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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700780
Report Date: 12/26/2023
Date Signed: 12/26/2023 01:21:43 PM

Document Has Been Signed on 12/26/2023 01:21 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:MEAD FAMILY CHILD CAREFACILITY NUMBER:
197700780
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/26/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:19 PM
MET WITH:Rachel MeadTIME COMPLETED:
02:30 PM
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On 12/26/2023, Licensing Program Analyst (LPA) Carol Heath and Crystal Ali announced a pre-licensing relocation inspection with the licensee, Rachel Mead, to ensure the facility meets licensing requirements. The licensee is requested to provide care for a large family childcare home with a capacity of 14 children. LPA toured the house in and out. Individuals that reside in the home include 4 adults (licensee, licensee's husband, and 2 licensee's adult sons) and 1 child. (Son 15 years old). Pre-Guardian, all adults in this facility must obtain a criminal record clearance.
During today's inspection, there were 3 children (the licensee’s children) with the licensee. Hours of operation are Monday through Sunday, 24 hours. The incidental Medical Services (IMS) policy was discussed. The licensees will not provide the IMS at this time.
The home is described as follows:
This two-story home consists of a 4-bedroom, 2-bathroom home with a kitchen, office, family room, living/dining room, laundry, and garage. There is no body of water on the premises.
Indoor:
Main area: Main care is provided in the Living room and family room used for childcare. Children use the bathroom on the left in the hallway.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 12/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/26/2023
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: MEAD FAMILY CHILD CARE
FACILITY NUMBER: 197700780
VISIT DATE: 12/26/2023
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· Living room/ Family Room: A fireplace in the Living room is screened to make it inaccessible to the children. LPA observed a safety latch in front of the fireplace, which was made inaccessible to children. PA observed many age-appropriate toys, books, and other materials in the Dining room area. Per the licensees, the children will nap in the Living Room.
· Bathroom #1: Children will use bathroom #1 next to the Livingroom. Bathroom #1 was toured and inspected. The medicine cabinet/toilet is in operable condition. The faucets are clean, safe, and operable; the bathtub and shower area are free of hazards. There is NO medication storage in the medicine cabinet. The shower is free of hazards (childcare bathroom).

· Kitchen/Dining: All sharp utensils, cutlery, cleaning supplies, medicines, drawers, cabinets with plastic bags, and pointy things or small things children can swallow are inaccessible to children with a child safety latch under the kitchen sink. The refrigerator, dishwasher, stove, microwave, etc., are clean. The kitchen was clean, orderly, and free of hazardous items. Medications were stored in the off-limits bedroom.


· Outside: The backyard was inspected. The backyard is completely fenced. The backyard is completely fenced (brick). The licensees were reminded to supervise children at all times while playing in the backyard.

Ø Off-limit area: The areas include all bedrooms, bathroom #2, pantry (kitchen, safety knob), laundry (2nd floor), and garage (Deadbolt lock).


