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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700283
Report Date: 07/07/2022
Date Signed: 07/07/2022 01:42:52 PM

Document Has Been Signed on 07/07/2022 01:42 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:MCDOWELL FAMILY CHILD CAREFACILITY NUMBER:
367700283
ADMINISTRATOR:PATIENCE MCDOWELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 596-7315
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
07/07/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Applicant, Patience McDowell TIME COMPLETED:
01:50 PM
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On 7/7/2022 at 10:45am Licensing Program Analyst (LPA) Zirbes conducted an announced Pre-Licensing inspection. LPA met with applicant Patience McDowell. The purpose of the inspection was to ensure the facility meets basic licensing requirements set forth by Title 22, Health and Safety and statutory requirement. The applicant is requesting to provide care for a Large Family Child Care Home (FCCH) with a capacity of 14 children. Fire Clearance was granted on July 7, 2022. Currently, one adult (applicant) and one minor child age 17 reside in the home. LPA toured the home inside and out to ensure it meets FCCH requirements. Licensee is requesting the days and hours of operation will be Monday through Friday 6:45 AM to 5:15 PM.
The home is described as follows:

This is a one story home consisting of two bedrooms, two bathrooms, kitchen, dining area, living room, activity room, attached garage, front and back yard. Per LPA observation, and statements from the Applicant there are zero bodies of water on the premises and zero firearms or weapons. The off-limits areas are: Bedroom 1, bathroom 1, attached garage and a portion of the back yard. At the time of this inspection the areas identified as off limits were inaccessible to the children.


On limit areas:
Living Room: Located to the right of the front door. The area was furnished with a sectional couch, and a fireplace. At the time of this inspection the fire place screen was not secured to the wall. Applicant has been asked to secure the fire place screen.
Kitchen/Dining Room: All sharp utensils and cutlery, cleaning supplies, drawers, and cabinets with plastic bags, and sharp things or small things children can swallow; were in high cabinets out of the children's reach. Knives were stored in a high kitchen cabinet. At the time of this inspection, chemicals/cleaning products were stored in a high kitchen cabinet that was inaccessible. The refrigerator, dishwasher, stove, microwave, etc., were clean. The kitchen was clean, orderly and free of hazardous items. Report continued on page two
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2022
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: MCDOWELL FAMILY CHILD CARE
FACILITY NUMBER: 367700283
VISIT DATE: 07/07/2022
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Continued from page one

Activity room/Bathroom: The room has child size table and chairs, and a educational posters on the walls. The room also has a sink and a changing table. In addition, there is a toilet which is completely surrounded by a curtain for privacy. Per applicant, this area will not be utilized for eating.

Bedroom 2: Per applicant the bedroom is occupied by the applicant and will be used as a sleeping room for toddlers and infants. LPA observed a full size bed, dresser, closet and personal furnishings. LPA and Applicant discussed infant safe sleep regulations. The windows were equipped with window blinds and the applicant was advised to not place the play yards near the window blinds for the safety of the children in care.

Outdoor: The yard was inspected. There are no bodies of water on the premises. LPA observed the yard has been split into a on limits areas and an off limit area. The areas were separated via a four foot chain link fence. The on limit outdoor space consisted of dirt and gravel. A shaded area was present. LPA observed tiny tots climbing equipment, three dramatic play area, a low climbing air plane and bikes/tricycles. An Octagon climbing structure was present and LPA advised the applicant to ensure the fall zone surrounding the climbing structure met the manufactures instructions. The play space was clean and appropriate at the time of this inspection.
LPA toured the off limits space. LPA observed the area had two key locked storage sheds. At the time of this inspection. one shed held tools and paint supplies, and the other shed contained household items. At the time for this inspection the outdoor play area was clean of debris and appeared safe and appropriate.

The home has central heating and swamp cooler. All windows and screens are free of cracks, bugs, and debris.

Napping equipment : Per applicant, she currently has pack and plays and mats for nap time. Per applicant the children will nap in the living room and bedroom 2.

