150402024-3-7-2023-12-CC-BBEO-CPPU9J-20230307142311

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 150402024
Report Date: 02/03/2023
Date Signed: 03/07/2023 02:23:44 PM

Document Has Been Signed on 03/07/2023 02:23 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:	TAFT FIRST UNITED METHODIST CHURCH NURSERY SCHOOL		FACILITY NUMBER:	150402024
ADMINISTRATOR:	BRETTSCHNEIDER, CYNTHIA		FACILITY TYPE:	850
ADDRESS:	630 NORTH STREET		TELEPHONE:	(661) 765-4555
CITY:	TAFT	STATE: CA	ZIP CODE:	93268
CAPACITY: 33	TOTAL ENROLLED CHILDREN: 33	CENSUS:	DATE:	02/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:38 AM
MET WITH:	Cynthia Brettschneider		TIME COMPLETED:	02:00 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 2/03/23, Licensing Program Analyst (LPA) Beneroso met with the facility Director Cynthia Brettschneider, for the One Year Required inspection. The purpose of the inspection was disclosed and director guided LPA on a tour of the facility. Upon arrival LPA did not observe children present. There were 2 staff members present. The hours of operation are 8:30 AM- 11:30 PM Monday – Wednesday and Fridays Indoor/Children’s Area: Child care center is clean, safe, sanitary and in good repair; all outdoor and indoor passageways, stair ways, incline, ramps, open porches and other areas of potential hazard are kept free of obstruction; floors of all rooms have a surface that is safe and clean, cleaning compounds inaccessible, poisons /cleaning compounds are locked in storage room. Furniture/equipment is good condition, free of flies, other insects, rodents; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate, each child has an individual permanent or portable storage space for his/her clothing, personal belongings and or bedding. There is a working telephone. Trash cans for solid waste have tight fitting lids, drinking, filtered water is readily available . This is half day program, no napping equipment is required. All materials and surfaces are toxic free are inaccessible, no fireplace. There is a working Carbon monoxide detector, smoke detector and Fire Extinguisher (2A10BC).

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: TAFT FIRST UNITED METHODIST CHURCH NURSERY SCHOOL	FACILITY NUMBER: 150402024
	VISIT DATE: 02/03/2023

NARRATIVE

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Restrooms: LPA inspected and observed both bathrooms, sinks and toilets to be in good, operable condition. There are bathrooms separated by gender. LPA observed soap, toilet paper and paper towels readily available. Water temperature is appropriate. There is an isolation area for children who become ill while in care located in one of the church’s rooms, facility maintains a comfortable temperature at all times, first aid supplies (thermometer, bandages, scissors), sign in/out sheets (manually) available and completed daily. No Smoking prohibited on the premises, daily inspection for illness, no prohibited childcare items observed. Firearms/weapons are not allowed or stored on premises. There is no body of water on the premises.

Napping: This is half day, 3 days a week program that does not require for children to have napping equipment.

Outdoor: The facility has one playground area for the children enrolled. Outside play area is completely fenced. Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. The area was observed to be free of debris, free from hazard, holes, broken items, debris, cushioning material underneath. No bodies of water were observed. There are areas for shade and rest. Preschool children have their personal drinking cups and water is refilled per children’s request. Filtered water is provided to children. LPA observed storage sheds in the playground area secured and locked.

Staff/Personnel Records: Records were verified and are complete. Qualifications, immunization, TB clearance, health screening, criminal record statement, statement acknowledging suspected child abuse and mandated reporter were observed in file.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: TAFT FIRST UNITED METHODIST CHURCH NURSERY SCHOOL	FACILITY NUMBER: 150402024
	VISIT DATE: 02/03/2023

NARRATIVE

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Children Records: Records were reviewed, verified and complete. Including Admission Agreements, ID and Emergency Information (LIC 700), Health History (LIC 702), Physician Report (LIC 701), Personal Rights (LIC 613A), Consent for Emergency Medical Treatment (LIC 627), Parent’s Rights Receipt (LIC 995), Immunization Records and TB Test (When Applicable)

Facility Records: Roster, fire/disaster drill log last completed on 10/05/22, CPR/First Aid, and mandated report training were reviewed and are all up to date. Sign in and out sheets were reviewed. The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current. Roster current.

Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty. The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 394L), emergency disaster plan, earthquake preparedness checklist.

Documents Provided and or Discussed: Forms and records to keep at the facility and IMS. Advisory/Other: First Aid kit was observed with supplies (thermometer) readily available. CPR/First Aid expired on 10/06/2020. Director must submit proof of enrollment confirmation no later than 02/06/23. Mandated reporter training not current. Director must submit certificate no later than 02/06/23. Said certificate can be completed in the following website https://mandatedreporterca.com/training/child-care-providers

Electrical outlets are inaccessible, recalled and or prohibited toys or sleep/play equipment were observed on the premises. There are no window cords accessible to children. Children nap on mats.

Health Related Services: Medications inaccessible to children. There are currently no children that require medications.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: TAFT FIRST UNITED METHODIST CHURCH NURSERY SCHOOL	FACILITY NUMBER: 150402024
	VISIT DATE: 02/03/2023

NARRATIVE

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Children are inspected for illnesses (wellness policy) as they arrive. Per Director, there are no children that require medication. LPA advised the Director must administer medication, and document the dosage, date and time onto a log in the future if a child requires it. Medication can be brought and taken home by the parent daily. Medication will be properly labeled and stored in its original container. There is a separate area for isolation and care of ill children in the Director's office.

This facility does not provides Incidental Medical Services – IMS. Currently no IMS.
LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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/childquanda.htm

Food Service: There is a well-equipped kitchen observed to be clean and in well repair. The facility does not have a food program. Meals served: Snacks only.

Director advised of the requirement to report Unusual Incidents. Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). 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 family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: TAFT FIRST UNITED METHODIST CHURCH NURSERY SCHOOL	FACILITY NUMBER: 150402024
	VISIT DATE: 02/03/2023

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Director was reminded that all adults 18 and over, 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 Child Care Center. 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.

Any duty authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. Director shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of child care center or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.

No citations were issued during this inspection. A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Director Cynthia Brettschneider. This report was read and provided to Director Cynthia Brettschneider along with her appeal rights

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

LIC809 (FAS) - (06/04)

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