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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197701012
Report Date: 09/18/2025
Date Signed: 09/18/2025 11:35:25 AM

Document Has Been Signed on 09/18/2025 11:35 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:SOLIS FAMILY CHILD CAREFACILITY NUMBER:
197701012
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
09/18/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:42 AM
MET WITH:Mikaela Solis, Applicant TIME VISIT/
INSPECTION COMPLETED:
11:46 AM
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On 09/18/2025, Licensing Program Analyst (LPA) Justeene Tamayo conducted a Pre-licensing Inspection with Applicant Mikaela Solis , who guided LPA on a tour of the facility. Applicant had a prior license (197700889). This is a relocation application. LPA received an updated application(LIC279) to take off applicant's adult daughter as co-licensee due to adult daughter does not live in the home. Applicant Mikaela Solis will be listed as solo applicant.

This is a one-story house with 2 bedrooms, 2.5 bathrooms, living room, family room, dining room, kitchen, laundry room, and garage. Family members residing in the home include 2 adults(Applicant and applicants spouse) and 1 minor child. All adults have been fingerprint cleared and associated. LPA observed an in ground pool on the premises.

The facility will operate Monday through Friday from 7AM-6PM and with a license capacity of 8 children. LPA went over the child care ratios for a small family home with applicant, and provided applicant a copy.

Main care will be provided in the family room near the front door entrance, as well as the living room. Children will eat in the family room as identified on the facility sketch. Per applicant, she will be utilizing a food program. Breakfast, lunch, snacks will be provided. The day care children will utilize the hallway bathroom on the right hand side near the family room. Children will use rear yard for outdoor play. The front yard, bedrooms #1-2(key lock), bathrooms #1.5, laundry room (barricaded by mesh gate), and garage (key lock door knob and barricaded by mesh gate) are off limits to the day care children.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Justeene Tamayo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2025
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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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: SOLIS FAMILY CHILD CARE
FACILITY NUMBER: 197701012
VISIT DATE: 09/18/2025
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Facility has central air and heating, age appropriate toys and play equipment, working smoke detector and carbon monoxide detector.

Child care bathroom is a half bathroom with no shower. LPA did not observe any hazardous items in the child care bathroom. LPA reminded applicant the children's bathroom must be free of shampoos, mouthwash, medication, perfumes, razor, air freshener, nail polish and polish remover. LPA observed a clean, safe and operable toilet and faucet.

LPA observed a fully charged 3A40BC fire extinguisher during the inspection located in the kitchen area. Per applicant, no alcohol is present in the home. First aid kit is stored in the main care area in closet. Medications are stored in upper kitchen cabinet with magnet lock.

Applicant made poisons and cleaning items inaccessible to children stored in kitchen with magnet lock.

Kitchen: The following are inaccessible: Sharp items, such as knives are stored in the kitchen cabinet that is magnet locked. LPA observed the refrigerator and freezer to be clean. LPA discuss with applicant food shall be properly stored or refrigerated in container that are labeled with child’s name when supplied by parent.

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

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
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: SOLIS FAMILY CHILD CARE
FACILITY NUMBER: 197701012
VISIT DATE: 09/18/2025
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LPA toured the backyard and observe it to be free of garden tools, poisonous plants, thorn trees cactus, or lawn mower inaccessible to children. The backyard is completely gated. LPA observed toys and play equipment for children to utilize in the backyard. LPA observed a built in barbecue pit that is barricaded by safety gate inaccessible to day care children. There is also an empty water fountain that is barricaded by safety gate. There is a small gazebo and outdoor air conditioner that is also barricaded by a safety gate to prevent accessibility.

LPA also observed an in ground swimming pool on the premises. The black wrought iron fence measures at 5 feet in height, which goes from one end of the property wall, to the other side of the property wall. The horizontal beams are no more than 4 inches apart. The gap from the bottom of the fence measures at 3 inches, applicant will purchase fence wiring on the bottom of the gate to ensure it measures no more than 2 inches from the bottom of the floor, to the gate. Applicant will send a picture for proof of completion.

Two other cement property walls barricade the rest of the in ground swimming pool. The fencing does not obscure the pool from view. The opening of gate swings away from the pool, self-closes and has a self-latching device located no more than six inches from the top of the gate. There is also another alarm on the gate , when opened, it will make a beeping sound and has a PIN to turn off. There is also a master lock on top of the opening of the gate. There were no climbing aids observed near the pool area. Licensee has also followed new swimming pool regulations that came into effect on 01/01/25: LPA observed an ASTM International Standard F2208 that alerts the licensee if anything falls in the water , as well as a 12 foot fixed rescue pole hung on the right side of the cement wall, and a life ring measuring at 20 inches in diameter approved by U.S. Coastal Guard. LPA reminded applicant, she must document a daily swimming pool log, and it must remain current at all times .Applicant shall ensure the fencing is locked and closed at all times. Applicant agrees that the swimming pool fencing will remain in place whenever licensed care is provided, and so long as the fence makes the swimming pool inaccessible to children as determined by licensing staff.

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

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
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: SOLIS FAMILY CHILD CARE
FACILITY NUMBER: 197701012
VISIT DATE: 09/18/2025
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 Applicant states there are 3 animals on the premises (1 dog and 2 cats). Current vaccinations obtained and will be placed in file.

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.

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, LIC9227 Individual Sleeping Plan, Safe Sleep log, required postings, and list of CCLD forms required for child file each child in care (LIC 311D). Applicant stated currently has childcare insurance. Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

Applicant inform smoking is prohibited, applicant stated no one smokes in the home, LPA discussed Health Section 1596.846(b) and (c)–102417 (g)(10) and provided applicant with a visual copy of prohibited items. LPA did not observe prohibited items during the inspection. Per applicant no firearms are present in the home. Applicant was informed her cell phone shall be available and charged at all times during day-care hours.

Incidental Medical Services (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

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

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
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: SOLIS FAMILY CHILD CARE
FACILITY NUMBER: 197701012
VISIT DATE: 09/18/2025
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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 day 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

Advisory/Other: Applicant First Aid/CPR are current. Preventative Health & Safety training is completed on 06/28/2024. Applicant's mandated reporter training expires on 06/18/2026. Applicant's CPR/First Aid expires on 11/16/2026. Electrical outlets are inaccessible to children. Children will nap on cots in the main care area. Applicant is aware no infant shall be swaddled, and car seat shall not be used for sleeping. 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. 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.

Pending Licensure:

-Bottom of wrought iron swimming pool fence will be barricaded by chicken/gate wire to ensure it measures no more than 2 inches from the bottom of the gate.

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

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

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC809 (FAS) - (06/04)
Page: 6 of 6