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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403257
Report Date: 03/07/2024
Date Signed: 03/07/2024 12:12:08 PM

Document Has Been Signed on 03/07/2024 12:12 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:NEWHALL DISTRICT STATE PRESCHOOLFACILITY NUMBER:
197403257
ADMINISTRATOR:FERKO, KELLYFACILITY TYPE:
850
ADDRESS:24800 PEACHLAND AVENUETELEPHONE:
(661) 291-4022
CITY:NEWHALLSTATE: CAZIP CODE:
91321
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 16DATE:
03/07/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:28 AM
MET WITH:Kelly Ferko, Preschool Program Administrator, and Lead Teacher/Site Supervisor, Leticia Vega-JohnsonTIME COMPLETED:
12:20 PM
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On 3/07/2024 Licensing Program Analyst (LPA), Isabel Ortega met with Lead Teacher/Site Supervisor Leticia Vega -Johnson and Kelly Ferko, Preschool Program Administrator. LPA conducted an Annual Inspection. LPA toured and inspected the facility in accordance with the facility sketch. During inspection LPA observed 16 children in care and three staff providing care and supervision. Facility operates in one classroom referred to as the Peachland State Preschool. Facility is located on Peachland Elementary campus.

An isolation area was inspected, which takes place in the staff Room. Children have the option for rest time and quiet time if needed mats are provided. 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, disinfects, sanitizes daily, and restocked of toiletries by on-site custodian.

The furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and AC ventilation were evaluated. LPA observed individual storage for children's belongings.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: NEWHALL DISTRICT STATE PRESCHOOL
FACILITY NUMBER: 197403257
VISIT DATE: 03/07/2024
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 Facility sampled water for lead and results are below the 5.5 ppb which is the maximum allowable. Children bring their own water bottles from home. The classroom consists of individual filtered water bottles for indoor and outdoor when needed.

Facility operates Monday through Friday from 7:45 a.m. to 11:15 a.m.

Facility provides breakfast from the Santa Clarita Valley Food Service Association provided to the central kitchen.

Facility has all the required posted documents: Facility License, Notice of Parent's Rights Poster, Emergency Disaster Plan, and Earthquake Preparedness Checklist.

First Aid supplies, smoke detectors, carbon monoxide were observed to be operating properly(tested at 11:56 a.m.) The fire extinguisher (2A10BC) is reading in green(serviced 7/19/2023) and meets the Fire Marshal codes and standards.

Trash cans with tight lids were observed. Refrigerator is clean and operating at the proper temperature. A refrigerator is adequately equipped, clean, and free from hazards. There is hot running water in the kitchen area.

Cleaning supplies are out of reach of children.

Emergency Drills are conducted monthly last drill was conducted and documented on 2/27/2024 at 8:00 a.m. Food allergies are noted and are posted in the food preparation area and in each classroom.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
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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: NEWHALL DISTRICT STATE PRESCHOOL
FACILITY NUMBER: 197403257
VISIT DATE: 03/07/2024
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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. 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 snack menu is posted in the main office, and parents may request a tangible copy per request also, go to the Santa Clarita web site and view the menu.

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 does not expire until 10/23/2025. All Staff are current in the Child Care Provider Mandated Reporter (AB1207) Training.

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.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
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: NEWHALL DISTRICT STATE PRESCHOOL
FACILITY NUMBER: 197403257
VISIT DATE: 03/07/2024
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For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.
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. 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. According to facility documentation all 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.


SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
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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: NEWHALL DISTRICT STATE PRESCHOOL
FACILITY NUMBER: 197403257
VISIT DATE: 03/07/2024
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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/

Per Title 22 Regulations facility is complying with rules and regulation, facility is complying, therefore, no deficiencies will be issued today. An exit Interview was conducted with Kelly Ferko, Preschool Program Administrator. A copy of this Report, a Notice of Site Visit and appeal rights were provided on this day.

A copy of this report must be made available to the public for 3 years. The Notice of site visit shall be visibly posted for 30 days.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
LIC809 (FAS) - (06/04)
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