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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700245
Report Date: 10/06/2023
Date Signed: 10/06/2023 01:29:17 PM

Document Has Been Signed on 10/06/2023 01:29 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:BURRELL-BENTLEY FAMILY CHILD CAREFACILITY NUMBER:
367700245
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
10/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Licensee Latoya Burnell-BentleyTIME COMPLETED:
02:45 PM
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On 10/06/2023 Licensing Program Analysts (LPA) Alemoh, met with licensee, Latoya Burnell-Bentely who guided analyst on a tour of the facility for the One Year Required inspection. Per licensee she opened her day care at the end of July 2023 due to being sick since last year of 2022. This is a two story home with 3 bedrooms and 2 and a half bathrooms with a safety gate barricading the stairway. Upon arrival LPA observed 2 children in care and licensee providing care for them. Family members residing in the home include 1 adult (licensee). Facility hours of operation are Monday - Friday 6AM-6 PM. Incidental Medical Services (IMS) policy was discussed.

There is a jacuzzi on the premises.

Physical Plant: Main care is provided in the living room and the converted garage area. LPA observed the converted garage to be clean and orderly. There is AC blowing into the garage for cool air. Age appropriate toys, play equipment and materials were observed in the garage. Living room area was observed to be clean and orderly. Their are cubbies for children to place their belongings. Two cribs were observed in the living room area. The children use the bathroom located in the hallway to the right. The off-limits areas are all upstairs bedrooms, second restroom, and the storage room. Laundry room and garage are also off limits and are kept locked during business hours.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023
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: BURRELL-BENTLEY FAMILY CHILD CARE
FACILITY NUMBER: 367700245
VISIT DATE: 10/06/2023
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The home was inspected inside and out for safety, clean and orderly, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds which are kept underneath the kitchen sink with a safety latch, and medicines are kept in licensee's bedroom. There are no sharp knives in the day care home.

Safe and age appropriate toys, play equipment and materials were observed. The smoke detector, carbon monoxide detector and Fire Extinguisher (3A40BC) are all in operable condition. Electrical outlets are inaccessible. No recalled and or prohibited toys or sleep/ play equipment were observed on the premises. There is a designated area for ill children as necessary in the living room area. Per Licensee, there is a weapon/firearms in the home. LPA observed the firearm to be located in the licensee bedroom in a safe. The firearm was located in a locked wall safe and was unloaded. Ammo was stored in licensee bedroom in a separate safe box. The facility sketch is complete and current, there is working telephone (cell).

Fire/Disaster drills are maintained current. Last fire disaster drill was completed on 08/01/23. The fireplace was observed to be in the living room area and was made inaccessible to children by being locked by a safety latch.

Bathroom: LPA observed the toilet and faucet to be clean and in operable condition. The children bathroom did not have a shower/tub. No recalled or prohibited items were observed in the children's bathroom.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
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: BURRELL-BENTLEY FAMILY CHILD CARE
FACILITY NUMBER: 367700245
VISIT DATE: 10/06/2023
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Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. The home has a clean and fully stocked refrigerator/freezer. Cleaning supplies are underneath the kitchen sink with a safety latch. Breakfast, two snacks and lunch are provided. Licensee stated she currently does have a food program. Naps are provided on cots the living room area.

Outdoor: The front yard is off limits. The backyard is completely fenced in with a brick wall and wooden fencing on the sides. There are no pets on the premises. LPA observed age appropriate toys, well secured and safe for children. On the left side of the home is a locked storage shed containing extra supplies. The fire pit, ac unit, and bbq pit were all observed to be covered. There are cameras all around the property as well. There is a jacuzzi in the backyard. The jacuzzi lid was observed to be locked on all corners. There is a safety gate that provides inaccessibility to the jacuzzi. LPA took photos to document in the file.

Advisory/Other: First Aid kit was observed with supplies readily available. CPR/First Aid expires 01/24. Mandated Reporter expires on 05/24. LPA reminded licensee; mandated reporter training must be completed every 2 years.

Documents Provided and or Discussed: Fire Drill Log, Postings, Employee's and Children's records, Safe Sleep PIN 20-24-CCP and Individual Sleeping Plan (LIC9227). Licensee currently does not have child care insurance.

Licensee Latoya 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.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
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: BURRELL-BENTLEY FAMILY CHILD CARE
FACILITY NUMBER: 367700245
VISIT DATE: 10/06/2023
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LPA discussed the safe sleep regulations with licensee Latoya and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/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.

An exit interview was conducted, a copy of this report was reviewed and provided to licensee along with the appeal rights.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
LIC809 (FAS) - (06/04)
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