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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700481
Report Date: 05/11/2021
Date Signed: 05/12/2021 08:52:33 AM

Document Has Been Signed on 05/12/2021 08:52 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:ARANDA FAMILY CHILD CAREFACILITY NUMBER:
197700481
ADMINISTRATOR:ELBA ARANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 678-8125
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
05/11/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:36 PM
MET WITH:Elba ArandaTIME COMPLETED:
04:45 PM
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 Licensing Program Analyst (LPA) Aaron Mabika, met with Applicant, Elba Aranda on 05/11/2021 for the purpose of conducting a Pre-Licensing Inspection. Applicant is requesting to provide care and supervision for a Large Family Child Care Home for the capacity of 14 children. Currently residing in the home is applicant, spouse and adult son. Per applicant all adults residing in the home have a Criminal Record Clearance (DOJ/FBI and Child Abuse Index Child). Applicant and LPA toured the home indoor and outdoor to ensure the home meets licensing requirements. Applicant is requesting the days and hours of operation will be Sunday through Saturday 05:30 AM to 05:00 AM.
The home is set up as follows: This is a 2-story home with 4 bedrooms and 3 bathrooms. Per Applicant the following areas of the home with be utilized for the Family Child Care: Living Room 1, Living Room 2, the downstairs Bedroom # 1, the hallway bathroom and the backyard. The off-limits of the home is the entire upstairs), the kitchen and the garage (all marked by gates. There is a fireplace located in the family room 2 which is made inaccessible to children with a screen barrier with a heavy cabinet completely blocking it off. The home has central heating and air conditioning. In the kitchen, all sharp utensils are made inaccessible to children by being stored in a latched drawer 4 feet above the ground. Cleaning detergents are inaccessible to children in a locked cabinet located in the laundry room and medications are made inaccessible to children with safety latches in a drawer in the off-limits upstairs master bedroom.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Aaron Mabika
LICENSING EVALUATOR SIGNATURE: DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/11/2021
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: ARANDA FAMILY CHILD CARE
FACILITY NUMBER: 197700481
VISIT DATE: 05/11/2021
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Bathrooms were toured and inspected sink/toilet are in operable condition. All unused electrical outlets are plugged and made inaccessible to children. Age appropriate play equipment and toys were observed in the care rooms. The home is neat and clean. LPA observed 4 napping mats and applicant states they will be bringing in 4 more from the old home. Per applicant, the children will nap on cots in the Living room # 2.
The outdoor play area is clean and free from all debris or dangerous conditions. Trees for shade were observed in the backyard and artificial grass for cushion. Play equipment in the form of a swing/slide set is securely anchored according to manufacturer directions. Backyard is fenced with a 7-foot-high cement block wall. There is a working cell phone. Smoke and carbon monoxide detectors tested operable. There is a fully charged fire extinguisher (2A10BC); and fully stocked first aid kit with manual. Hot water tested at a safe temperature between 105-120 degrees. Applicant states there are no weapons in the home. There is no swimming pool or bodies of water on the premises.

Applicant and two assistant, Julio and Miguel have current CPR, First Aid Training with the expiration dates of 11/2022 and applicant has Prevented Health and Safety Training. All adults in the home have a fingerprint clearance and TB exam. Applicant has proof of being immunized against influenza, pertussis and measles. Applicant has proof of Mandated Reporting Training dated 03/17/2021. Per applicant, transportation will be provided. Applicant has valid California Driver License with expiration date 10/26/2025, valid vehicle registration with expiration date 0808/2021 and valid vehicle insurance with expiration date 09/10/2021. Per applicant 2 meals and 3 snacks will be provided for children.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Aaron Mabika
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
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: ARANDA FAMILY CHILD CARE
FACILITY NUMBER: 197700481
VISIT DATE: 05/11/2021
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The following was discussed with the Applicant:
Mandatory Forms for the children’s files and provider’s files, Requirements for fire drills, earthquake drills and documentation for both. Role and responsibilities of being a mandated reporter. Applicant reminded that 100% supervision is required at all times to children in care. Applicant was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov. Applicant was made aware that it is he/she responsibility to know the regulations as well as anyone who assists in providing care. Licensing must always have the facility’s phone number; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco in a private residence that is licensed as a family child care home and in those areas of the family day care home where children are present (24/7 ban). State law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.
·On January 1, 2018 or before March 30, 2018, a person who, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the on-line mandated reporter training and shall complete renewal mandated reporter training every two years. @www.mandatereporterca.com

**Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed childcare facility are aware of situations that present the greatest danger to children.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Aaron Mabika
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
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: ARANDA FAMILY CHILD CARE
FACILITY NUMBER: 197700481
VISIT DATE: 05/11/2021
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Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). Family child care homes shall post during hours of operation. Failure to meet the posting requirements shall result in an immediate $100.00 civil penalty In addition; all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report and sign the LIC 9224 acknowledging receipt. Civil Penalty assessments will be assessed if all above requirements are not adhered to.

§1597.622 Employees or volunteers at family day care home; immunization requirements; records; exemptions (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year

**Incidental medical Services (IMS) policy was discussed. Applicant will wait until facility opens to determine IMS needs. 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 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 http://www.ada.gov/childqanda.htm

Applicant advised visit www.shotsforschool.org for Immunization information.
Child Care Advocates: www.childcareadvocatesprogram@cdss.ca.gov
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Aaron Mabika
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
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: ARANDA FAMILY CHILD CARE
FACILITY NUMBER: 197700481
VISIT DATE: 05/11/2021
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**Applicant was given the pre-licensing application packet with licensing forms included.

**As a result of this inspection, the home does meet all Title 22 Regulations. No corrections are required.

Exit interview conducted: A copy of this report, notice of site inspection was discussed and left with Elba Aranda, applicant
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Aaron Mabika
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
LIC809 (FAS) - (06/04)
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