197403329-3-29-2023-12-CC-AALH-CQDQD9-20230329120422

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197403329
Report Date: 03/29/2023
Date Signed: 03/29/2023 12:04:54 PM

Document Has Been Signed on 03/29/2023 12:04 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:	CROSSWIND COMMUNITY CHURCH-ADVENTURELAND P.S.		FACILITY NUMBER:	197403329
ADMINISTRATOR:	AMY CURTIS		FACILITY TYPE:	850
ADDRESS:	41337 10TH STREET WEST		TELEPHONE:	(661) 272-4903
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93551
CAPACITY:	73	CENSUS: 32	DATE:	03/29/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Director Amy Curtis		TIME COMPLETED:	12:30 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 03/29/23 at 9:00AM Licensing Program Analyst (LPA) Andrew Alemoh met with the Director, Amy Curtis, for the purpose of conducting an annual inspection. LPA toured and inspected the preschool rooms (discovery, safari, and adventure room) in accordance with the facility sketch. LPA observed 32 preschool children upon arrival: (13 children in the Adventure rm with 2 teachers, Safari rm there are 11 children with 1 teacher, and Discovery rm there are 10 children 1 teacher). All teachers were fully qualified. The facility operates from 6:00 am to 6:30 pm. Incidental Medical Services (IMS) policy was discussed. This facility has two other licences associated to the facility. Per the Director, there are no firearms or weapons on the premise. LPA did not observe any bodies of water on the premises. Disinfectants, chemical compounds, and poisons were found to be inaccessible to children in care. Furniture and equipment LPA observed furnishing throughout the facility to be in good condition. Telephone service was verified. Heating, lighting, and ventilation are adequate. In each classroom, LPA observed cubbies in each preschool classroom for children belongings can be stored. Diapers were labeled with children's names. Parents bring their own sippy cups. LPA observed the cleaning chemicals are kept separate from the snack storages.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

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: CROSSWIND COMMUNITY CHURCH-ADVENTURELAND P.S.	FACILITY NUMBER: 197403329
	VISIT DATE: 03/29/2023

NARRATIVE

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LPA observed a changing table within, arms reach of the sink in each rooms. Changing tables have at least 1” thick padding covered by a washable vinyl. Staff wash their hands before and after each diaper change of the child. Cleaning solutions are stored either under the changing table cabinets with a safety latch, storage closet with a safety latch, and top cabinet in the children bathroom with a safety latch. In the adventure room there is a safety knob on the bathroom door to insure children do not play in the bathroom.

Used diapers are put in trash container with lid. All pre school rooms are clean and safe. There are evacuation/napping mats that are available. Telephone service. Heating, lighting, and ventilation are adequate. LPA observed age appropriate toys and materials. Drinking water is available inside the classroom (sippy cups, bottles). LPA inspected and observed changing table, observed soap, toilet paper and paper towels readily available. Water temperature was tested and is appropriate.

Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. There is concrete/ sand area for active play. The area was observed to be free of debris. Drinking water is available outside. Staff inspect outside play area prior to children exiting to the play area. Play area was inspected for hazards and inaccessibility to bodies of water. Outside area is completely fenced. There are 3 separate play yards for each licensee. Per director pre school children are allowed to use all play yards when other day-care children are not using the play yards.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

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: CROSSWIND COMMUNITY CHURCH-ADVENTURELAND P.S.	FACILITY NUMBER: 197403329
	VISIT DATE: 03/29/2023

NARRATIVE

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Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director, Assistant Director or Teacher administers medication and documents the dosage, date and time into each child file and on their individual daily sheet.

Prescribed medication is brought and taken home by the parent daily. Medication is properly labeled and stored in its original container. The medicines are stored in the top cabinet above the cubbies making it inaccessible to children. There is a separate area for isolation and care of ill children at the director's desk area.

There is a clean, fully equipped kitchen with refrigerator, freezer, stove and microwave oven, dish washer and a combination washer/dryer. The facility provides breakfast, morning snack, lunch and two afternoon snacks. Menus are posted in the office, kitchen and each classroom, each classroom has there own snack storage. Allergy lists are posted in the classroom. LPA observed an appropriate amount of food and snacks. The chemicals are kept separate from the food.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

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: CROSSWIND COMMUNITY CHURCH-ADVENTURELAND P.S.	FACILITY NUMBER: 197403329
	VISIT DATE: 03/29/2023

NARRATIVE

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**Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are 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 current back on November 2022. There is a 2A10BC or a 3A40BC in each classroom. Children's records and staff records were reviewed. LPA verified at least one staff person present has current Pediatric CPR and First Aid training expiring 08/2024. Mandated Reporter expires on 07/23. LPA observed the Safe Sleep Chart, as well as individual sleeping plans.

Documents Provided and or Discussed: Fire Drill Log, Postings, Employee's and Children's records, Safe Sleep PIN 20-24-CCP and Individual Sleeping Plan (LIC9227). Licensee currently does have child care insurance.

Director Amy was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA advised director to ensure all staff members have mandated reporter and cpr/first aid completed every two years .

Notice of Site visit was provided to Director Amy and must be posted for 30 days.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

LIC809 (FAS) - (06/04)

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