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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700236
Report Date: 03/24/2023
Date Signed: 03/24/2023 12:39:43 PM

Document Has Been Signed on 03/24/2023 12:39 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:YARBER FAMILY CHILD CAREFACILITY NUMBER:
367700236
ADMINISTRATOR:HEATHER YARBERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 519-1444
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
03/24/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:16 AM
MET WITH:Heather Yarber, LicenseeTIME COMPLETED:
12:45 PM
NARRATIVE
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On 03/24/23, Licensing Program Analysts (LPAs) Kuliema Calloway and Justeene Tamayo met with Licensee Heather Yarber to conduct a Case Management health and safety welfare check inspection. Upon arrival, LPAs observed one infant, 1 school age, and five preschool children in care, one assistant, and the licensee. During this inspection, LPAs observed an in-ground pool in the rear yard that does not meet Title 22 Regulations. LPAs informed the licensee the pool in the rear yard shall be inaccessible to children by having a pool cover or by surrounding the pool with a fence at least five feet high and shall be constructed so that the fence does not obscure the pool from view. The pool gates shall swing away from the pool, self-close, and have a self-latching device located no more than six inches from the top of the gate.

Licensee provided LPAs with a Property Owners Statement of New Construction form (ASSR 005) from the Assessor-Recorder- County Clerk, a declaration stating she will maintain the batteries inside the alarm attached on sliding glass door from the kitchen and the alarm will stay activated during day care hours. LPA's conducted interviews with children in care.

The licensee is being cited a Type A citation for the Operation of a Family Child Care Home and Type B for Alterations to Existing Buildings or Grounds.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE: DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2023
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: YARBER FAMILY CHILD CARE
FACILITY NUMBER: 367700236
VISIT DATE: 03/24/2023
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 An immediate Civil Penalty of $500 has been assessed.

Upon receipt of a Type A deficiency licensee shall post the report for 30 days in addition to the Notice of Site Visit and provide copies of the licensing report to parents/guardians of children in care at the facility. This report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months and licensee will obtain a signed acknowledgment of Licensing Reports (LIC 9224) from parent/guardian and place it in each child's file. If these requirements are not met, civil penalties will be assessed.

An exit Interview was conducted, and a copy of the report and Notice of Site Visit, and Appeal Rights were read and provided to the licensee.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/24/2023 12:39 PM - It Cannot Be Edited


Created By: Kuliema Calloway On 03/24/2023 at 10:59 AM
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: YARBER FAMILY CHILD CARE
FACILITY NUMBER: 367700236

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
03/24/2023
Section Cited
CCR
102417(g)(5)(A)

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Operation of a Family Child Care Home 102417(g)(5)(A): The home shall be free from defects or conditions which might endanger a child..Licensees shall ensure the inaccessibility of pools through a pool cover or...surrounding the pool with a fence.
This requirement was not met as evidence by:
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Licensee must provide proof of purchase of a mesh fence that follows Title 22 Regulations. Licensee has also signed a declaration stating the alarm will be maintained and activated during day care hours and repairs must be made by: 4/7/2023.
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Licensee pool in rear yard of the licensed daycare does not meet Title 22 requirements. LPA's did not observe a self-latched gate surrounding the in ground pool which poses an immediate Health/Safety risk to children in care.
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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:Claretta Yates
LICENSING EVALUATOR NAME:Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/24/2023 12:39 PM - It Cannot Be Edited


Created By: Kuliema Calloway On 03/24/2023 at 11:19 AM
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: YARBER FAMILY CHILD CARE
FACILITY NUMBER: 367700236

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
04/07/2023
Section Cited
CCR
102416.3(a)(3)

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102416.3(a)(3)Alterations to Existing Buildings or Grounds: 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... in ground swimming pool. This requirement was not met as evidenced by:
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Licensee will sign a written delcaration stating how the pool will be made inaccessible to the children and any future alterations made to the home she will notify CCLD prior to making the alterations. The proof will be provided to CCLD no later than: 4/7/2023.
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Licensee made alterations to the licensed family childcare home’s rear yard, prior to notifying the department,which poses a potential risk to the children in care.

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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:Claretta Yates
LICENSING EVALUATOR NAME:Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2023


LIC809 (FAS) - (06/04)
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