191805520-5-13-2019-12-CC-TLAN-BC5SQR-20190513140510

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191805520
Report Date: 05/13/2019
Date Signed: 05/13/2019 02:05:21 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:	SUNLAND ELEMENTARY SCHOOL(STATE PRESCHOOL)		FACILITY NUMBER:	191805520
ADMINISTRATOR:	ORNELAS, LISA D. DACHS		FACILITY TYPE:	850
ADDRESS:	8350 HILLROSE STREET		TELEPHONE:	(818) 951-3197
CITY:	SUNLAND	STATE: CA	ZIP CODE:	91040
CAPACITY:	23	CENSUS:	DATE:	05/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Siufun Solomon		TIME COMPLETED:	02:15 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 Lead Teacher, Siufun Solomon , for the purpose of conducting a Random Annual Inspection for the State Preschool. This is a Title 5 LAUSD Preschool Program located in Room 4 on the premises of Sunland Elementary School. A tour of the facility was conducted. Upon arrival LPA observed 18 preschool children and 3 staff. The program runs two daily sessions Monday-Friday. The first session is from 7:50AM - 10:50AM and the second is from 11:30 AM to 2:30 PM. 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. Children do not bring backpacks or personal items into the classroom. There is a closet for when they bring coats. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of water fountain. Due to the hours of operation, children do not nap. There is a First Aid Kit, Fire Extinguisher, Smoke Detector and a Carbon Monoxide Detector on the premises. LPA inspected and observed one clean bathrooms with two toilets and one sink. Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Additional sink is located in the classroom.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Tyicee Lawson	TELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2019

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)

Page: 1 of 3

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: SUNLAND ELEMENTARY SCHOOL(STATE PRESCHOOL)	FACILITY NUMBER: 191805520
	VISIT DATE: 05/13/2019

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
26
27
28
29
30
31
32

Children are inspected for illnesses (wellness policy) as they arrive. No children in care have incidental medical needs at this time. If a child in care did need Incidental Medical Services, they would be referred the the nurses office. Children are sent to the front office to wait for pick up when they are ill.

Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. The play area is mostly concrete, there is a foam padding under the climbing apparatus. There are bikes, bouncing balls and a sand box. The area was observed to be free of debris. There is an area for shade and rest. There are two water fountains located in the play area. Play area was inspected and found to be free of hazards and inaccessibility to bodies of water. Large jungle gym is anchored.

Meals and snacks are provided by LAUSD. Menus are posted.

Sign in and out sheets were reviewed. The parent board was reviewed and has all of the required forms 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. During inspection LPA observed Lead teacher conducting story time and the teacher aides preparing an activity.
Children's records and staff records are kept in the front office. Staff are certified in Pediatric CPR and First Aid expire 10/01/2019.

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)

Page: 2 of 3

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: SUNLAND ELEMENTARY SCHOOL(STATE PRESCHOOL)	FACILITY NUMBER: 191805520
	VISIT DATE: 05/13/2019

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
26
27
28
29
30
31
32

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

--Lead Teacher was informed of responsibility to report suspected Child Abuse, 1-800-827-8724
--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. Consultation provided during the inspection.

Exit Interview conducted and a copy of report read and provided to Lead Teacher

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)

Page: 3 of 3