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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157700123
Report Date: 04/22/2024
Date Signed: 04/22/2024 02:16:31 PM

Document Has Been Signed on 04/22/2024 02:16 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:THOMASON FAMILY CHILD CAREFACILITY NUMBER:
157700123
ADMINISTRATOR/
DIRECTOR:		JENNIFER& ANTHONY THOMASOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 817-8588
CITY:TEHACHAPISTATE: CAZIP CODE:
93561
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
04/22/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Jennifer and Anthony Thomason TIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 04/22/24 Licensing Program Analyst (LPA) Beneroso and Licensing Program Manager (LPM) Mariela Ramon conducted a Pre-licensing Inspection (Relocation) with Applicants Jennifer and Anthony Thomason who guided LPA and LPM on a tour of the facility.

This is a one story house with 2 bedrooms (located in the east side of the home) 2 bathrooms with living room, family room den, kitchen and detached garage where the laundry equipment is located. Family members residing in the home include two adult (Applicants) and 3 children.

The facility will operate Monday through Sundays for 23 hours and with a license capacity of 14 children. Applicants were reminded that full supervision is required during night care if children are awake, applicants must be awake.

Main Care Area: Main care will be provided in the living room, family room, den, and backyard. Children will nap in the living room, family room, den. Children will have meals in the family room. Children will use the backyard for outdoor playtime. LPA and LPM observed day care area to be clean and orderly, central air and heating, age-appropriate toys and play equipment. There is a designated area for ill/sick children in the den.

Off-Limit Areas: The front yard, bedrooms, bathroom#2 and detached garage area are off limits to the day care children. LPA and LPM observed door that gives access to the bedrooms to be locked.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2024
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: THOMASON FAMILY CHILD CARE
FACILITY NUMBER: 157700123
VISIT DATE: 04/22/2024
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Bathroom: LPA and LPM observed a clean, safe and operable toilet and faucet. LPA and LPM reminded applicant the children's bathroom must be free of shampoos, mouthwash, medication, perfumes, razor, air freshener, nail polish and polish remover.

Kitchen: LPA and LPM observed the kitchen area to be free of hazards a physical barrier is placed in both entrance . The following are inaccessible: Sharp items are stored in a latched in upper kitchen cabinet inaccessible to children in care. LPA and LPM observed the refrigerator and freezer to be clean. LPA and LPM discussed with applicant food shall be properly stored or refrigerated in container that are labeled with child’s name when supplied by parent. Applicant do not have a food program at this time but will be joining a food program in the future. Meals observed Breakfast, AM Snack, Lunch, PM Snack, Dinner and Evening Snacks.

Backyard/Outdoor areas: LPA and LPM toured the backyard and observed it to be all fenced in with a wooden fence. There are no pets in the home. There are no pools or bodies of water on the premises. Per applicants, kids might have meals outdoors.


Fire/Health/Safety: LPA observe a fully charge 3A40BC fire extinguisher during the inspection located in the dining area. LPA and LPM observed a working smoke detector and carbon monoxide detector. The First Aid kit was observed complete with supplies including thermometer, tweezers, scissors, gauze, bandages, cleansing pad/solution, and a first aid manual. The facility currently does have childcare insurance. Electrical outlets are inaccessible to children. Per LPA’s and LPM’s observations, there were no hanging window blind cords. All windows are free of cracks, bugs, and debris. Applicant was informed smoking is prohibited, applicant stated no one smokes in the home, LPA and LPM discussed Health Section 1596.846(b) and (c)–102417 (g)(10) and provided applicant with a visual copy of prohibited items for infants. LPA did not observe prohibited items during the inspection. Applicant was informed their cell phone shall be available and charged at all times during daycare hours.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
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: THOMASON FAMILY CHILD CARE
FACILITY NUMBER: 157700123
VISIT DATE: 04/22/2024
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Medications/ Hazardous Materials: Medications are located in the off-limits. Cleaning compounds were observed out of the reach of children.
Advisory/Other: Applicant First Aid/CPR are current. Preventative Health & Safety training is completed. Applicant is aware to supervise infants while they are sleeping by physically checking every 15 minutes and documenting the infant’s status. Applicant should refer to regulation 102425(J) for documentation requirement. If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, the provider shall return the infant to their back for sleeping.

Documents Provided and or Discussed: The following were provided to comply with Title 22 requirements: Fire Drill Log, roster, Safe Sleep PIN 20-24-CCP, Individual Sleeping Plan (LIC9227), water lead poster, required postings and list of CCLD forms required for child file each child in care (LIC 311D).

LPA discussed the safe sleep regulations with applicant, including Safe Sleep PIN 20-24-CCP and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant 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.

Provider Information Notices (PINs) & Child Care Advocates: You can now sign up for Quarterly Updates on Rules, Regulations, Policies and PINs for one or more programs through our DSS website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe Applicant was informed all forms pertaining to Child Care Licensing can be found at https://www.cdss.ca.gov/inforesources/forms-brochures/forms-alphabetic-list/i-l

Child Care Advocates Program: Provides information and resources about licensed childcare. www.childcareadvocatesprogram@cdss.ca.gov

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

DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
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: THOMASON FAMILY CHILD CARE
FACILITY NUMBER: 157700123
VISIT DATE: 04/22/2024
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Incidental Medical Services (IMS): IMS policy was discussed, informing applicant when any IMS is provided, a plan for providing IMS must be submitted to the Department prior to providing care to a child that need IMS. The plan shall state the type of IMS the facility will be offering, stating the person providing care has been trained to provide the named IMS. The plan will also provide the steps that will be taken when IMS is provided to a child.

The following information regarding ADA was discuss and the following information 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: http://www.ada.gov/childqanda.htm

Megan’s Law - On this date, 04/22/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

MyChildCarePlan.org: Family Child Care Home Applicants was informed of the MyChildCarePlan.org site, 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.

Applicant was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care.

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

DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
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: THOMASON FAMILY CHILD CARE
FACILITY NUMBER: 157700123
VISIT DATE: 04/22/2024
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Applicant 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.

Applicant was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within 24 hours of incident by telephone and in writing within 7 days of incident to the department. Applicant was informed all suspected Child Abuse should be reported to the Child Abuse Hot-line at 1-800-540-4000. The above incident should be reported on the form LIC624B per the regulation. The form should be email to unusualincidentreport@dss.ca.gov

Based on LPA's and LPM’s observations, the facility is now in compliance with Tittle 22 Regulations and is ready for licensure effective 04/22/24

Exit interview conducted copy of this report was provided to applicants along with notice of site visit.

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

DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
LIC809 (FAS) - (06/04)
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