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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700472
Report Date: 03/28/2025
Date Signed: 03/28/2025 12:10:12 PM

Document Has Been Signed on 03/28/2025 12:10 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ALMANZAR FAMILY CHILD CAREFACILITY NUMBER:
197700472
ADMINISTRATOR/
DIRECTOR:		MARISOL ALMANZARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 671-7199
CITY:SAN FERNANDOSTATE: CAZIP CODE:
91340
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/28/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:37 AM
MET WITH:Marisol Almanzar, Licensee TIME VISIT/
INSPECTION COMPLETED:
12:17 PM
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On 03/28/2025, Licensing Program Analyst (LPA) Justeene Tamayo conducted a one year required inspection. Upon arrival, LPA met with licensee Marisol Almanzar. Upon arrival, LPA observed 2 infants and 3 preschool age children in care. Other residents of the home include 5 adults (licensee, licensee's spouse, and 3 other adults) and 1 minor child. All adults have been fingerprinted cleared and associated. The facility operates Monday through Friday 6:30 am-5:30 pm and Saturdays 8:00 am- 3:00pm with a license capacity of 14 children.

Physical Plant: This is a single-story home with 5 bedrooms, 3 bathrooms, living room, kitchen, dining area, back living room, laundry room, detached garage, front yard, and back yard fenced. The home was toured; the following areas are used for daycare: front living room area, dining area, bathroom located in the hallway on the left, and backyard fenced. There are no firearms present in the home and there is no smoking on the premises as stated by Licensee. Napping take place in the front living room area that is used as the main day care area. There are no pools or bodies of water located on premises.
Off limit areas include: All bedrooms in the home, 2 Bathrooms (Master bedroom, and back living room space), 2nd living room located in the back of the home adjacent to the laundry room, front yard, detached garage, and a back portion of the backyard that is inaccessible by a black wrought iron fenced that is over 5’ tall and locked. Cleaning supplies are kept under the kitchen sink cabinet.
NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Justeene Tamayo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: ALMANZAR FAMILY CHILD CARE
FACILITY NUMBER: 197700472
VISIT DATE: 03/28/2025
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There are adequate age-appropriate toys, books, games, and napping cots located in the hallway.

The smoke detector and carbon monoxide detector are in operable condition, located near the entrance of the door and in the kitchen ceiling. LPA observed the required fire extinguisher (2A10BC) is fully charged, and informed licensee that it must be served annually, or repurchased annually and purchase receipt taped to indicate when it was purchased. The facility sketch is complete and current, there is working telephone (cell). Fire/Disaster Drills document are maintained current. Last fire/disaster drill was completed on 11/18/2024.

Safe and age appropriate toys, play equipment and materials were observed. 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 are no window cords accessible to children.

Bathroom: The bathroom accessible to the children is located in the hallway on the left hand side. Bathtub and shower are free of hazards. The bathroom was in clean and operable condition. LPA observed a changing station, as well as diapers.

Kitchen: The home has a clean and fully stocked clean refrigerator/freezer. Licensee participates in a food program (Evergreen). Breakfast, lunch, and snacks are provided. Licensee states she currently does not have children with any food allergies. Licensee is advised food brought from the children’s home shall be properly stored, labeled, and dated. LPA observed knives stored on the kitchen counter. Medications are stored in the kitchen cabinet. LPA observed the kitchen is fully barricaded by a mesh covering safety gate.
NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Justeene Tamayo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
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: ALMANZAR FAMILY CHILD CARE
FACILITY NUMBER: 197700472
VISIT DATE: 03/28/2025
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Outdoor: The outdoor play area is gated with brick concrete wall separating the property from neighbors’ yard, and metal gates that separate the play space from the driveway and a metal gate that leads to an off limits area of the backyard. The detached garage is locked with a pad lock and inaccessible and off limits to the children. There is a white tarp canopy to provide the children with shade and the surface of the outdoor space consists of concrete. Climbing equipment was observed to have rubber mats at the slide exits to cushion falls. Back yard is free of hazards and has sufficient toys. LPA observed age-appropriate toys for children. There are two dogs on the premises that remain in off-limits area.

Advisory/Other: First Aid kit was observed with supplies (thermometer) readily available and is located in the hallway. Licensee's CPR First Aid was completed online and expires on 03/10/2027, however licensee was informed her CPR will need to be completed in person and sent to LPA Tamayo no later than 04/18/2025.

Mandated Reporter is current and expires on 08/15/2026. Licensee is reminded Pediatric First Aid/CPR and Mandated Reporter must be renewed every two years. Review of records to be maintained: LPA reviewed with licensee the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

Documents Provided and/or Discussed: Fire Drill Log, Roster, Postings, Safe Sleep PIN 20-24-CCP, Individual Sleeping Plan (LIC9227), Large and Small Child Care Ratio Packet. Child Care Insurance was discussed with the licensee.

The following were observed/discussed and or provided: Seat Belt Safety, Safe Sleep poster observed, forms required for children file (LIC311D), Notification of Parents' Rights (PUB394), Roster (LIC9040), License, Staffing and Ratio (capacity limitations handout provided), Emergency and Disaster Information (LIC610A, LIC9148), Lead Flyer Requirement, liability insurance (LIC282) must have signed form on file if no liability insurance. Names of all adults living in the home: All adults living/residing in the home are fingerprint cleared and associated.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.

The following was also discussed with the licensee:
1. In the absence of the licensee a qualified adult must be present, supervising the children; a qualified adult is an individual who has a valid and current Pediatric first aid/ CPR-adult-child- infant certification (EMSA approved), a valid criminal record clearance associated to the facility license, immunization's (MMR, TDAP, TB and Influenza or Influenza declination), AB 1207 Child Abuse Mandated Reporter Certificate.
NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Justeene Tamayo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: ALMANZAR FAMILY CHILD CARE
FACILITY NUMBER: 197700472
VISIT DATE: 03/28/2025
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/.

Licensee was informed of the MyChildCarePlan.org website; 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.



To receive important licensed - related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

During the exit interview, the LICENSEE Marisol Almanzar, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No deficiencies have been cited at this time.

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

interview conducted and report was reviewed with the licensee Marisol Almanzar, along with a copy of her appeal rights and Notice of Site Visit.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Justeene Tamayo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5