Electrical outlets: All unused electrical outlets are plugged in and made inaccessible to children.

The First Aid kit: Located in the kitchen


Report continued on page three
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
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: MCDOWELL FAMILY CHILD CARE
FACILITY NUMBER: 367700283
VISIT DATE: 07/07/2022
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Report continued from page two

Weapons or Firearms: Per the applicant, there are no weapons/ firearms in the home. LPA did not observe weapons or firearm in the home at the time of this inspection.
Cleaning compounds: Located in the kitchen in a high inaccessible cabinet.
A smoke detector and a carbon monoxide detector: Located through out the home. During this inspection smoke detector and carbon monoxide were tested and found to be operable.
Fire extinguisher: There is a fully charged 2A100BC fire extinguisher which was serviced in June 2022.
Pets: There are two dogs in the home. Per applicant the dogs are up to date on all shots. Applicant stated the dogs will interact with the child care children, however have their own designated yard space.
Off-limit areas
Bedroom 1, bathroom 1 and the garage.
Bedroom 1: The bedroom is occupied by child 1. LPA observe a full bed, dresser, closets and personal furnishings. There is a wall heater located in this off limits bedroom. The bedroom was made inaccessible via a child safety latch placed on the door handle.
Bathroom 1: Sink, shower/tub, toilet. Area was clean and sanitary at the tine of this inspection. The bathroom was made off limits via child safety latch placed on the door handle.
Garage: Contains an office space, and washer and dryer. The garage was made inaccessible via a child safety gate.
LPA advised the applicant that all off limits areas of the home must be inaccessible to the child care children during operating hours
Applicant was advised the 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: Conversion of a garage (either attached or detached) into a "child care" room; Room additions to the family child care home. Any change from an area of the family childcare home previously identified as "off limits" to an area where care and supervision will be provided to children in care. The licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector because of the alteration, addition, or construction.

Report continued on page four

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
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: MCDOWELL FAMILY CHILD CARE
FACILITY NUMBER: 367700283
VISIT DATE: 07/07/2022
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Report continued from page three

Documentation:
Applicant has current CPR, First Aid Training with the expiration dates of 1/30/2023. Prevented Health and Safety Training, lead preventative training and mandated reporter training are current. Per applicant, transportation will be provided. Care seat laws were discussed during this inspection. Applicant and all adults have obtained fingerprint clearance, and TB exam. All immunization's are on file for the applicant. Per applicant meals and snacks will be provided for children.
The following was discussed with the licensee:
LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

The regulation prohibits the smoking in a private residence that is licensed as a family childcare 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.

Applicant was 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/her responsibility to know the regulations as well as anyone who assists in providing care. Applicant must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

On January 1, 2018, or before March 30, 2018, a person who is a licensed childcare provider, administrator, or employee of a licensed child day care facility shall complete the online mandated reporter training and shall complete renewal mandated reporter training every two years. @www.mandatereporterca.com.


Report continued on page five
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC809 (FAS) - (06/04)
Page: 4 of 7
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: MCDOWELL FAMILY CHILD CARE
FACILITY NUMBER: 367700283
VISIT DATE: 07/07/2022
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Report continued from page four

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 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


LPA discussed the safe sleep regulations with applicant 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 applicant 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.

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.

Licensee advised visit www.shotsforschool.org for Immunization information.



Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Facility representative was advised of the requirement to report Unusual Incidents. Facility representative informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address: [email protected]). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
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: MCDOWELL FAMILY CHILD CARE
FACILITY NUMBER: 367700283
VISIT DATE: 07/07/2022
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The On-Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.

As a result of this inspection, the home requires the following to be completed: the fire place must be made inaccessible to the child care children via a secured barrier. LPA will need to discuss the plan for the activity room with a Licensing Manager prior to final approval. Applicant was advised the final approval is pending review by a licensing program manager.

Exit interview conducted and report was reviewed with the applicant Patience McDowell.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC809 (FAS) - (06/04)
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