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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801931
Report Date: 07/06/2023
Date Signed: 07/07/2023 07:07:44 AM


Document Has Been Signed on 07/07/2023 07:07 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 07/06/2023 02:56 PM

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

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On 07/06/2023 Licensing Program Analyst (LPA) Beneroso met with Lead Teacher, Ms. Bautista for the purpose of conducting an unannounced annual required inspection. During the time of this inspection LPA observed a total of 4 children and 2 qualified teachers providing care and supervision. The preschool program operates Monday 5:00am – Friday 5:00PM. LPA toured and inspected the facility inside and out in accordance with the facility sketch.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.

Furniture and equipment
Facility only operates in one classroom. LPA observed cubbies in which children’s belongings can be stored. LPA observed that chemicals are kept out of the reach of children. LPA observed cots for napping in the classroom. Telephone service was verified. Heating, lighting, and ventilation are adequate.

There is a clean, fully equipped kitchen with a refrigerator, microwave, freezer and stove. The facility provides breakfast, lunch and PM Snack. Menus are posted in near the main entrance for parents to review. LPA observed an appropriate amount of food and snacks.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Barbara BenerosoTELEPHONE: (661) 202-3411
LICENSING EVALUATOR SIGNATURE:
DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/06/2023
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: ALICANTE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801931
VISIT DATE: 07/06/2023
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Teacher child ratios were observed, and staff names recorded. Care and supervision was evaluated to determine the basic needs of children are being met and appropriate. Sign in and out sheets were reviewed. The parent board was reviewed and has all of the required forms posted. Fire/earthquake drills are maintained current, last fire drill was conducted 06/06/2023. Children's records and staff records were reviewed and are complete. LPA verified at least one staff person present that has a current Pediatric CPR and First Aid training expires on 9/12/2023

Napping Equipment
LPA observed a sufficient quantity of napping equipment for the children, cots are provided and are properly stored when not in used. Linens and bedding are washed weekly.

Medications:
This facility does not provide incidental medical services for children. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. Per Ms. Bautista, the facility conducts health checks in the morning.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Barbara BenerosoTELEPHONE: (661) 202-3411
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: ALICANTE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801931
VISIT DATE: 07/06/2023
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Children's bathroom: Children use the bathroom inside the classroom. The bathroom was clean, sanitized, and in good repair. The bathroom was toured and inspected sink and toilet which are in operable condition. Toilets and faucets are clean, safe, and operable.

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

There is a separate area for isolation and care of ill children in the director’s office.



For additional information, licensing forms, and updates visit our website at: www.ccld.ca.gov. This facility is already receiving Quarterly updates along with PINS from the childcareadvocatesprogram@dss.ca.gov .

The facility was cited one Type B Violation during inspection. The violation was corrected during inspection.

A notice of site visit was given to Ms. Bautista 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 Ms. Bautista, along with her appeal rights and Notice of Site Visit.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Barbara BenerosoTELEPHONE: (661) 202-3411
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 08/31/2023 11:21 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 07/06/2023 02:56 PM

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: ALICANTE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801931

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/06/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.954
Licensure Requirements
Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above. The facility did not have a carbon monoxide detector in the premises, which poses posed a potential health, safety or personal rights risk to persons in care
POC Due Date: 07/06/2023
Plan of Correction
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Deficiency was corrected during inspection. LPA observed the maintenance staff install a carbon monoxide detector.
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: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Barbara BenerosoTELEPHONE: (661) 202-3411
LICENSING EVALUATOR SIGNATURE:
DATE: 07/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/06/2023
LIC809 (FAS) - (06/04)
Page: 5 of 5