364808632-8-10-2022-12-CC-KZIS-CH6TDC-20220810143806

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364808632
Report Date: 08/10/2022
Date Signed: 08/10/2022 02:38:42 PM

Document Has Been Signed on 08/10/2022 02:38 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:	DURAN FAMILY CHILD CARE		FACILITY NUMBER:	364808632
ADMINISTRATOR:	DURAN, MONICA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 337-7739
CITY:	LAKE ARROWHEAD	STATE: CA	ZIP CODE:	92352
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS:	DATE:	08/10/2022
TYPE OF VISIT:	Office	ANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Licensee Monica Duran		TIME COMPLETED:	02:45 PM

NARRATIVE

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An Informal Office Meeting was conducted today with Monica Duran, Licensee. In attendance were Claretta Yates, Licensing Program Manager, and Kendal Zirbes, Licensing Program Analyst. The purpose of the informal conference was to discuss the serious type "A" deficiencies that the licensee was cited for on 12/08/21. Claretta Yates, LPM, discussed the following with Monica Duncan, the licensee.

On 12/08/2021, the licensee was cited three types “A “ citations: Section 102146.5(f) Staffing Ratio and Capacity. The licensee had 17 children in care, 5 of which were infants. The licensee was also cited for type "A" deficiencies Section 102416.5(d)(2) for having four infants in care when there was a total of more than 14 children., 102425(i) Infant Safe Sleep.

On 12/17/21, the Licensee was also cited type “B” for Section 102417(g)(10) Operation of a Family Child Care Home for A baby walker shall not be allowed on the premises of a family childcare home in accordance with Health and Safety Code Section 1596.846(b) and (c) On December 8, 2021, LPA observed two children utilizing baby jumpers in the family childcare home. These items are prohibited per Section 1500.86 of Part 1500 of Title 16 of the Code of Federal Regulations.

On 12/17/21, the Licensee was cited for one type “A” citation Section 102416.5(d)(2) Staffing Ratio and Capacity. Civil penalties assessed for repeat violation.

On 02/25/22, the Licensee was assessed Daily Civil Penalty for repeat violation Section 102416.5(d)(2) Staffing Ratio and Capacity, which were also discussed during this meeting.

The following was discussed with the Licensee:

Report continued on page two

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022

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: DURAN FAMILY CHILD CARE	FACILITY NUMBER: 364808632
	VISIT DATE: 08/10/2022

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1. The licensee will be placed on Required Visits. Visits will be increased, to every 3 to 6 months. Frequency of visits will be determined on the licensee's compliance with Title 22, California Code of Regulations.

2. Licensee was advised that it is her responsibility to know & understand all requirements of Title 22.

3. The licensee's facility must stay in compliance at all times.

4. The licensee was advised to check the Child Care Licensing web site at www.ccld.ca.gov for quarterly updates.

Upon receipt of this report, the licensee shall post and provide copies to the parents/guardians of children in care at the above facility by the next business day or immediately upon return of the child. Any newly enrolled children at the facility must also received a copy of this report during the next 12 months.

At the conclusion of this meeting Community Care Licensing provided the following documents to the Licensee: 102425 Infant Safe Sleep, 102416.5 Staffing Ratio and Capacity, 1596.846 Baby walkers,

102417 Operation of a Family Child Care Home

A copy of this report will be forwarded to the appropriate Resource and Referral agency.

Exit interview conducted with Licensee, Monica Duran, who is agreement with the above.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022

LIC809 (FAS) - (06/04)

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