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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700269
Report Date: 01/26/2023
Date Signed: 01/26/2023 12:35:40 PM

Document Has Been Signed on 01/26/2023 12:35 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: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: 10DATE:
01/26/2023
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:Julia CeronTIME COMPLETED:
01:00 PM
NARRATIVE
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On 1/26/2023, Licensing Program Analyst (LPASs) Carol Heath and Barbara Beneroso conducted an unannounced Required 1-Year inspection at the Ceron Family Child Care. Upon arrival, the LPAs met with the licensee, who guided the LPAS on a tour of the facility. Family members residing in the home include 2 adults (the licensee, and her elderly father, 92 years old). All adults living in the house have been background cleared.
Per the licensee, the hours of operation are Monday through Friday, 23 hours.
Licensee's assistant (Bertha Gallardo) was present during this inspection, and 10 childcare children were present. Incidental Medical Services (IMS) were discussed.
The home is set up as follows:This is a single-story house with 4 bedrooms, 2 bathrooms, a kitchen/dining room, a family/daycare room, a living room, and an attached garage. The home was inspected for safety, comfort, cleanliness, telephone service, central air, and heat and ventilation. The house has central heating and air conditioning. All windows have screens and are free of cracks, bugs, and debris.
Ø Main Area: Main care is provided in the family room and Garage room. Children use the bathroom located down the hall next to the kitchen. Children have access to the kitchen and backyard. LPAS observed age-appropriate toys and furniture for the children. There are games and books on the premises of this facility. All windows have screens and are free of cracks, bugs, and debris. Hanging window blinds cords are inaccessible to children.
· Family Room / Garage room: The Family room, which is the designated childcare area, was observed for age-appropriate toys and furniture for the children. A 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 childcare area has air conditioning and heating. During the arrived, LPAs observed a school age girl (5 years old ) in the Garage room. The garage door was closed. The licensee saw LPAs and opened the garage door.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 01/26/2023 12:35 PM - It Cannot Be Edited


Created By: Carol Heath On 01/26/2023 at 11:40 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: CERON FAMILY CHILD CARE
FACILITY NUMBER: 367700269

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(d)
Operation of A Family Child Care Home
(d) The home shall provide safe toys, play equipment and materials.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above, LPAs observed many outdoor equipments are broken and need repair, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/09/2023
Plan of Correction
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The licensee will fix the outdoor equipment.
Type B
Section Cited
CCR
102417(a)
Operation of A Family Child Care Home
(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above, LPAs observed several times the children were in the Garage room without supervion and children are in and out the kitchen area (off-limit), which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/09/2023
Plan of Correction
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The licensee will put baby gate for the garage room and kitchen to make the areas inaccessible to the children
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:Carol Heath
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023


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Document Has Been Signed on 01/26/2023 12:35 PM - It Cannot Be Edited


Created By: Carol Heath On 01/26/2023 at 11:40 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: CERON FAMILY CHILD CARE
FACILITY NUMBER: 367700269

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(a)
Immunizations
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above, LPAs observed 9 children's files and 6 of children without IZ shot record, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/09/2023
Plan of Correction
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The licensee will have parents bring the shot records.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Carol Heath
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023


