150405677-8-22-2019-12-CC-IORA-BFASGB-20190822135140

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 150405677
Report Date: 08/22/2019
Date Signed: 08/22/2019 01:54:32 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	LION'S DAY CARE / PRESCHOOL		FACILITY NUMBER:	150405677
ADMINISTRATOR:	SIMON, DEBORA		FACILITY TYPE:	850
ADDRESS:	3012 MT. PINOS WAY		TELEPHONE:	(661) 245-1139
CITY:	FRAZIER PARK	STATE: CA	ZIP CODE:	93225
CAPACITY:	28	CENSUS: 15	DATE:	08/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Debora Simon		TIME COMPLETED:	11:15 AM

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	Program Licensing Analyst(LPA), Isabel Ortega, conducted an unannounced annual/random visit on 8/22/19. LPA met with Debora Simon, Director, the purpose of the visit was disclosed and entrance to the facility was granted. Director guided LPA on a tour of facility, inside and outside, as shown on the facility sketch were inspected. Upon arrival LPA observed 15 children in care. The facilities Operating hours are Monday thru Friday from 6:30 AM – 6:30 PM. There are no bodies of water on the premises. Disinfectants, hazardous items and medications are inaccessible to children. Storage area for poisons are locked and inaccessible to children. Furniture, equipment and materials are sufficient, age appropriate, in good repair and toxic free. The backyard is gated all around. The outdoor play area was inspected and was observed to be free of hazards, loose and sharp parts. The playground equipment and outdoor activity space is maintained and in good condition. The yard is free of hazards with adequate cushioning material. Children's toilets and hand washing sinks are sanitary and in good operating condition. Classroom and floors are safe and clean. Food preparation area is clean and menu is posted to the left entering the facility. According to Director there are no children with any allergies reported. Storage containers for solid waste are in good repair with tight-fitting covers. Also, children have their own labeled cup for water available for inside and outside use. The licensee is taking measures to keep the outdoor facility free of insects, rodents, etc.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: LION'S DAY CARE / PRESCHOOL	FACILITY NUMBER: 150405677
	VISIT DATE: 08/22/2019

NARRATIVE

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Staff is fingerprint cleared and associated to the facility as indicated on LIS Facility profile. Qualified staff designated to act in the Director’s absence has been reported accordingly. Teacher/child ratios are maintained and adequate supervision is provided during visit.
Children's and Staff's records/files were reviewed and in compliance. The facility annual fees are current.
The Director and Staff provided proof of immunization against pertussis (TDAP), measles (MMR), and Tuberculosis.
The First Aid kit was observed and complete. The required fire extinguisher (2A10BC) is in green and served on May 2019. Smoke and carbon monoxide detector(digital) is in operable condition (tested at 10:56 AM). Fire and disaster drills are conducted every six month, last emergency drill was conducted on 3/2019. Director's and Staff's Pediatric CPR and First Aid certificate expires on 6/18/2021.

The following were discussed: No smoking, earthquake safety and necessity of drills, required forms for children’s files, facility files and posting requirements and penalty.
The Director was informed about new potential staff fingerprint clearances requirement with the Department of Justice, FBI and Child Abuse Index prior to having contact with children. If the aforementioned is not adhered to, a Civil Penalty of up to $500, per non-cleared adult will be assessed immediately.
To sign up for our Quarterly Updates please email the Child Care Advocates at
chilcareadvocatesprogram@dss.ca.gov & (916) 654-1541
The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot-line at 1-800-540-4000.

The facility was in compliance per Title 22 regulations, a no deficiencies will be cited today 8/22/2019. An exit Interview was conducted, a copy of this Report and a Notice of Site visit was provided to the Director. Appeal rights were provided and discussed with Director Debora Simon.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: LION'S DAY CARE / PRESCHOOL	FACILITY NUMBER: 150405677
	VISIT DATE: 08/22/2019

NARRATIVE

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The Director was advised of the requirement to report Unusual Incidents. 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 the center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The Director was informed to utilize the Unusual Incident Report/Injury Report form LIC624B when submitting the report to the department.

Safe Sleep (0-12 months)new upcoming regulations were discussed with Director and referred to the CCL web site for additional information and PINS.

Went over new immunization record keeping effective 7/01/2019. New Regulation regarding school age and 15-month old infant vaccination for chicken pox.

Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

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

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

LIC809 (FAS) - (06/04)

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