367700261-10-11-2023-12-CC-JTAO-CWHSH8-20231011135308

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367700261
Report Date: 10/11/2023
Date Signed: 10/11/2023 01:53:19 PM

Document Has Been Signed on 10/11/2023 01:53 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:	JAMES FAMILY CHILD CARE		FACILITY NUMBER:	367700261
ADMINISTRATOR:	RACHEL JAMES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(442) 202-7857
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92394
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 11	DATE:	10/11/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:33 PM
MET WITH:	Rachel James, Licensee		TIME COMPLETED:	02:15 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 10/11/23, Licensing Program Analyst (LPA) Justeene Tamayo met with licensee, Rachel James, who guided analyst on a tour of the facility for a one year required inspection. This is a two story 5 bedroom, 3 bathroom home with kitchen (pantry)/dining, living room, family room, laundry room, covered patio and garage (3 car). There is no pool/spa or body of water on the premises. Present are licensee and assistant #1. LPA verified a census of 2 school age, 8 preschool children and 1 infant in care. Days/hours of operation are Monday through Sunday 4AM to 3:30AM. Incidental Medical Services (IMS) policy was discussed. Physical Plant: Main care is in the living room and family room. Children use the bathroom in the hallway on the right. Off limit areas include the entire upstairs (laundry, Bedrooms #2, #3, #4, #5, bathroom #2 and #3). During walk through, LPA Tamayo observed the 3 car garage converted into a day care area without notifying the Department. Licensee is aware she must obtain a Building and Grounds Permit from the city before day care children have access to the converted garage. Facility has been cited a type B Citation. Please see LIC809-D for deficiency page. 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 (under kitchen sink with safety latch), medicines (off limits area) and hazardous items (sharp knives in upper kitchen cabinet in a locked container) that can pose a danger to children. No fireplace. There are safe age appropriate toys, play equipment and materials. The smoke detector, Carbon Monoxide Detector and Fire Extinguisher (2A10BC) are in operable condition. Stairs have a gate. Per Applicant no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/play equipment on the premises. There is a designated area for ill children as necessary in living room. Per licensee there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone (cell).

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: JAMES FAMILY CHILD CARE	FACILITY NUMBER: 367700261
	VISIT DATE: 10/11/2023

NARRATIVE

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Fire/Disaster Drill is complete and maintained current. Last Fire/Disaster Drill was completed on 07/10/23.

Roster complete and maintained current.

Bathroom: Shower/tub are free of hazards (child care bathroom). LPA did not observe any hazardous items in the children's bathroom. Toilet and faucet are clean and operable.

Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. If food is brought from the children’s home, the container shall be labeled with the child’s name and properly stored or refrigerated. The home has a clean and fully stocked refrigerator/freezer. Cleaning supplies are under the kitchen sink with a safety latch. Licensee currently has a food program. Breakfast, lunch, snacks and dinner are provided. Naps are provided on cots in the family room.

Outdoor: The backyard is safe for children. The backyard is completely fenced (with block cement). There is no body of water. There are two outdoor air conditioners inaccessible to children in care with barricaded wooden gates. LPA observed age appropriate toys. Per licensee, there is one pet on the premises. LPA observed an outdoor barbecue pit to be fully covered.

Advisory/Other: First Aid kit was observed with supplies readily available. CPR/First Aid expired 07/12/2023. Licensee will retake CPR/First Aid and send proof of completion to LPA Tamayo no later than 11/01/23. Facility has been cited a Type B Citation. Please see LIC809-D for Deficiency page. Mandated Reporter expired 07/16/2023. Licensee will retake her mandated reporter training and send proof of completion to LPA Tamayo no later than 11/01/23.

There are no window cords accessible to children.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: JAMES FAMILY CHILD CARE	FACILITY NUMBER: 367700261
	VISIT DATE: 10/11/2023

NARRATIVE

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

Licensee James 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.

LPA discussed the safe sleep regulations with licensee James 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 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.

A notice of site visit was given to licensee and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Rachel James, along with her appeal rights and Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/11/2023 01:53 PM - It Cannot Be Edited

Created By: Justeene Tamayo On 10/11/2023 at 01:36 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: JAMES FAMILY CHILD CARE	FACILITY NUMBER: 367700261
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/11/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above. Licensee's CPR/First Aid expired 07/2023, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/01/2023
	Plan of Correction
1 2 3 4	Licensee will retake her CPR/First aid and send proof of completion to LPA Tamayo no later than 11/01/23.

Type B

Section Cited

CCR

102416.3(a)(1)

Alterations to Existing Building or Grounds

(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (1) Conversion of a garage (either attached or detached) into a "child care" room. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, record review, and interview the licensee did not comply with the section cited above. LPA observed the 3 car garage converted into a child care room without notifiying the Department, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/30/2023
	Plan of Correction
1 2 3 4	Licensee shall obtain a Permit from Building and Grounds for the converted garage before children have access to the converted garage. Licensee is aware the garage will be off-limits until then.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Mariela Ramon

LICENSING EVALUATOR NAME:

Justeene Tamayo

LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC809 (FAS) - (06/04)

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