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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700269
Report Date: 06/13/2022
Date Signed: 06/13/2022 10:07:02 AM

Document Has Been Signed on 06/13/2022 10:07 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:CERON FAMILY CHILD CAREFACILITY NUMBER:
367700269
ADMINISTRATOR:JULIA CERONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 339-5858
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
06/13/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Julia Ceron LicenseeTIME COMPLETED:
10:15 AM
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Licensing Program Analyst (LPAs) Steven Montoya conducted a scheduled Pre Licensing inspection at the above Ceron Family Child Care Home. Upon arrival, the LPA met with applicant Julia Ceron, who guided LPA to tour of the Large FCCH. Applicant has previously been licensed 367700003 and is in the process of moving to new location. Individuals residing in the home include 2 adults (licensee, her elderly father 92 years old). All adults living in the home have been background cleared. Per licensee, the hours of operation are Monday through Friday 6:00 a.m. to 6:00 p.m.

The Home is set up as follows:
This is a single story house with 4 bedrooms, 2 bathrooms, kitchen/dining room, family/daycare room, living room, and attached garage. Per Licensee the attached garage will be used for FCCH. LPA observed large area in garage with its own enterance and one bathroom are utilized for the large family child care activity area. Per licensee off-limit areas of the home is the entire home and all bedrooms, master bathroom, laundry room. The home was inspected for safety, comfort, cleanliness, telephone service, central air and heat and ventilation.

Main Area: Main care will be conducted in the garage space which is completely decorated and enclosed. There is a security gate located prevents children from accessing house.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2022
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: CERON FAMILY CHILD CARE
FACILITY NUMBER: 367700269
VISIT DATE: 06/13/2022
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Day care/garage room: In the day care room which is the designated child care area was observed for age-appropriate toys and furniture for the children. A 8 small table was observed with a total of eight chairs for learning. Several plastic storage bins were observed in which games and toys are stored for the children. There are games and books on the premises of this facility. There are educational/learning activities on them. The mats were observed to be in good condition. The child care area has air conditioning air conditioning and heating. All windows have screens and are free of cracks, bugs, and debris. Hanging window blinds cords are inaccessible to children.

Backyard: The backyard was inspected; the backyard is grass landscaping surrounded by brick fencing. Children have access to the backyard. LPA's observed, a plastic kid's slide, several fruit trees, a basketball hoop with other age appropriate toys. LPAs did not observe a swimming pool or bodies of water on the premises. LPA observed a big playhouse and covered playarea. Licensee will ensure that children are always supervised while outside in the backyard.

Bathroom #1: Children utilize a bathroom that is in child care area. Bathrooms were toured, and inspected sink/ 2 toilet are in operable condition. Toilet and faucets are clean, safe, and operable. All poison and medications are made inaccessible to children with child safety latches on the sink cabinet. There was one cabinet that was observed to have a child proof latch on it; hand soap was observed in the cabinet. Licensee has posted as required the Facility License, Emergency Disaster plan, and Parents Rights Poster. The facility roster is not current. there are no current facility earthquake/fire drills documents observed during the time of this inspection.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2022
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: CERON FAMILY CHILD CARE
FACILITY NUMBER: 367700269
VISIT DATE: 06/13/2022
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The following information was discussed with the licensee:

ü Mandatory Forms for the children’s files and provider’s files.


ü Requirements for fire drills, earthquake drills, and documentation for both.
ü The role and responsibilities of being a mandated reporter were discussed.
ü The licensee is reminded that 100% supervision is required for children at all
times.

Capacity requirements, Roster requirements, Posting requirements, Documentation requirements for disaster drills (fire and earthquake). Mandatory Forms for the children’s files and provider’s files, and Safe Sleep Awareness. The role and responsibilities of being a mandated reporter were reviewed.

ü The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot-line at 1-800-540-4000. Also call the CCL office and follow up with a written Unusual Incident/Injury Report (LIC 624B).

ü Criminal Record Statement: Licensee was reminded all adults 18 and over living or working in the home, 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.

ü Licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2022
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CERON FAMILY CHILD CARE
FACILITY NUMBER: 367700269
VISIT DATE: 06/13/2022
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Napping: Children will nap in the designated nap areas with adult supervision. Licensee stores napping equipment in the bedroom near the side door entrance. Per licensee children nap in the living room. There are matts, 1 crib and 1 playpen. LPAs discussed Safe Baby Sleep with the Licensee.

Fire extinguisher (2A10BC): LPA observed there is a required fire extinguisher (3A40BC) few years back and located in the kitchen inaccessible to children.
Smoke Detectors and Carbon Monoxide: The smoke detectors and carbon monoxide devices tested operable.
Electrical outlets: All unused electrical outlets are plugged in and made inaccessible to children.
The First Aid kit is located in the child care area inaccessible to children. The First Aid Kit was observed complete with supplies and a first aid manual.

Medications and cleaning solutions are stored in locked cabinets in the off-limits area (Master Bedroom).


Weapons or Firearms: Per licensee, there are no weapons or firearms.
Transportation: The licensee will transport daycare children.
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 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. The Licensee will not be providing medication to children.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2022
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: CERON FAMILY CHILD CARE
FACILITY NUMBER: 367700269
VISIT DATE: 06/13/2022
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The regulation prohibits the smoking of tobacco 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.

ü --Licensee was advised to visit the CCL website (www.ccld.ca.gov) to obtain updates of courses and updates/changes to the regulations.


n Our Quarterly updates come out every 3 months they are also now in Spanish please log in to the CCLD website or you can email our advocates to have the quarterly updates send directly to your email. Child Care Advocates information: [email protected]

Applicant has previously been licensed 367700003 and is in the process of moving to new location 367700269. Upon licensure. LPA will process closing of previous license.



No Deficiencies cited. LPA requested the licensee provide a copy of the upcoming fire inspection. Upon receipt. License will be issued.

Exit interview conducted and a copy of the report was reviewed with the applicant. Julia Ceron
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2022
LIC809 (FAS) - (06/04)
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