150407506-4-28-2022-12-CC-EROZ-CDWT9M-20220428143210

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 150407506
Report Date: 04/19/2022
Date Signed: 04/28/2022 02:32:16 PM

Document Has Been Signed on 04/28/2022 02:32 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:	TEHACHAPI CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	150407506
ADMINISTRATOR:	KIMBERLY D FREIBERG		FACILITY TYPE:	850
ADDRESS:	1120 S. CURRY ST.		TELEPHONE:	6618225535
CITY:	TEHACHAPI	STATE: CA	ZIP CODE:	93561
CAPACITY:	27	CENSUS: 11	DATE:	04/19/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:39 AM
MET WITH:	Kimberly D. Freiberg		TIME COMPLETED:	02:20 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 04/19/20 at 10:39 a.m. Licensing Program Analysts (LPA) Esequiel Rodriguez conducted an unannounced inspection at the Tehachapi Child Development Center to assess the Center operation of their program and current physical plant status. Also, to evaluate the Center's continuing ability to meet compliance with California Code of Regulations (CCR) Title 22, Health and Safety requirements, and other applicable State and Licensing Statutory requirements. LPA Rodriguez met with the Center's Site Supervisor 1, Kimberley Freiberg and stated the reason for the inspection. The LPA provided a copy of the Entrance checklist form, LIC 125. The Site Supervisor provided copy of the Child Care Center children rosters for each classroom (LIC 9040), Personnel Report (LIC 500). The Center maintains on file a current Designation of Facility Responsibility (LIC 308), Sign in and Sign Out Rosters, current Plan of Operation and Parent Handbook. At 11:15 a.m. LPA Rodriguez along with the Site Supervisor conducted a walk trough of the inside and outside of the facility along with the entire operation of the facility/center program. The Facility license is posted on a prominent place of the Center. The Center is licensed to provide day care services to children ages two to six years of age. During the walk through/inspection of the facility the LPA discussed observations of Title 22 requirements. The Center is clean, safe, sanitary and well maintain. All utilities are operational and in good order. There is plenty parking space. The first aid kit is present and complete and is inaccessible to children/infants. The fire extinguishers, smoke alarms and carbon monoxide monitors are in compliance and fully operational. The Center conducts and records quarterly emergency disaster drills. The parent board was reviewed and has all the required forms and required items posted in an area accessible to parents. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible to children. Furniture and equipment were inspected for age appropriate

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

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: TEHACHAPI CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 150407506
	VISIT DATE: 04/19/2022

NARRATIVE

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their drinking water every five years after the date of the initial test. As of January 1, 2020 Child Care Centers are required to start testing drinking water for lead by a professional lab.

The LPA provided follow up information and technical assistance such telling the facility representative where to locate Provider Information Notices (PINs) Mandated Reporter and other applicable training (Lead Poisoning) instructions in how to obtain Quarterly Child Care Updates,. Etc. Compliance and Regulatory Enforcement (CARE) tools

Overall, the Center is in compliance per Title 22 regulations, no deficiencies cited during this inspection.

An exit Interview was conducted and a copy of this Report, Children's Record Review form, LIC 857, Review of Staff Records form, LIC 859, and Notice of Site Visit, LIC 9213 were provided to Ms. Freiberg.

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

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: TEHACHAPI CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 150407506
	VISIT DATE: 04/19/2022

NARRATIVE

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and observed to be in good repair and defects free. Sign in/out rosters, telephone service, heating, lighting and ventilation were evaluated and no defects were noted. There are clean safe and sanitary individual space/cubbies with children's names. The facility utilizes a designated isolated area to isolate ill children. The toys and material use for instructions meet regulatory requirements. The trash cans contain tight lids.

LPA observed four staff providing care and supervision to 11 children. Staff to children ratio is in compliance.

The Center care providers provide the children with appropriate and safe feeding. They Also, provide Breakfast, lunch and snacks. Food is properly stored and labeled with the current date. Purified water is available to all children. Food was inspected, and it was properly labeled, stored, and within expiration and/or use by date. The refrigerator is clean, sanitary and operating at the proper temperature. There is hot and cold running water in the kitchen and food preparation area. Food preparation area is adequately equipped, clean, sanitized and free from hazards. Cleaning supplies are out of reach of children and stored separately and away from food. Menu is posted for parent’s review.

The outdoor play areas were noted free of hazards. Playground items are properly secure and free of loose or sharp objects. Equipment was inspected for safety, cushioning material, good repair and age appropriateness. Climbing structures are age appropriate, play equipment is properly securely and anchored with adequate resilient. There is cushioning material underneath and around the inside and outside play areas. On the outside play area, there is adequate shade area for rest. The playground is well fenced all around, and no bodies of water observed.

Children's records were reviewed for completeness. Health History, Emergency contact and Medical Exams; Immunization Records are all in the children's files. The facility roster was up to date and all staff have been fingerprinted and association to the designated license number. Staff and Supervisor teachers are currently certified in Pediatric CPR/First Aid.

A review of staff records on today's date indicates that the Center staff, and other individuals listed on the LIC 500, Personnel Report and other personnel working at the facility have received Criminal Record, FBI, DOJ and Child Abuse Central Index Check clearances or exemptions

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

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: TEHACHAPI CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 150407506
	VISIT DATE: 04/19/2022

NARRATIVE

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Per licensee all children are accorded with their Personal Rights. Each child in the facility receiving services is treated with dignity and respect and have certain rights that will never be waived or abridged by anyone providing services in the facility regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
(1) To be treated with dignity in his/her personal relationship with staff and other persons.
(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
(4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

The facility does not provide Incidental Medical Services (IMS)

Every one requiring Mandated Reporter training have done it. Therefore, It fulfills the requirements set forth by Assembly Bill 1207 (2015) which 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.

Per Supervisor new hired staff have 90 days from date of employment to complete training as required. Also, the Supervisor indicated the Center staff are aware of their responsibility of reporting any suspected child abuse to the Child Abuse Hotline at (800) 540-4000.

The Supervisor is well aware of the California Department of Social Services - Community Care Licensing Division(CDSS-CCLD) Web Site www.cdss.ca.gov and uses it often for consultation, and revision of current CCL issues/regulations updates. The Center staff is well aware of the current immunization requirements that went in effect on 07/01/19 regarding varicella (chickenpox) vaccination now due at 15 months month instead 18 months. Went over lead water testing and referred to regulation 2020.

LPA Rodriguez informed the Supervisor about PIN 19-04-CCP. it requires that all Child Care Centers, operating in a building constructed before January 1, 2010, shall have their drinking water tested for excessive lead levels, on or after January 1, 2020, but no later than January 1, 2023. Child Care Centers must thereafter test

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022

LIC809 (FAS) - (06/04)

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