191205286-5-13-2019-12-CC-TLAN-BC5Q2U-20190513114745

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191205286
Report Date: 05/13/2019
Date Signed: 05/13/2019 11:47:55 AM

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:	SMALL WORLD CHRISTIAN PRESCHOOL		FACILITY NUMBER:	191205286
ADMINISTRATOR:	LYNDA MLYNAR		FACILITY TYPE:	850
ADDRESS:	10438 ORO VISTA		TELEPHONE:	(818) 352-6410
CITY:	SUNLAND	STATE: CA	ZIP CODE:	91040
CAPACITY:	20	CENSUS: 12	DATE:	05/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Lynda Mlynar		TIME COMPLETED:	12:00 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	Licensing Program Analyst (LPA) Lawson met with the facility Director, Lynda Mlynar, for the purpose of conducting a Random Annual Inspection for the preschool. A tour of the facility was conducted. Upon arrival LPA observed two classrooms with a total of 12 preschool children and 3 staff. The center operates 9:00AM - 12:00PM Monday, Wednesday and Friday. Incidental Medical Services (IMS) policy was discussed. Furniture and equipment were inspected for age appropriateness and good repair. All rooms are clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of water dispenser/ pitcher and disposable cups. Due to the hours of operation, children do not nap. There is a fire extinguisher, smoke detector and a carbon monoxide detector on the premises. There is a First Aid Kit. LPA inspected and observed two clean bathrooms one for girls (2 toilets and 2 sinks) and boys (1 toilet, 1 urinal and 1 sink). Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Additional sinks are located in each of the classrooms.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Tyicee Lawson	TELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019

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: SMALL WORLD CHRISTIAN PRESCHOOL	FACILITY NUMBER: 191205286
	VISIT DATE: 05/13/2019

NARRATIVE

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Additional forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov.

--Director was informed of responsibility to report suspected Child Abuse, 1-800-827-8724/760-243-6640
--Child Care Centers (Disaster Planning information):https://cccld.childcarevideos.org/child-care-center-operators/disaster-planning-and-fire-safety/
--Child Care Videos: https://ccld.childcarevideos.org
--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

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. 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

No deficiencies cited according to Title 22 Regulations. Consultation provided during the inspection.

Exit Interview conducted and a copy of report read and provided to Director, Lynda Mlynar.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Tyicee Lawson	TELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019

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: SMALL WORLD CHRISTIAN PRESCHOOL	FACILITY NUMBER: 191205286
	VISIT DATE: 05/13/2019

NARRATIVE

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Children are inspected for illnesses (wellness policy) as they arrive. No children in care have incidental medical needs. There is a separate area for isolation for ill children in the office area (cot available).

Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. The play area has sand and concrete. The area was observed to be free of debris. There is an area for shade and rest. Water pitcher and disposable cups are brought outside during play. Play area was inspected and found to be free of hazards and inaccessibility to bodies of water. Swing and large jungle gym are anchored.

There is a clean fully equipped kitchen (off limits) with refrigerator (2), freezer, stove and microwave oven. The facility provides one light snack. Allergy lists are posted in the classroom and there are multiple signs stating that the preschool is a "Nut Free Zone". LPA observed an appropriate amount of snacks. The chemicals are kept separate from the food.

Sign in and out sheets were reviewed. The parent board was reviewed and has all of the required forms posted. Snack Menu is posted. Fire/earthquake drills current. Roster current.

Teacher child ratios were observed and staff name recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate.
Children's records and staff records were reviewed. Staff are certified in Pediatric CPR and First Aid expire 10/2019.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Tyicee Lawson	TELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019

LIC809 (FAS) - (06/04)

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