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Department of
SOCIAL SERVICES
FACILITY EVALUATION REPORT
Report Date:05/20/2024
Date Signed:05/23/2024 11:47:11 AM
Document Has Been Signed on 05/23/2024 11:47 AM - It Cannot Be Edited
This report must be available at Child Care and Group Home facilities for public review for 3 years.
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
153908738Report Date:05/20/2024
Date Signed:05/23/2024 11:47:11 AM
Document Has Been Signed on 05/23/2024 11:47 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 PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201 PALMDALE, CA 93551 |
| FACILITY NAME: | MORENO, YOLANDA FAMILY CHILD CARE | FACILITY NUMBER: | 153908738 | |
| ADMINISTRATOR: | MORENO, YOLANDA | FACILITY TYPE: | 810 | |
| ADDRESS: |  | TELEPHONE: | (661) 854-8029 | |
| CITY: | ARVIN | STATE: CA | ZIP CODE: | 93203 |
| CAPACITY: | 14 | CENSUS: 4 | DATE: | 05/20/2024 |
| TYPE OF VISIT: | Annual/Random | UNANNOUNCED | TIME BEGAN: | 10:30 AM |
| MET WITH: | Yolanda Moreno | TIME COMPLETED: | 12:30 PM | |
NARRATIVE | ||
1 | On 05/20/2024, Licensing Program Analyst (LPA) Beneroso conducted an unannounced Required 1-Year inspection at the Moreno Family Child Care Home. Upon arrival, the LPA met with licensee, Yolanda Moreno who guided LPA on a tour of the facility. Family members residing in the home include 3 adults and no minor children. All adults living in the house have been background cleared. Per the Licensee, hours of operation are Monday through Saturday 5AM to 5PM. Per licensee, no overnight care is provided at the moment. Upon arrival, LPA did observed 4 children present. Incidental Medical Services (IMS) were discussed. Physical Plant: This is a two-story home with 4 bedrooms and 2 1/2 bathrooms. Per licensee, care is provided primarily in the converted garage, living room, dining area, bathroom (located in hallway to the left) and backyard. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds, medication and hazardous items that can pose a danger to children. LPA observed age appropriate safe toys and napping equipment on the premises. Main Care Area: Main care is provided primarily in the converted garage, living room, dining area, bathroom (located in hallway to the left) and backyard. LPA observed age-appropriate toys and furniture for the children. There are age-appropriate games and books on the premises. Per licensee, there is a designated area for ill/sick children in a corner in the living room. Children nap in(day care room) area in cots that are properly stored. | |
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| I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. | ||||||
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| LIC809 (FAS) - (06/04) | Page: 1 of 5 |
| 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: MORENO, YOLANDA FAMILY CHILD CARE | FACILITY NUMBER: 153908738 |
| VISIT DATE: 05/20/2024 |
NARRATIVE | |
1 | Children's bathroom: Children use the bathroom located in the hallway on the left-hand side. The bathroom was clean, sanitized, and in good repair. The bathroom was toured and inspected sink and toilet which is in operable condition. Kitchen/Dining Room: The kitchen does not have a physical barrier. Sharp items are located in an upper cabinet. Per licensee, she does currently have a food program. Meals offered: Breakfast, AM Snack, Lunch, PM Snack and DinnerBackyard/Outdoor areas: The backyard is fenced in with cement block. The outdoor play area was inspected and was observed to be free of hazards, lose or sharp parts and tools. LPA observed appropriate and safe toys in the play area. Per licensee,there are no pets in the home. Per licensee and LPA’s observations, there are no pools or bodies of water in the premises. There was a storage shed that was observed to be locked. Off-limits: Per licensee, the off-limit areas of the home include the 4 bedrooms, 2 bathrooms. Stairs: The stairs that give access to the second floor of the facility was properly barricaded with a child safety gate. Fireplace: The fireplace is located in the living room and was observed to be properly barricaded and it is not currently in use. Care and Supervision: Licensee is within the ratio for a large facility. The Licensee was reminded that supervision is always required for children in care. |
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| I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. | ||||||
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| LIC809 (FAS) - (06/04) | Page: 2 of 5 |
| 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: MORENO, YOLANDA FAMILY CHILD CARE | FACILITY NUMBER: 153908738 |
| VISIT DATE: 05/20/2024 |
NARRATIVE | |
1 | Fire/Health/Safety: There is a cell phone kept charged and on the Licensee at all times. Smoke Detectors and Carbon Monoxide were observed to be in operable conditions. The First Aid kit was observed to be complete with supplies including thermometer, tweezers, scissors, gauze, bandages, cleansing pad/solution, and a first aid manual. LPA observed a required fire extinguisher (3A40BC) reading in Green and currently serviced. The facility currently does not have childcare insurance. Per licensee, she currently does offer transportation, LPA observed insurance to be current.Medications/ Hazardous Materials: Medications are stored in an upper cabinet in the kitchen. Cleaning compounds are stored in a lower cabinet in the kitchen, secured with a safety latch. There are no firearms in the home. Incidental Medical Services (IMS): Incidental Medical Services (IMS) policy was discussed. 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 Licensee will not be providing IMS to the children at this time.Records: Children’s records were observed to be complete. Licensee’s CPR/First Aid is maintained current, it expires on 09/2024. Mandated Reporter Certificate is also maintained current, it expires on 02/27/2025. Per Licensee, fire and disaster drills are conducted every 6 months; the last drill was documented and conducted on 02/12/2024. Per LPA’s observations, the Facility License, Emergency Disaster plan, Earthquake Preparedness and Parents Rights Poster were posted.Documents Provided and or Discussed: Safe Sleep PIN 20-24-CCP and LIC9227 (Individual Sleeping Plan) and Sleep Logs. LPA discussed the safe sleep regulations with licensee Moreno and discussed the Child Care Licensing Safe Sleep webpage at 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 www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any |
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| I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. | ||||||
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| LIC809 (FAS) - (06/04) | Page: 3 of 5 |
| 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: MORENO, YOLANDA FAMILY CHILD CARE | FACILITY NUMBER: 153908738 |
| VISIT DATE: 05/20/2024 |
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| I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. | ||||||
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| LIC809 (FAS) - (06/04) | Page: 5 of 5 |
| 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: MORENO, YOLANDA FAMILY CHILD CARE | FACILITY NUMBER: 153908738 |
| VISIT DATE: 05/20/2024 |
NARRATIVE | |
1 | Inspection was conducted in Spanish, LPA is certified bilingual by the department. Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. Applicant was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within 24 hours of incident by telephone and in writing within 7 days of incident to the department. Applicant was informed all suspected Child Abuse should be reported to the Child Abuse Hot-line at 1-800-540-4000. The above incident should be reported on the form LIC624B per the regulation. The form should be email to unusualincidentreport@dss.ca.gov There are no deficiencies cited during today’s inspection. Exit interview conducted and report was reviewed with the licensee Moreno, along with her appeal rights and Notice of Site Visit. |
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| I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. | ||||||
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| LIC809 (FAS) - (06/04) | Page: 4 of 5 |
