensee sometimes provides transportation when school is in session. Licensee pick ups from the school. LPA Ali confirmed drivers license, car registration and insurance is current.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024

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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SANTANA FAMILY CHILD CARE	FACILITY NUMBER: 147700026
	VISIT DATE: 07/02/2024

NARRATIVE

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Kitchen: Knives are kept in the kitchen in a high cabinet next to kitchen sink. There is no safety latch on cabinet. Licensee will place safety latch on the cabinet. Medication is kept in the hallway in a safety latched high cabinet near sink inaccessible to children in care. There are no children on medication at this time. Cleaning supplies and chemicals are kept under the bathroom sink with safety latch on it and in garage. Children with allergies is written on the child file. No children with food allergies at this time.
Fire Extinguisher: The required fire extinguisher (2A10BC) is reading in green and in located on the kitchen wall. Fire alarm and carbon monoxide dual detectors were found to be in compliance. Fire and Disaster drills are conducted at least every six-months. There is no fire or disaster drill on file. First aid kits located in the bathroom and garage.
Bathroom: The daycare bathroom is down the hallway first door on the left. It has 1 sink, 1 toilet and 1 shower. Bathroom is clean and in good repair.
Outdoor Space Activity: The outdoor area is in the back yard. The back yard does have equipment, and other debris that need to be stored or removed and inaccessible to children. There is an outdoor mister that is used during the summer. There are two shaded areas in the backyard. The second shaded area is a tarp that is too low for adults to walk under for supervision. Licensee removed the tarp. There is now one shaded area for children. There is a river in the backyard that has a 5ft gate that is locked with bike lock cord and rope wrapped around. However, there is no self latching system and width of the bars do not meet CCL requirements. LPA Ali took picture. There are three play equipment in the backyard that need to be arched to ground for safety. There are three propane tanks that are in the garage. There is a shade in that backyard for storage, but it has no door and is accessible to children. There is a left side of house is an off-limits area, however, there is no gate making it inaccessible. Per the Licensee, there is no smoking and no weapons on the premises.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024

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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SANTANA FAMILY CHILD CARE	FACILITY NUMBER: 147700026
	VISIT DATE: 07/02/2024

NARRATIVE

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Records/Documentation: LPAs reviewed with facility representative the LIC 311A, records to be maintained at the facility, for child’s records, personnel records, administrative records, and parent board. Licensee was not able to provide a valid Pediatric CPR/First Aid training and mandated reporter training for her assistant. Licensee CPR/FA expires 12/2/25 and mandated reporter training expires 7/21/24. LPA Ali informed licensee that this does not meet the requirements. The assistant fingerprint is cleared in Guardian. The assistant file is not complete. Children’s Records files are not complete. Children’s files are all missing immunization records, and individual sleeping plan and sleep log for 1 child missing.

Criminal Record Clearance - Family Child Care Homes
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.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024

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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SANTANA FAMILY CHILD CARE	FACILITY NUMBER: 147700026
	VISIT DATE: 07/02/2024

NARRATIVE

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Safe Sleep - Family Child Care Homes
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, 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 – Family Child Care Homes
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
Megan’s Law - Family Child Care Homes
During the exit interview, the Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024

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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SANTANA FAMILY CHILD CARE	FACILITY NUMBER: 147700026
	VISIT DATE: 07/02/2024

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	Deficiencies Cited: (See LIC 809D). The following 6 Type B deficiencies are being cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Leonor Santana.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/02/2024 04:45 PM - It Cannot Be Edited

Created By: Crystal Ali On 07/02/2024 at 03:36 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: SANTANA FAMILY CHILD CARE	FACILITY NUMBER: 147700026
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/02/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(9)(A)

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: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in completing fire and disaster drill which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/08/2024
	Plan of Correction
1 2 3 4	Licensee will provide proof of fire drill to LPA Ali via email.

Type B

Section Cited

CCR

102425(j)

Infant Safe Sleep

The provider shall supervise infants while they are sleeping and adhere to the following requirements: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in providing proof of safe sleep logs which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/15/2024
	Plan of Correction
1 2 3 4	Licensee will provide proof of safe sleep log to LPA Ali via email.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Claretta Yates

LICENSING EVALUATOR NAME:

Crystal Ali

LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024

LIC809 (FAS) - (06/04)

Page: 7 of 13

Document Has Been Signed on 07/02/2024 04:45 PM - It Cannot Be Edited

Created By: Crystal Ali On 07/02/2024 at 03:36 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: SANTANA FAMILY CHILD CARE	FACILITY NUMBER: 147700026
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/02/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in the assistant not completing mandated reporter training which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/08/2024
	Plan of Correction
1 2 3 4	Licensee will provide copy of completed mandated reporter training of the assistant via email to LPA Ali.

Type B

Section Cited

HSC

1597.622(c)

Administration of Child Day Care Licensing

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in the child records are immunization records which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/15/2024
	Plan of Correction
1 2 3 4	Licensee will provide LPA Ali with proof of immunization records received via email.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Claretta Yates

LICENSING EVALUATOR NAME:

Crystal Ali

LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024

LIC809 (FAS) - (06/04)

Page: 8 of 13

Document Has Been Signed on 07/02/2024 04:45 PM - It Cannot Be Edited

Created By: Crystal Ali On 07/02/2024 at 03:36 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: SANTANA FAMILY CHILD CARE	FACILITY NUMBER: 147700026
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/02/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(8)

Operation of A Family Child Care Home

(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above due to facility roster not being current which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/15/2024
	Plan of Correction
1 2 3 4	Licsenee will provide a copy of the updated facility roster to LPA Ali via email.

Type B

Section Cited

CCR

102425(c)

Infant Safe Sleep

An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in having the LIC 9227 in the child file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/15/2024
	Plan of Correction
1 2 3 4	Licsenee will provide a copy of the individual safe sleep plan to LPA Ali via email.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Claretta Yates

LICENSING EVALUATOR NAME:

Crystal Ali

LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024

LIC809 (FAS) - (06/04)

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