191200080-9-8-2023-12-CC-IORA-CVH226-20230908170012

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191200080
Report Date: 09/08/2023
Date Signed: 09/08/2023 05:00:20 PM

Document Has Been Signed on 09/08/2023 05:00 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:	YMCA OF METRO LA/NORTH VALLEY BECKFORD		FACILITY NUMBER:	191200080
ADMINISTRATOR:	CYNTHIA VERDUGO		FACILITY TYPE:	840
ADDRESS:	19130 TULSA STREET		TELEPHONE:	(818) 363-7511
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91326
CAPACITY:	70	CENSUS: 39	DATE:	09/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Karen Sandoval		TIME COMPLETED:	05:00 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 9/08/2023 Licensing Program Analyst (LPA), Isabel Ortega met with facility Program Director, Karen Sandoval and conducted an Annual Random inspection. LPA toured and inspected the facility in accordance with the facility sketch. During inspection LPA observed 39 children in care and three staff providing care and supervision. Facility Operates in two classrooms referred to as the Discovery Room (TK through 1^st grade) and Adventure Room (2^nd grade through 5^th grade). Facility is located on Beckford Elementary School site YMCA of Metro LA/North Valley of Beckford. There is a total of two classrooms, play yard and one shed on the side of the building(locked) and utilized for maintenance. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and AC ventilation were evaluated. LPA observed individual storage with children’s for children's belongings. The classroom consists of filtered water in a Brita container for indoor drinking water (individual disposable cups are available). Facility provided lead testing analysis report, sample water was taken on 12/20/22 and results were provided on 12/28/22. Results are less than 1 ppb which is less than the 5.5 ppb allowable.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023

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: YMCA OF METRO LA/NORTH VALLEY BECKFORD	FACILITY NUMBER: 191200080
	VISIT DATE: 09/08/2023

NARRATIVE

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There is an isolation area in each classroom, isolation area was inspected, which take place in the Program Director’s office desk(Adventure's room) and in the library area(Discovery room). Children have the option for rest time and quiet time if needed. Children are provided with mats when needed for rest. Age-appropriate sinks and toilets were inspected for availability and good repair. Toilets flush properly; Each restroom has adequate toilet paper, hand soap and paper towels available. Restrooms are cleaned, restocked of toiletries, disinfected, and sanitized by facility staff daily.

Facility operates Monday through Friday from 6:30 a.m. to 8:30 a.m. and after school Monday, Wednesday, Thursday and Friday from 2:33 p.m. to 6:30 p.m. and Tuesday from 1:23 p.m. to 6:30 p.m. Facility provides a p.m. snack for children enrolled.

Facility had all the required posted documents visible to parents in each room: Facility License, Notice of Parent's Rights Poster, Emergency Disaster Plan, and Earthquake Preparedness Checklist.

First Aid supplies, smoke detectors, carbon monoxide are observed to be operating properly(tested 2:45 p.m.). The fire extinguisher (2A10BC) is reading in green (last serviced on 10/26/2022) and meets the Fire Marshal codes and standards. Trash cans with tight lids were observed. Food was inspected, and it was properly labeled, stored, and within expiration date. Refrigerator is clean and operating at the proper temperature. Cleaning supplies are out of reach of children.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023

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: YMCA OF METRO LA/NORTH VALLEY BECKFORD	FACILITY NUMBER: 191200080
	VISIT DATE: 09/08/2023

NARRATIVE

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Emergency Drills are conducted every sixth month last drill was conducted and documented on 9/01/2023 at 03:00 p.m. Food allergies are noted and are posted in the food preparation area and in the classroom.

The outdoor play area was inspected and observed to be free of hazards, loose, or sharp objects. Equipment was inspected for safety, cushioning material, good repair, and age appropriateness. Children bring their own water bottles from home(disposable cups are available). During outdoor play children are provided with filtered water in an Brita container (refills in personal water bottles or in disposable cups are available). There is adequate shade area for rest. The playground is well fenced all around, and no bodies of water observed in the outdoor play area.

The parent board was reviewed and has all the required forms and menu posted accessible and visible to parents.

Children's records were reviewed for completeness. Health History, Emergency contact and Medical Exams; Immunization Records are all in the children's file. The facility roster was up to date and all staff have been fingerprinted and association to the designated license number.

Directors and teachers are currently certified in Pediatric CPR/First Aid which expires until 03/17/2024. Child Care Provider Mandated Reporter (AB1207) training is dated 03/16/2022.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023

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: YMCA OF METRO LA/NORTH VALLEY BECKFORD	FACILITY NUMBER: 191200080
	VISIT DATE: 09/08/2023

NARRATIVE

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The following Incidental Medical Services (IMS) were discussed.
This facility provides Incidental Medical Services – 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/childqanda.htm

All staff are required to take the Child Care Provider Mandated Reporter(AB1207) training every 2 years. www.mandatedreporterca.com.

Upon hired date all staff are required to be immunized and show proof of immunization records according to Title 22 regulations.

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.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023

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: YMCA OF METRO LA/NORTH VALLEY BECKFORD	FACILITY NUMBER: 191200080
	VISIT DATE: 09/08/2023

NARRATIVE

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Program Director and staff are aware they are mandated child abuse reporters and have the responsibility of reporting any suspected child abuse to the Child Abuse Hot-line at (800) 540-4000.

For additional information and forms visit our website at: www.cdss.ca.gov

For updates on Community Care Licensing please visit the following website at: Childcareadvocatesprogram@dss.ca.gov
https://ccld.childcarevideos.org/

A copy of this report must be made available to the public for 3 years.

Per Title 22 Regulations facility is complying with rules and regulation, no deficiency will be issued today. An exit Interview was conducted with facility Program Director, Karen Sandoval. A copy of this Report, a Notice of Site Visit and appeal rights were provided on this day.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023

LIC809 (FAS) - (06/04)

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