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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197405989
Report Date: 06/27/2022
Date Signed: 06/27/2022 10:38:36 AM


Document Has Been Signed on 06/27/2022 10:38 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:JUST PLANE KIDSFACILITY NUMBER:
197405989
ADMINISTRATOR:KAUR, KAMALJITFACILITY TYPE:
840
ADDRESS:2555 E. AVENUE PTELEPHONE:
(661) 267-1304
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY:28CENSUS: 4DATE:
06/27/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Kamaljit KaurTIME COMPLETED:
10:47 AM
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On 6/27/2022, Licensing Program Analysts (LPA) Carol Heath met with the Director, Kamaljit Kaur, for the purpose of conducting an unannounced Annual/Random inspection. LPA toured and inspected the school-age program in accordance with the facility sketch. LPA observed 4 children upon arrival. There was 1 Teacher along with the Site Director for the School Age. School-Age Children on premises until 8 am (classroom then becomes Kindergarten Classroom). The facility consists of 1 classroom. The facility operates from 5:45 am to midnight. Incidental Medical Services (IMS) were discussed. The Center currently has 1 school-age child requiring IMS services. The facility operates from 5:45 AM to Midnight.
Furniture and equipment were inspected for age appropriateness and good repair. Bedding and linens were individually stored so that each child's bedding is identifiable, and no child's used bedding comes into contact with other bedding. All rooms are clean and safe. The telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings in each classroom. LPA observed age-appropriate toys and materials. Drinking water is available inside the classroom in the form of a water pitcher and disposable cups. There are fire alarms and carbon monoxide detectors are located by the doors of each classroom. Fire extinguishers are maintained properly.
There is a clean, fully equipped kitchen (off-limits) with a refrigerator, freezer (1), stove, and microwave oven. Allergy lists are posted in the classroom. The facility provides breakfast and two snacks, children bring their lunch. Menus are posted in the office in each classroom. LPA observed an appropriate amount of food and snacks. LPA observed an appropriate amount of food and snacks. Cleaning solutions and other chemicals are kept in a cabinet above the sink with the lock-in classroom and the main building's maintenance room.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:
DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/27/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: JUST PLANE KIDS
FACILITY NUMBER: 197405989
VISIT DATE: 06/27/2022
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LPA inspected and observed 2 clean bathrooms (2 toilets, and 2 sinks - each for boys and girls). The toilets and sinks are functioning properly and are age-appropriate. LPA observed soap, toilet paper, and paper towels readily available.

Outdoor play equipment was inspected for health, safety, cushioning material, good repair, and age appropriateness. There are 2 playgrounds (one playground for ages 2 years outside their door and separated by a gate; 3-year-olds use the left side of the large playground separated by a gate; ages 4 and up on the right side of the large playground area). Large play equipment and structures are securely anchored. The area was observed to be free of debris. There is an area for shade and rest. There is a sandbox on the left with a cover and another in the right play area. Drinking water is available in the form of water pitchers and drinking fountains (fountains in each classroom). There is a garden area on the right play area side. The play area was inspected for hazards and inaccessibility to bodies of water.



Sign in and out sheets was reviewed. Teacher to child ratio was observed and staff names were recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate.

The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current. 10 Children's records and 2 staff records were reviewed. LPA verified there is at least 1 staff person present with current CPR and First Aid Training (exp. 02/1/2023). Mandated Reporter expires 09/6/2022.

LPA observed a fully stocked first aid kit; fully charged fire extinguishers; carbon monoxide detectors throughout the center. There is a Fire Drill/Earthquake log posted, and a current Roster available.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: JUST PLANE KIDS
FACILITY NUMBER: 197405989
VISIT DATE: 06/27/2022
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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 the parent's written permission. The Director, Office Manager, or Receptionist administers the medication and documents the dosage, date, and time onto a log. Medication is brought and taken home by the parent daily or retained in a locked cabinet properly labeled. Medication is properly labeled and stored in its original container. There is a separate area for isolation and care of ill children in the director's office/nurse's room. There is a cot available for each ill child. An isolated toilet and sink are available for ill children. During the inspection, LPA verified facility meets the requirements for providing IMS services by reviewing the following: storage of medication and equipment/supplies, checking records of individual children, interviewing and checking staff records for written verification of training, and at least one trained staff member is available to provide IMS service.
The following general information was discussed during this inspection:
The 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. The Center does not provide IMS at this time.

Mandated Reporter Training Requirements: §1596.8662 - As of January 1, 2018, child care providers, administrators, or employees who work in a licensed 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. Staff was informed that they need to take mandated reporter training every 2 years.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: JUST PLANE KIDS
FACILITY NUMBER: 197405989
VISIT DATE: 06/27/2022
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Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

*All Licensing reports are available for review online and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code, to require the Department to post certain licensing information for CCCs and FCCHs on its public internet website.
Safe Sleep Information: California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx
AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html
AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Rick-of-SIDS-in-Early-Education-and-Child-Care
And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep

Fingerprint clearances and transfers: Prior to working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state-licensed facility to another using form LIC 9184


**Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). In addition; all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report documenting a Type A Citation and sign form LIC 9224 acknowledging receipt. Staff are aware of required forms for children's files and forms that shall be posted after licensure.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: JUST PLANE KIDS
FACILITY NUMBER: 197405989
VISIT DATE: 06/27/2022
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**Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed child care facility are aware of situations that present the greatest danger to children.

**Parent Board contained all documents that are required to be posted according to Title 22 Regulations. Staff is certified in Pediatric CPR and First Aid (exp ). Sign-in and out sheets were inspected and contained full legal signatures. There is a fully stocked first aid kit available and a fully charged fire extinguisher and carbon monoxide detectors in place. Fire Drill/Earthquake log is posted.

No deficiencies are being cited at this time, the facility complies with Title 22

Exit interview conducted with Director. A copy of this report is discussed and left with the Director Kamaljit Kaur.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022
LIC809 (FAS) - (06/04)
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