367700199-4-20-2021-12-CC-SMOA-C29N4S-20210420100826

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367700199
Report Date: 04/20/2021
Date Signed: 04/20/2021 10:08:46 AM

Document Has Been Signed on 04/20/2021 10:08 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:	STYLES FAMILY CHILD CARE		FACILITY NUMBER:	367700199
ADMINISTRATOR:	DONNA STYLES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 240-9818
CITY:	APPLE VALLEY	STATE: CA	ZIP CODE:	92307
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	04/20/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Donna Styles applicant		TIME COMPLETED:	10:03 AM

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	Licensing Program Analyst (LPA) Steven Montoya virtually met applicant Donna Styles for the purpose of conducting a virtual Pre-Licensing Inspection. Applicant is requesting to provide care and supervision for a Large Family Child Care Home for the capacity of 8 children. Currently residing in the home is applicant, husband and adult daughter. Per applicant all adults residing in the home have Criminal Record Clearance (DOJ/FBI and Child Abuse Index Child). LPA virtually toured the home indoor and outdoor to ensure the home meets title 22 licensing requirements. Applicant is requesting the days and hours of operation will be: Monday - Sunday 3 am to 2 am. The home is set up as follows: This is a 1 story home with 4 bedrooms and 2.5 bathrooms. Per Applicant the following areas of the home with be utilized for the Family Child Care: Formal Living room, dining area, one bathroom, kitchen, family room. backyard. The off-limits of the home is Master bedroom and bathroom, laundry room, and 3 bedrooms, garage. There is a fireplace located in the family room which is accessible to children with a glass barrier but not locked. The home has central heating and air conditioning. Bathrooms were toured and inspected sink/toilet are in operable condition. All sharp knives, poison and medications are made inaccessible to children in locked laundry room. All unused electrical outlets are plugged and made inaccessible to children. Play equipment and toys are available. The home is neat and clean. There are age appropriate safe toys, and napping equipment observed.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2021

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: STYLES FAMILY CHILD CARE	FACILITY NUMBER: 367700199
	VISIT DATE: 04/20/2021

NARRATIVE

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The outdoor play area is clean and free from all debris or dangerous conditions. Play equipment is securely anchored according to manufacturer directions. Backyard is fully fenced. There is a working landline/cell phone; smoke detectors and carbon monoxide detector tested operable. There is a fully charged fire extinguisher (2A10BC); and fully stocked first aid kit. Applicant states there are no weapons or fire arms in the home or on the premises. There is no swimming pool or bodies of water on the premises.

Per applicant transportation will be provided. Applicant has valid California Driver License with expiration date 09-30-2021, valid vehicle register with expiration date 10-20-2021 and valid vehicle insurance with expiration date 12-30-2021. Per applicant meals and snack will be provided for children.

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 certified. 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 have the facility’s phone number at all times; if the phone number is changed, licensing must be notified.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2021

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: STYLES FAMILY CHILD CARE	FACILITY NUMBER: 367700199
	VISIT DATE: 04/20/2021

NARRATIVE

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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 child care facility are aware of situations that present the greatest danger to children.

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.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2021

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: STYLES FAMILY CHILD CARE	FACILITY NUMBER: 367700199
	VISIT DATE: 04/20/2021

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§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

·Lead Poisoning: For more information, go to the California Childhood Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb,or call them at (510) 620-5600.

Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov. Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links. Put your email address and choose which program(s) you would like to subscribe to and click “subscribe”.

Prior to being licensed the follow is required by: Due (4-21-2021)
· Fire Place Latch
**Applicant was given the pre-licensing application packet with licensing forms included.
**As a result of this inspection, the home does meets Title 22 Regulations. Corrections are required.
Exit interview conducted: A copy of this report, was discussed and sent to applicant.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2021

LIC809 (FAS) - (06/04)

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