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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403707
Report Date: 07/07/2023
Date Signed: 07/07/2023 03:13:15 PM


Document Has Been Signed on 07/07/2023 03:13 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:SIERRA MONTESSORI PRESCHOOL, LLCFACILITY NUMBER:
197403707
ADMINISTRATOR:JOANNE VILLA-ROBLESFACILITY TYPE:
850
ADDRESS:18045-47 SIERRA HIGHWAYTELEPHONE:
(661) 252-6422
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY:85CENSUS: 5DATE:
07/07/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Lanie HerathTIME COMPLETED:
03:30 PM
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On 7/7/2023 Licensing Program Analysts (LPAs) Isabel Ortega and Evelyn Garcia met with Director Lanie Herath and conducted an Annual Random inspection. LPAs toured and inspected the facility in accordance with the facility sketch. During inspection LPAs observed 5 children in care and one staff providing care and supervision. Facility Operates in three classrooms referred to as A, B, and C classroom.

There are a total of three classrooms, a kitchen, one playground and one shed on the facility (maintained locked) utilized for equipment and storage.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. LPAs observed individual storage with children’s name labeled for children's belongings.

An isolation area was inspected, which takes place in classroom C (cots are available). Children have the option for rest time and quiet time if needed, cots are available. Blankets and sheet bedding are provided by parent and taken home weekly (Friday) for wash.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Evelyn GarciaTELEPHONE: (661) 202-3785
LICENSING EVALUATOR SIGNATURE:
DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/07/2023
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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Document Has Been Signed on 07/07/2023 03:13 PM - It Cannot Be Edited

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: SIERRA MONTESSORI PRESCHOOL, LLC

FACILITY NUMBER: 197403707

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record reviewe licensee did not comply with the section cited above in Licensee was not able to provide a current valid mandated reporter AB1207 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/21/2023
Plan of Correction
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Licensee stated she will provide a valid currant certificate of child care mandated reporter AB1207 to the Palmdale Regional Offcie by email by date specified above www.madatedreporterca.com
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above. Licensee was not able to provide a currant CPR/ First Aid certificate whiich poses a potential health, safety or personal rights risk to persons in care. Last CPR/ First Aid on file expired on 4/20/2014.
POC Due Date: 07/28/2023
Plan of Correction
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Licensee agreed to provide a valid currant CPR/ First Aid to the Palmdale Regional Office by due date specified above.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Evelyn GarciaTELEPHONE: (661) 202-3785
LICENSING EVALUATOR SIGNATURE:
DATE: 07/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/07/2023
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: SIERRA MONTESSORI PRESCHOOL, LLC
FACILITY NUMBER: 197403707
VISIT DATE: 07/07/2023
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Age-appropriate sinks and toilets were inspected for availability and good repair. Toilets flush properly; toilet and sinks are reachable by the children. Each restroom has adequate toilet paper, hand soap and paper towels available. Restrooms are cleaned, restocked of toiletries, and sanitized by staff daily and as needed. Staff clean and disinfect classrooms, restrooms and restocks of toiletries daily.

Facility operates Monday through Friday from 6:00 a.m. to 6:00 p.m.
Facility provides snacks; Currently there are no children with food allergies.

Licensee had 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 was tested by the fire department and the fire Extinguisher(2A10BC) is reading in green and meets the State Fire Marshal codes and standards (serviced 6/7/2023) all were observed and in operable condition according to fire marshal standards.

Emergency Drills are conducted every 6 months last drill recorded was on 4/02/2023 at 09:00 a.m. 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. There is hot running water in the food preparation area The food preparation area is adequately equipped, clean, and free from hazards. Cleaning supplies are out of reach of children. There is hot running water in the food preparation area.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Evelyn GarciaTELEPHONE: (661) 202-3785
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
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: SIERRA MONTESSORI PRESCHOOL, LLC
FACILITY NUMBER: 197403707
VISIT DATE: 07/07/2023
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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. Climbing structures and other play equipment were found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. Children are provided with non-contaminated water(water sample tested with results under 5.5 ppb. Children are provided with personal individual water bottles brought from home and refilled at the facility with filtered water. Facility completed water testing requirements on 09/23/22, the facility has removed sample B for correction. Children are provided with filtered water bottles brought from home and bottles are refilled with filtered water under 5.5ppb. The playground is well fenced all around, and no bodies of water observed on the outdoor play area. There is adequate shade area for rest.

Facility maintains adequate teacher child ratio. Care and supervision were evaluated and determine basic needs of children are appropriate and are being met. The parent board was reviewed and has all the required forms posted accessible 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.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Evelyn GarciaTELEPHONE: (661) 202-3785
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
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: SIERRA MONTESSORI PRESCHOOL, LLC
FACILITY NUMBER: 197403707
VISIT DATE: 07/07/2023
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Director's CPR/First Aid expired on 4/20/2014, type B citation will be issued today. Licensee was not able to provide a current and valid Child Care Provider Mandated Reporter (AB1207) certificate. Type B citation will be issued today.

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 3-hour Child Care Provider Mandated Reporter 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.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Evelyn GarciaTELEPHONE: (661) 202-3785
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: SIERRA MONTESSORI PRESCHOOL, LLC
FACILITY NUMBER: 197403707
VISIT DATE: 07/07/2023
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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.

Director is aware all staff are mandated child abuse reporters and are required to any suspected child abuse to the Child Abuse Hotline 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 not in compliance, two Type B deficiencies are being cited today. An exit Interview was conducted with Site Director Lanie Herath. A copy of this Report, a Notice of Site Visit and appeal rights were provided on this day.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Evelyn GarciaTELEPHONE: (661) 202-3785
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
LIC809 (FAS) - (06/04)
Page: 6 of 6