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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700847
Report Date: 07/09/2024
Date Signed: 07/09/2024 10:26:17 AM

Document Has Been Signed on 07/09/2024 10:26 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:EDGAR FAMILY CHILD CAREFACILITY NUMBER:
197700847
ADMINISTRATOR/
DIRECTOR:		NICOLE EDGARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 606-4937
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
07/09/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:28 AM
MET WITH:Nicole EdgarTIME VISIT/
INSPECTION COMPLETED:
10:50 AM
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On 7/9/2024, Licensing Program Analyst (LPA) Carol Heath announced a pre-licensing inspection - relocation with the licensee, Nicole Edgar, to ensure the facility meets licensing requirements. The licensee is requested to provide care for a large family childcare home with a capacity of 14 children. LPA toured the house in and out. Individuals who reside in the home include 2 adults (licensee and her daughter) and 3 children (2 sons, ages 17 and 4, 1 daughter, 12). Per Guardian, all adults in this facility obtain a criminal record clearance and are associated with the facility.
During today's inspection, 0 children were with the licensee. The adult daughter is home with the licensee. The licensee's hours of operation are Monday through Friday, 7:00 am to 6:00 pm. The incidental Medical Services (IMS) policy was discussed. The licensees will not provide IMS at this time.
The home is described as follows:
This one-story home consists of a 4-bedroom, 3-bathroom home with Family room, childcare (formal dining area), living/dining room, laundry, and garage. There is a small water fountain in the backyard with water for bird. The childcare children can access the backyard and dining room.
Main area: Main care is provided in the Family and Formal Dining rooms used for childcare. Children use the bathroom between the Master bedroom and the Bedroom #3 on the right in the hallway.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2024
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: EDGAR FAMILY CHILD CARE
FACILITY NUMBER: 197700847
VISIT DATE: 07/09/2024
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· Family Room/Formal Dining Room: The family room fireplace is screened to make it inaccessible to the children. PA observed many age-appropriate toys, books, and other materials in the Formal Dining room area. Per the licensees, the children will nap in the Family Room and Formal Dining room.
· Bathroom #1: Bathroom #1 was toured and inspected. The toilet and faucets are clean, safe, and in operable condition. The bathtub and shower area are free of hazards. No medication storage in the medicine cabinet with safety latch. The licensees had a safety latch to make the materials inaccessible to the children.
· Kitchen/Dining: All sharp utensils, cutlery, cleaning supplies, medicines, drawers, cabinets with plastic bags, and pointy things or small things children can swallow are inaccessible to children with a child safety latch under the kitchen sink. The refrigerator, dishwasher, stove, microwave, etc., are clean. The kitchen was clean, orderly, and free of hazardous items. Medications were stored in the off-limits bedroom. The licensee will put 2 safety gates to make the kitchen inaccessible to the children.
· Outside: The backyard was inspected. It is completely fenced. The patio and left-site outdoor area are accessible to the children. LPA observed roses in the backyard and reminded the licensee to supervise the children the whole time. On the left size the backyard, LPA observed a storge unit with 2 padlocks. The licensee will need to make the areas behind and left size the storage areas inaccessible to the children. There is a gazebo and age-appropriate toys. The licensee will always reminded to supervise children while playing in the backyard.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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: EDGAR FAMILY CHILD CARE
FACILITY NUMBER: 197700847
VISIT DATE: 07/09/2024
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Off-limit area: The areas include all bedrooms, bathroom #2 and #3, pantry, laundry (safety knob), and garage.
· Bedrooms (Safety doorknobs or key lock): The master bedroom (the licensee), Bedroom #1 (adult daughter), and Bedroom #2 (17 years old son) and Bedroom #3 (12 and 4 years olds children) will have safety doorknobs or safety latch to make the rooms inaccessible to the children.
· Bathroom #2: Bathroom #2 is for the licensee’s children. LPA toured and inspected the medicine cabinet. The toilet and sink are in operable condition.
· Bathroom #3 (Master Bathroom): Bathroom #3 is inside the master bedroom. LPA toured and inspected the medicine cabinet. The toilet and sink are in operable condition.
· Laundry: The clean supplies and poison are in the laundry room. The garage door has a safety doorknob, which is inaccessible to children. The licensee will put a safety latch or lock to make the laundry inaccessible to the children.
· Garage (Through the Laundry room): LPA inspected the garage. According to the licensee, it is off-limits for children, and no childcare activities will be conducted there. LPA observed a deadbolt door lock or (key lock) on the garage door.
Other:
AC/Heating Unit: LPA observed two AC/Heating Units are located on the right side of the home and is inaccessible to children with cover.
Bodies of water: According to the licensee, No pool or spa in the home. There is a small water fountain in the backyard with water for bird.
Electrical outlets: All unused electrical outlets will need to plug in and inaccessible to children.
Food: The licensee will enroll in the Food program. The licensee will provide Breakfast, lunch, and snacks.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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: EDGAR FAMILY CHILD CARE
FACILITY NUMBER: 197700847
VISIT DATE: 07/09/2024
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Fire extinguisher (2A10BC): LPA observed a required fire extinguisher (2A10BC) reading in Green, located in the childcare area, and inaccessible to children. It meets standards established by the State Fire Marshall.
Fireplace: The fireplace was observed in the living room and is screened to make it inaccessible to the children.
