364810833-3-27-2024-12-CC-KZIS-D3RTWR-20240327150557

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364810833
Report Date: 03/27/2024
Date Signed: 03/27/2024 03:06:03 PM

Document Has Been Signed on 03/27/2024 03:06 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	FIERRO FAMILY CHILD CARE		FACILITY NUMBER:	364810833
ADMINISTRATOR:	FIERRO, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 882-8162
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92405
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 11	DATE:	03/27/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Licensee Maria Fierro		TIME COMPLETED:	03:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On March 27, 2024 at 12:15 p.m., Licensing Program Analyst (LPA) Zirbes met with Licensee Maria Fierro who guided analyst on a tour of the home for the Annual/Random inspection. Upon arrival, LPA observed a total of eleven children, (one infant, three school age children and seven preschool age children) with the Licensee and an assistant. Currently living in the home are the Licensee, and three adults. All adults are associated and have eligible clearances. Current days and hours of operation are Sunday to Friday 24 hours. Physical Plant: This is single story home with two bedrooms, one bathroom, living room, dining room, kitchen, detached garage, front and backyard. Per Licensee the living room, dining room, kitchen, and bathroom are utilized for child care activities. Per licensee, the off-limit areas of the home are all bedrooms and the detached garage. The off limits areas were inaccessible via doors equipped with key locks. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds, medicines and hazardous items that can pose a danger to children. LPA observed cleaning products were stored in a key locked kitchen cabinet under the kitchen sink. Also cleaning products were stored above the refrigerator, which was inaccessible to the children in care. Knives and sharp kitchen items were stored in a locked cabinet under the kitchen sink. Household medications were stored in the off limits bedrooms. The fire extinguisher was serviced in March 2024. Safe and age appropriate toys, play equipment and materials were present. LPA observed a smoke detector and carbon monoxide detector in the home. The home does not have a fireplace. The home has central heating and window air conditioning units. The home was a comfortable temperature at the time of this inspection. LPA did not observe baby bouncers/saucer chairs, or any recalled and or prohibited toys on the premises. Per Licensee, there are zero firearms or weapons stored in the family child care. Bathroom (located in the hallway of the home): Toilet, sink, shower/tub were clean and operable. Zero cleaning products or hygiene materials were stored in the bathroom. Report continued on page

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: FIERRO FAMILY CHILD CARE	FACILITY NUMBER: 364810833
	VISIT DATE: 03/27/2024

NARRATIVE

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Report continued from page one
Outdoor: The outdoor play space is located in the backyard. The space is divided into two fenced spaces. The area to the back of the property is utilized for outdoor play. Per Licensee the children are supervised as they walk between the home and the fenced play space. The outdoor space is enclosed with a fence. LPA observed dramatic play houses, and tiny tikes climbing equipment. Locked outdoor sheds were present which hold household materials according to the Licensee. The Licensee stated there are zero bodies of water on the premises. LPA did not observe bodies of water on the property.
Per Licensee, there are two dogs and one cat in the home, who are current on shots. Per Licensee the dogs and cat interact occasionally with the child care children.

LPA reviewed five child files, the Licensees file, and one assistant file. Per LPA review, all files were complete and contained the required documentation. Per conversation with the Licensee, she is documenting the 15 minute safe sleep checks however the children under two years of age do not nap regularly while in care. Therefore the 15 minutes checks are not consistent. LPA observed the date, and time and child's name were being documented for the 15 minute checks.

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. Per recorded documentation the last fire drill occurred in January 2024.
The following was discussed with the licensee:

Licensee was reminded that all adults 18 and over living or working in the home, 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.

LPA discussed the safe sleep regulations with licensee 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 licensee 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. Report continued on page three

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: FIERRO FAMILY CHILD CARE	FACILITY NUMBER: 364810833
	VISIT DATE: 03/27/2024

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Report continued from page two

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)/ (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.

During the exit interview, the Licensee Maria Fierro, confirmed that there are no Registered Sex
Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Based on LPAs record review there were zero citations issued today.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Maria Fierro.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

LIC809 (FAS) - (06/04)

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