<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700236
Report Date: 11/03/2023
Date Signed: 11/03/2023 01:55:12 PM

Document Has Been Signed on 11/03/2023 01:55 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: 11DATE:
11/03/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:08 PM
MET WITH:Angelina DadoTIME COMPLETED:
01:58 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 11.3.23, Licensing Program Analyst (LPA) Kris Diaz met with S1 who granted LPA access to home. LPA conducted safety inspection where 3 deficiencies were observed. At the times of the visit LPA observed 11 childcare children in care with 1 assistant.

Per the assistant, the licensee went to the store and the other assistant went to pick up their child from school. During the visit, another adult (A1) arrived at the facility. LPA asked A1 their name and for Identification. A1 provided CADL (see LIC811). A1 stated, "me and my aunt are staying here for now." LPA asked the name of A2 and A1 provided the information. LPA observed that A1 does not have fingerprint clearance. Fingerprint clearance is in-process as of 11.3.23. LPA observed that A2 has fingerprint clearance. Per licensee, Unusual Incident Report (UIR) will be submitted by close of business today regarding circumstances of uncleared adult in the home. LPA observed A1 eat lunch in kitchen away from childcare children and move to off-limits area having no contact or interaction with children in care.

LPA observed a baby swing in the living room. Licensee stated the swing is for personal use. LPA advised licensee that swing is prohibited on premises during childcare hours. LPA advised licensee to move swing to an off-limits area. LPA did not observe the swing being used during visit.

Based on observation and interview, it is determined that facility did not meet CCR capacity requirements (See 809D). Therefore, a type B citation will be issued due to the assistant's arrival shortly following LPAs arrival.

Notice of Site Visit was given and shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100 civil penalty.
An exit interview was conducted and a signed copy of this report, the Notice of Site Visit and Appeal rights have been provided to Licensee.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 11/03/2023 01:55 PM - It Cannot Be Edited


Created By: Kristina Diaz On 11/03/2023 at 01:02 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: YARBER FAMILY CHILD CARE
FACILITY NUMBER: 367700236

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/03/2023
Section Cited
CCR
102416.5(e)

1
2
3
4
5
6
7
102416.5(e) - Staffing Ratio and Capacity
If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
1
2
3
4
5
6
7
LPA observed S2 arrive approximately 15 minutes after LPAs arrival. Per licensee, assistants and licensee will take number of children necessary when leaving facility with only 1 staff to maintain ratio and capacity compliance.
8
9
10
11
12
13
14
This requirement was not met as evidenced by,
Based on observation and interview S1 was caring for 11 children putting her out of ratio. This poses a potential Health, Safety, and Personal Rights risk to the children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Kristina Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2