Hanging window blind cords: The cords are inaccessible to children.
Isolation area (Illness): Per the licensee, if the child shows signs of illness, they will be separated from other children and stay in dining room
Medications and cleaning solutions: Detergents and cleaning compounds are in the laundry room or garage, inaccessible to the children, and medications are in the off-limits bedroom.
Napping: Children will nap in designated areas with adult supervision. LPA observed 8 cots in the closet and 3 playpens.
Overnight Care: According to the licensee, it does not provide overnight care.
Pets: There is a Turtle in the family room with glass case. The childcare children will not inactive with the turtle.
Phone service: There is a working cell phone.
Smoke Detectors and Carbon Monoxide: The smoke detectors and carbon monoxide devices tested operable.
The first aid kit is in the childcare area and is inaccessible to children. The First Aid Kit was observed to be complete with supplies and a first aid manual.
Transportation: The licensee will provide transportation for children. The licensee has a valid California driver's license, valid vehicle insurance, and vehicle registration.
Weapons or Firearms: Per the licensee, there are No Firearms at the facility at this time. LPA does not observe any firearms.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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: EDGAR FAMILY CHILD CARE
FACILITY NUMBER: 197700847
VISIT DATE: 07/09/2024
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Documentation:
The licensee has current CPR and First Aid Training with expiration dates of 08/2024 and Prevented Health and Safety Training completed on 3/26/2016. She has her fingerprint clearance and TB exam. She has proof of being immunized against influenza, pertussis, and measles. She has proof of Mandated Reporting Training dated 3/10/2023. LPA shared LIC 311D with the licensee.
The following was discussed with the licensee:
· [Applicant, Licensee, or Facility representative] was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.
· APPLICANT OWNS OR RENTS/LEASES THE HOME:
The [applicant, or licensee] provided proof of control of property.
· APPLICANT RENTS/LEASES THE HOME AND HAS LANDLORD CONSENT:
Because the [applicant, or licensee] rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the licensee confirms was provided to the property owner/landlord. The licensee obtained a signed Property Owner/Landlord Consent form (LIC 9149).
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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: EDGAR FAMILY CHILD CARE
FACILITY NUMBER: 197700847
VISIT DATE: 07/09/2024
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· APPLICANT RENTS/LEASES THE HOME AND DOES NOT HAVE LANDLORD CONSENT:
The [applicant, or licensee] has not obtained a signed Property Owner/Landlord Consent form (LIC9149). Without this consent, the licensee understands that, once licensed, they can operate with a maximum capacity of 6 [or 12] children. If property owner/landlord consent is obtained in the future, the licensee is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee of $25, to increase the capacity and provide care to 8 [or 14] children.
· APPLICANT KNOWS PROSPECTIVE CLIENTS WILL NEED IMS:
This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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 WILL WAIT UNTIL FACILITY OPENS TO DETERMINE IMS NEEDS:
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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: EDGAR FAMILY CHILD CARE
FACILITY NUMBER: 197700847
VISIT DATE: 07/09/2024
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· LPA discussed the safe sleep regulations with [applicant, licensee, or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at:
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed [applicant, licensee, or facility representative] 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.
· LPA reviewed with [applicant, licensee, or facility representative] 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. Entrance Checklist was provided to the licensee.
· On this date, xx/xx/xxxx, 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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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: EDGAR FAMILY CHILD CARE
FACILITY NUMBER: 197700847
VISIT DATE: 07/09/2024
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· LPA discussed the safe sleep regulations with [applicant, licensee, or facility representative] 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, licensee, or facility representative] 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.
· Subscribe to CCLD important information: 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 platforms.
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.
o A baby walker shall not be allowed on the premises of a family childcare home in accordance with Health and Safety Code sections 1596.848(b) and (c). State law prohibits baby walkers, bouncy seats, exersaucer, and other items that fall into that category.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC809 (FAS) - (06/04)
Page: 8 of 9
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: EDGAR FAMILY CHILD CARE
FACILITY NUMBER: 197700847
VISIT DATE: 07/09/2024
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Before being licensed, the following is required: Due 7-10-2024.

The daycare TV wire is accessible to the children
The daycare bookshelf and tall shelves needs to secure for earthquake safety
The daycare safety gate needs to secure for the children
All unused electrical outlets will need to plug in and inaccessible to the children.
All off limited bedrooms will need to make them inaccessible to the children
In the kitchen will need to make it inaccessible to the children.
In the backyard, the water fountain will need to be made inaccessible to
children or empty the water.
The areas behind and left site of the storage will need to make it inaccessible to the
children
AC unit need to make it inaccessible to the children

**As a result of this inspection, the home does not meet Title 22 Regulations. Corrections are required.

An exit interview was conducted, and the report was reviewed with the licensee, Nicole Edgar.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC809 (FAS) - (06/04)
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