197700428-7-25-2024-12-CC-JTAO-D7HPHY-20240725112042

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700428
Report Date: 07/25/2024
Date Signed: 07/25/2024 11:20:50 AM

Document Has Been Signed on 07/25/2024 11:20 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	THAMES FAMILY CHILD CARE		FACILITY NUMBER:	197700428
ADMINISTRATOR/ DIRECTOR:	AUDREY THAMES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 618-0010
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93550
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 1	DATE:	07/25/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:31 AM
MET WITH:	Nicole Odom, Assistant		TIME VISIT/ INSPECTION COMPLETED:	11:50 AM

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 07/25/2024, Licensing Program Analyst (LPA) Justeene Tamayo met with Assistant Nicole Odom who guided analyst on a tour of the facility for the One Year Required inspection. At the time of inspection, licensee was currently at a medical appointment. This is a two story, 4 bedroom, 3 bathroom home with kitchen/dining, family room, living room, bonus room, laundry room and garage. There is no pool/spa or body of water on the premises. Upon arrival, LPA observed 1 infant child in care. Family members residing in the home include 3 adults (licensee, licensee's spouse, and licensee's adult son) and 0 minor children. Facility operation are Monday-Sunday for less than 24 hours a day. Incidental Medical Services (IMS) policy was discussed. Physical Plant: Main care is provided in the living room and bonus room (playroom and sleep room). Children use the bathroom in hallway on the right by the laundry room. Children have access to the living room and bonus room. Off limit areas include all bedrooms, bathrooms #2 and #3 (upstairs), laundry room, and garage. 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 (upper laundry room cabinet), medicines (master bedroom upstairs) and hazardous items (sharp knives in locked tool box located in living room area) that can pose a danger to children. LPA observed a fireplace in the the living room to be fully barricaded. Safe and age appropriate toys, play equipment and materials were observed. The smoke detector and carbon monoxide detector, Fire Extinguisher (3A40BC) are in operable condition. Per assistant, no one smokes in the home. Electrical outlets are inaccessible. LPA reminded assistant, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment are allowed. There is a designated area for ill children as necessary in bonus room. Per assistant, there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone (cell).

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: THAMES FAMILY CHILD CARE	FACILITY NUMBER: 197700428
	VISIT DATE: 07/25/2024

NARRATIVE

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Fire/Disaster Drill is complete and maintained current. Last Fire/Disaster Drill was completed on 03/20/2024.

Roster complete and maintained current.

Bathroom: Shower/tub are free of hazards (child care bathroom). LPA did not observe any hazardous items in the children's bathroom. Toilet and faucet are clean and operable.

Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. If food is brought from the children’s home, the container shall be labeled with the child’s name and properly stored or refrigerated. The home has a clean and fully stocked refrigerator/freezer. Cleaning supplies are located in the upper laundry room cabinet unreachable to day care children in care . Licensee currently has a food program. Lunch, snacks and dinner are provided. Breakfast is provided if needed. Naps are provided on cots in the bonus room.

Outdoor: The backyard is safe for children. The backyard is completely fenced (with block cement). There is no body of water. There is an outdoor air conditioner covered by mesh covering inaccessible to children in care. LPA observed age appropriate toys. Per assistant, there is one dog on the premises. LPA also observed a barbecue pit covered and locked with master lock in the backyard.

Advisory/Other: First Aid kit was observed with supplies readily available. Assistant's CPR/First Aid expired on 04/07/2024. Licensee will ensure all assistants are up to date on their CPR/First Aid. Licensee will send Assistant's current CPR/First Aid to LPA Tamayo no later than 08/15/24, and will not leave her assistant's alone with day care children without proof of current CPR/First Aid. Facility has been cited a Type B Citation. Please see LIC809-D for deficiency page. Assistant's Mandated Reporter expired on 07/18/2024. Licensee will have assistant retake their mandated reporter training and send proof of completion to LPA Tamayo no later than 08/01/2024.

Licensee's CPR/First Aid is current 07/06/2025, and licensee's mandated reporter training is complete and current: 07/06/2025. There are no window cords accessible to children.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: THAMES FAMILY CHILD CARE	FACILITY NUMBER: 197700428
	VISIT DATE: 07/25/2024

NARRATIVE

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Documents Provided and or Discussed: Fire Drill Log, Roster, Postings, Safe Sleep PIN 20-24-CCP, Individual Sleeping Plan (LIC9227), and Safe Sleep Log. Licensee currently does not have child care insurance.

Assistant 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.

LPA discussed the safe sleep regulations with assistant 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 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.

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 Assistant Nicole Odom, along with a copy of her appeal rights, and Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/25/2024 11:20 AM - It Cannot Be Edited

Created By: Justeene Tamayo On 07/25/2024 at 11:03 AM

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: THAMES FAMILY CHILD CARE	FACILITY NUMBER: 197700428
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/25/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above. Licensee left her assistant with a day care child without proof of current CPR/First Aid. Assistant's CPR expired on 04/07/2024, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/15/2024
	Plan of Correction
1 2 3 4	Licensee will send assistant's proof of current CPR/First Aid to LPA Tamayo no later than 08/15/24.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Mariela Ramon

LICENSING EVALUATOR NAME:

Justeene Tamayo

LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024

LIC809 (FAS) - (06/04)

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