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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910014
Report Date: 04/19/2024
Date Signed: 05/06/2024 08:28:21 AM

Document Has Been Signed on 05/06/2024 08:28 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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ARREGUIN, GABRIELA FAMILY CHILD CAREFACILITY NUMBER:
153910014
ADMINISTRATOR/
DIRECTOR:		ARREGUIN, GABRIELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 903-1553
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
04/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:07 PM
MET WITH:Gabriela ArreguinTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 04/19/24 Licensing Program Analyst (LPA) Beneroso met with Licensee, Gabriella Arreguin, who guided analyst on a tour of the facility for an Annual inspection. This is a one story, 4 bedroom, 2 bathroom home with kitchen, dining area, family room, laundry room and garage. Upon arrival, LPA observed 7 children in care and two adults providing care and supervision. There are two adults living in the home and 4 minor children. Facility operation are Monday-Friday 5:00 AM - 5:00 PM. Incidental Medical Services (IMS) policy was discussed.

Physical Plant: Main care is provided in the family room (living room), dining area and backyard. Children use the bathroom in hallway and second bathroom is kept off limits. Children have access to the family room, kitchen, bathroom #1 and backyard. Off limit areas include all bedrooms, laundry room and garage. Off limit bedrooms were observed to be locked. The home was inspected inside and out for safety, clean and orderly, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (kept in lower kitchen cabinet), medicines are kept in the master bedroom bathroom. Safe and age appropriate toys, play equipment and materials were observed

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2024
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ARREGUIN, GABRIELA FAMILY CHILD CARE
FACILITY NUMBER: 153910014
VISIT DATE: 04/19/2024
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Outdoor: The backyard is completely fenced (wooden fence) and it is divided by a gate to make it partially inaccessible. LPA inspected and was observed the backyard to be free of hazards, lose or sharp parts and tools. LPA observed appropriate and safe toys in the play area. Per licensee and LPA’s observations, there are no pools or bodies of water in the premises.

Advisory/Other: First Aid kit was observed with supplies readily available. CPR/First Aid expires on 11/12/24. Mandated Reporter expires on 02/27/2026 . Licensee has the Mandated Reporter certificate current. LPA reminded licensee the mandated reporter training is to be renewed every two years at www.mandatedreporterca.com

Documents Provided and or Discussed: Fire Drill Log, Roster, Postings, Safe Sleep PIN 20-24-CCP and LIC 9227 (Individual Sleeping Plan). Licensee stated she does not currently have childcare insurance.


Licensee Arreguin was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
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: ARREGUIN, GABRIELA FAMILY CHILD CARE
FACILITY NUMBER: 153910014
VISIT DATE: 04/19/2024
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The smoke detector and carbon monoxide detector, Fire Extinguisher (2A40BC) are in operable condition. Per Licensee, no one smokes in the home. Electrical outlets are inaccessible. LPA reminded licensee no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment are allowed on the premises. There is a designated area for ill children as necessary in the kitchen area. Per Licensee, there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone. There is no pool/spa or body of water on the premises. Naps are provided in the main care area in mats. Per licensee, she is part of the food program and provides the following meals: breakfast, lunch, PM snack and dinner.

Fire/disaster drill is maintained current. Last Fire/Disaster Drill was completed on 04/05/2023, Roster complete and maintained current.



Bathroom: LPA observed the bathroom to be clean and in good condition. Toilet and faucet are clean and operable. The bathroom cabinets have safety latches, making it inaccessible to children.

Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. The home has a clean and fully stocked refrigerator/freezer. Sharp knives are kept in drawer in the kitchen, secured with a safety latch. Per licensee, she is currently part of a food program.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: ARREGUIN, GABRIELA FAMILY CHILD CARE
FACILITY NUMBER: 153910014
VISIT DATE: 04/19/2024
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The smoke detector and carbon monoxide detector, Fire Extinguisher (2A40BC) are in operable condition. Per Licensee, no one smokes in the home. Electrical outlets are inaccessible. LPA reminded licensee no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment are allowed on the premises. There is a designated area for ill children as necessary in the kitchen area. Per Licensee, there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone. There is no pool/spa or body of water on the premises. Naps are provided in the main care area in mats. Per licensee, she is part of the food program and provides the following meals: breakfast, lunch, PM snack and dinner.

Fire/disaster drill is maintained current. Last Fire/Disaster Drill was completed on 03/04/2024, Roster complete and maintained current.



Bathroom: LPA observed the bathroom to be clean and in good condition. Toilet and faucet are clean and operable. The bathroom cabinets have safety latches, making it inaccessible to children.

Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. The home has a clean and fully stocked refrigerator/freezer. Sharp knives are kept in drawer in the kitchen, secured with a safety latch. Per licensee, she is currently part of a food program.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
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: ARREGUIN, GABRIELA FAMILY CHILD CARE
FACILITY NUMBER: 153910014
VISIT DATE: 04/19/2024
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LPA discussed the safe sleep regulations with licensee Arreguin and discussed the Child Care Licensing Safe Sleep web page 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 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.

The facility was found to be in compliance per Title 22 regulations, no deficiencies were cited today.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Arreguin, along with her appeal rights and Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
LIC809 (FAS) - (06/04)
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