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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: 01/26/2023
NARRATIVE
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· Children's bathroom (#1) and (2): Children use the bathroom #1 down the hallway to the kitchen and children’s bathroom #2 is in the garage room. The bathroom #1 was clean, sanitized, and in good repair. The bathroom #2 toilet was not clean. The bathroom was toured and inspected sink/toilet is in operable condition. The toilet and faucets are clean, safe, and operable. The bathroom was observed to be free and clear of hazardous items.
· Kitchen/Dining Room : The kitchen was inspected to ensure hazardous and dangerous items were inaccessible to children (Safety latches). All sharp utensils, poisons, and medications are unavailable to children in the kitchen, with child safety latches on cabinet doors and drawers. Sharp knives are kept in the pantry with chain lock.
· Backyard: The backyard was inspected and gated all around. Children play in the backyard. The backyard was inspected; the backyard is grass landscaping surrounded by brick fencing. Children have access to the backyard. LPAs observed a plastic kid's slide, several fruit trees, and 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 play area. Licensee will ensure that children are always supervised while outside in the backyard. LPAs observed many materials (Playhouse’s woods broken or loose. The slide is broken. Swing sets plastic holders are cracked. The lose screws were observed in swing set. Dirty play kitchen sets were also observed. Power wires were also observed in the backyard. Backyard doors were unlock. The school locker was observed without safety locks.
· Garage (Need to observe the permit): Per Licensee, the attached garage will be used for FCCH. LPA observed a large area in the garage with its own entrance and one bathroom utilized for the large family childcare activity area. LPAs asked her for the Building and Safety permit. The licensee said she does not have the paperwork. The licensee said the area is only for the storage. However, LPAs observed a child in the room taking the zoom meeting until 11:30 am Monday to Friday.
Ø Off-limit: off-limit areas of the home are all bedrooms, the master bathroom, laundry room.
Ø Others:
· AC/Heating Unit / Swamp Cooler unit was observed. AC/Heating Unit is located on the right side of the home and is inaccessible to children via barrels blocking access to the unit. / The swamp cooler unit is inaccessible to children.
· Bodies of water: Per the licensee, there are no bodies of water in the home. There is a decorative water fountain that has no water.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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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: 01/26/2023
NARRATIVE
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· Electrical outlets: All unused electrical outlets are plugged in and made inaccessible to children.
· Fire extinguisher (2A10BC): LPAS observed a required fire extinguisher (3A40BC) reading in Green and located in the kitchen, inaccessible to children. It meets standards established by the State Fire Marshall.
· Fireplace: The fireplace was observed in the off-limits Family room and is screened to make it inaccessible to the children. LPAs observed many materials in front the fireplace.
· Hanging window blind cords: The Window cords are accessible to 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 the 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 IMS to the children at this time.
· Isolation area (Illness): Per the licensee, if the child shows signs of illness, he/she will be separated from other children and stay in Family room.
· Medications and cleaning solutions: are stored in locked cabinets in the off-limits area (Master Bedroom).
· Napping: Children will nap in the designated nap areas in the different time in the Family Room area. LPAs observed 6 mats in the Garage
· Overnight Care: The licensee stated she does not provide overnight care.
· Pets: 2 Big dogs in the backyard separate with . They have current vaccinations.
· Phone service: There is a working landline or cell phone
· Smoke Detectors and Carbon Monoxide: The smoke detectors and carbon monoxide devices tested operable.
· The First Aid kit is located in the off limited area (Living room), inaccessible to children. The First Aid Kit was observed with supplies and a first aid manual.
· Transportation: The licensee does provide transportation for children. The licensee has a valid California driver's license, valid vehicle insurance, and vehicle registration.
· Weapons or Firearms: Per the licensee, there are No Firearms at the facility at this time. LPAS does not observe any firearms.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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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: 01/26/2023
NARRATIVE
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Ø Documentation:
· Child files: LPAS reviewed 9 children's records; the records are incomplete and missing forms. Many children do not have their IZ shot records.
· CPR/First Aid: LPAS observed licensee has current Pediatric CPR and First Aid Training with an expiration date (of 2017) 1 hour of nutrition training, (8) hours of Preventive Health and Safety Training.
· Criminal Record: Pre Guardian, all adults who live in this facility obtain a criminal record clearance.
· Facility fees: Per Licensing Information System, annual facility fees were current.
· Fire Drill and Disaster Drill: Per the licensee, fire and disaster drills are conducted every 6 months; the last drill was documented and conducted on 10/24/22.
· Immunization: The licensee and her assistant have the required immunizations (MMR and DTaP). The licensee and her assistant provided a written statement declining the influenza vaccination.
· Infant Sleeping Plan (LIC 9227) and Sleeping Log: LPAS shared the information with the licensee. Per the licensee, there is NO infant (0-12 months) enrolled in the facility.
· Licensee does not post as required the Facility License, Emergency Disaster plan, Earthquake Preparedness, and Parent's Rights Poster
· Mandated Reporter Training: The licensee has completed and renewed the online mandated reporter training at www.mandatedreporterca.com on 3/31/22
· Staff Personnel File: LPAS observed 1 staff information. LPAS observed LIC 508, 9052, IZ, TB test, LIC 9108, Mandated Reporter Training, and CPR/First Aid certificates. The file contained all required licensing documents.
· Staffing Ratio and Capacity: This is a large family childcare facility. LPAS observed 10 children during the inspection with licensee and assistant.
Ø 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 licensee is reminded that 100% supervision is required for children at all times.
ü 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. The licensee was reminded that supervision is always required for children in care.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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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: 01/26/2023
NARRATIVE
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ü Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised that the inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must always have the facility's phone number; if the phone number is changed, licensing must be notified.
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
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 [or facility representative] was reminded that 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 the 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 Safe Sleep: LPAS discussed the safe sleep regulations with the licensee [or facility representative] 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. LPAS also informed the licensee [facility representative] 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.
ü Notice of Site Visit: A notice of site visit was given and must remain posted for 30 days.
ü Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
ü 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).
ü State law prohibits baby walkers, bouncy seats, exersaucers, and any other items that fall into that category.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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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: 01/26/2023
NARRATIVE
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ü Licensee was advised to visit the CCL website (www.ccld.ca.gov) to obtain updates on 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 sent directly to your email. Child Care Advocates information: [email protected]

ü The Duty Worker is available for questions Monday through Friday at (661) 202-3318 from 8:00 AM - 5:00 PM.

ü A copy of the Safe Sleep Proposed Regulations was provided to the licensee.

Deficiencies cited: (See LIC 809D). The following Type B deficiencies are being cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes.



An exit interview was conducted, and the report was reviewed with the licensee Julia Ceron.

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

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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