· Bedrooms (Safety doorknobs or key lock): The master bedroom, Bedroom #2, has safety doorknobs to make the room inaccessible to the children.
· Bathroom #2 (Master Bathroom): Bathroom #2 is inside the master bedroom. LPA toured and inspected the medicine cabinet. The toilet and sink are in operable condition.
· Laundry (Safety doorknob): The clean supplies and poison are in the laundry room.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2023
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: MEAD FAMILY CHILD CARE
FACILITY NUMBER: 197700780
VISIT DATE: 12/26/2023
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· Garage (Deadbolt lock): LPA inspected the garage. According to the licensee, the garage is off limit for the children. No childcare activities will be conducted there.
Other:
Ø AC/Heating Unit / Swamp Cooler unit was observed. The AC/Heating Unit is located on the left side of the home and is inaccessible to children via barrels blocking access to the AC unit.
Ø Bodies of water: Pre the licensee, there were no bodies of water in the home. There is a decorative water fountain that has no water.
Ø Electrical outlets: All unused electrical outlets are plugged in and inaccessible to children.
Ø Food: The licensee is enrolled in Food program. The licensee will provide Breakfast, lunch, and snacks.
Ø Fire extinguisher (2A10BC): LPA observed a required fire extinguisher (2A10BC) reading in Green and located in the kitchen, inaccessible to children. It meets standards established by the State Fire Marshall.
Ø Fireplace: The fireplace was observed in the living room and is screened to make it inaccessible to the children.
Ø Hanging window blind cords: The cords are inaccessible to children.
Ø Isolation area (Illness): Per the licensee, if the child shows signs of illness, they will be separated from other children and stay in Family Room.
Ø Medications and cleaning solutions: Detergents/cleaning compounds are in the upper kitchen cabinet, inaccessible to the children. Medications are in the off-limits bedroom.
Ø Napping: Children will nap in designated areas with adult supervision. LPA observed 12 cots in the closet.
Ø Overnight Care: According to the licensee does not provide overnight care at this time.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2023
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: MEAD FAMILY CHILD CARE
FACILITY NUMBER: 197700780
VISIT DATE: 12/26/2023
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Ø Pets: There are two big dogs and one snake. They have current vaccinations. According to the licensee, the dogs and snack will not interact with childcare children
Ø Phone service: There is a working landline or cell phone
Ø Smoke Detectors and Carbon Monoxide: The smoke detectors and carbon monoxide devices tested operable.
Ø The First Aid kit is in the key-locked closet, inaccessible to children. The First Aid Kit was observed to be complete with supplies and a first aid manual.
Ø Transportation: The licensee does provide transportation for children. The licensee has a valid California driver's license, valid vehicle insurance, and vehicle registration.
Ø Weapons or Firearms: Per the licensee, there are No Firearms at the facility at this time. LPA does not observe any firearms.
Documentation:
The licensee has current CPR and First Aid Training with the expiration dates of 7/2024 and Prevented Health and Safety Training completed: on 08/2023. The licensee has her fingerprint clearance and TB exam. The licensee has proof of being immunized against influenza, pertussis, and measles. The licensee has proof of Mandated Reporting Training dated 7/9/22. LPA shared LIC 311D with the licensee.
The following was discussed with The licensee:
· Mandatory Forms for the children's and provider's files, Requirements for fire drills, earthquake drills, and documentation for both. Role and responsibilities of being a mandated reporter.

· The licensee was reminded that 100% supervision is always required for children in care. The licensee was advised to access forms and Regulations for Family Child Care online at www.ccld.ca.gov. The licensee was made aware that it is his/her responsibility to know the regulations and anyone who assists in providing care. Licensing must have the facility's phone number at all times; if the phone number is changed, licensing must be notified

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2023
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: MEAD FAMILY CHILD CARE
FACILITY NUMBER: 197700780
VISIT DATE: 12/26/2023
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· The regulation prohibits tobacco smoking in a private residence licensed as a family childcare home and in those areas of the family daycare home where children are present (24/7 ban). State law prohibits baby walkers, bouncy seats, exersaucers, and other items that fall into that category.
· On January 1, 2018, or before March 30, 2018, a person who is a licensed childcare provider, administrator, or employee of a licensed child daycare facility shall complete the online mandated reporter training and shall complete renewal mandated reporter training every two years. @www.mandatereporterca.com
· Per The Health & Safety Code §1596.846 (b) and (c); states that a baby walker shall not be kept or used on the premises of a child day care facility. The California Code of Regulations, Title 22, Division 12, Chapter 3, Section 102417 (g)(10), under Operation of Family Child Care Home, states that a baby walker shall not be allowed on the premises of a family child care home. Legislature declared that a baby walker or item of similar nature is considered an immediate risk to the child's safety as they are inherently unsafe and not capable of design changes that would prevent accidents
· §1597.622 Employees or volunteers at a family day care home; immunization requirements; records; exemptions (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year
· The 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at http://www.ada.gov/childqanda.htm
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2023
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: MEAD FAMILY CHILD CARE
FACILITY NUMBER: 197700780
VISIT DATE: 12/26/2023
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· Safe Sleep in Child Care: Resources can be found on our website at http://www.cdss.ga.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep
· Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov. Click on "Receive Important Updates," located in the right middle part of the page, immediately above the Quick links. Enter your email address, choose which program(s) you would like to subscribe to, and click "subscribe."
· The Duty Worker is available for questions Monday through Friday at (661) 202-3318 from 8:00 a.m. - 5:00 p.m.

**As a result of this inspection, the home does meet Title 22 Regulations.

The application is pending the manager's review and approval.



An exit interview was conducted, and the report was reviewed with the licensee, Rachel Mead.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2023
LIC809 (FAS) - (06/04)
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