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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408317
Report Date: 10/19/2021
Date Signed: 10/20/2021 08:03:57 AM

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:SLOAN CANYON FREE WILL BAPTIST PRESCHOOLFACILITY NUMBER:
197408317
ADMINISTRATOR:JENNIFER CANNINGFACILITY TYPE:
850
ADDRESS:28355 SLOAN CANYON ROADTELEPHONE:
(661) 257-7669
CITY:CASTAICSTATE: CAZIP CODE:
91384
CAPACITY:60CENSUS: 26DATE:
10/19/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:43 AM
MET WITH:Christine AragonTIME COMPLETED:
02:16 PM
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On 10/19/2021, Licensing Program Analyst (LPA) Carol Heath met with the assistant director Jennifer Canning for the purpose of conducting an unannounced Annual/Random inspection. Upon arrival, LPA Heath observed teachers and children were not wearing masks. There were teachers and the director on the premises. The center offers full-day and part-time admission. Currently, the center is using 2 preschool classrooms, 1 kindergarden and 1 first/Second grade classrooms. The center's hours of operation are Monday through Friday from 8:00 am to 11:30 am for preschool 1 and 8:00 am to 12:30 pm for preschool 2.

Furniture and equipment were inspected for age appropriateness, good repair, cleanliness and safety. Telephone service was verified. Heating, lighting, and ventilation are adequate. LPA observed age appropriate toys and materials.

· Bathrooms: Each classroom has one bathroom which includes 1 toilet and 1 sink inside. LPA observed soap, toilet paper and paper towels readily available. Staff restroom is off limits and inaccessible to children. 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.

· Kitchen (off-limit): There is a clean, fully equipped kitchen (off-limits) with a refrigerator, freezer (1), stove and microwave oven. Parents provides breakfast and lunch; center provides snacks if needed. Allergy lists and food menus are posted in classrooms. LPA observed an appropriate number of snacks. Cleaning solutions are stored separately away from the food (kitchen locked cabinet).
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021
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: SLOAN CANYON FREE WILL BAPTIST PRESCHOOL
FACILITY NUMBER: 197408317
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101217(a)(13)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (13) A signed statement regarding their criminal record history as required by Section 101170(d).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation,interview and record review, the licensee did not make sure her staff Briana Avila and Rita Cook comply fingerprinted which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/19/2021
Plan of Correction
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The director asked Briana Avila and Rita Cook leave the center and make sure they will not return the center until they receive fingerpring and background check cleared.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:
DATE: 10/19/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/19/2021
LIC809 (FAS) - (06/04)
Page: 2 of 10
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: SLOAN CANYON FREE WILL BAPTIST PRESCHOOL
FACILITY NUMBER: 197408317
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(l)(1)(B)
Personnel Requirements
(B) A copy of the signed LIC 9052 (11/94) shall be kept in the employee's personnel record.

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 LIC9052 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/22/2021
Plan of Correction
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The director will ask all her staff fill out LIC 9052 and email to LPA by this Friday (10/22/2021)
Type B
Section Cited
HSC
1596.86621
Effective January 1, 2018, all staff of Child Care Centers and Family Child Care Homes are required to complete the Mandated Reporter Training. New staff have 90 days to complete the training. The training must be renewed every 2 years.


This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation,interview and record review, the licensee did not make sure her staff (4 teachers ) are comply Mandated Reporter Training which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/01/2021
Plan of Correction
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The director will have all her staff comple on-line Mandated Reporter Training and she will email the certification to LPA.
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: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:
DATE: 10/19/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/19/2021
LIC809 (FAS) - (06/04)
Page: 3 of 10
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: SLOAN CANYON FREE WILL BAPTIST PRESCHOOL
FACILITY NUMBER: 197408317
VISIT DATE: 10/19/2021
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· Outdoor: Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. The preschool playground is located across the parking lot. There is a swing/slide set and climbing structure that is securely anchored into the ground. There are little tikes’ houses and play sets. A water fountain is available for children to drink water from. There is an area for shade and rest. Play area was inspected for hazards and inaccessibility to bodies of water.
· Parent Board: The parent board was reviewed and has all of the required forms posted. LPA observed the Fire/earthquake drills current.
· Sign in/Out: According to assistant director, parents are sign in and out with computer. Sign in and out sheets were reviewed. Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication (with child name) is administer. The director administers medication and documents the dosage, date and time onto a log. Medications are stored in the locked medication in storage box. There is a separate area for isolation and care of ill children in the director's office. A separate mat with fresh linens available for each ill child.
· LPA observed a fully stocked first aid kit; fully charged fire extinguishers (Date: 8/25/2021); carbon monoxide detectors throughout the center.
· Teacher/child ratios were observed. Fire/earthquake drills are current (Date: 4/28/2021). The center does not have a current children's roster is maintained.
· There are no bodies of water or weapons on the premises. The department has inspections authority.
· Children's records and staff records were reviewed.
o LPA observed 12 children files; most files were completed with all required licensing forms.
o LPA observed 5 staff files; they were 4 files with required licensing forms. However, A teacher (Briana Avila) and Volunteer (Rita Cook) do not have LIC 508 and fingerprint cleared. There are several forms missing from Briana's file. Rita Cook does not have a file.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021
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: SLOAN CANYON FREE WILL BAPTIST PRESCHOOL
FACILITY NUMBER: 197408317
VISIT DATE: 10/19/2021
NARRATIVE
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The following general information was discussed during this inspection:

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. Center does 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.

Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care 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 on-line 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.
Fingerprint clearances and transfers: Prior to working or volunteering in a licensed child care 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
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021
LIC809 (FAS) - (06/04)
Page: 8 of 10
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: SLOAN CANYON FREE WILL BAPTIST PRESCHOOL
FACILITY NUMBER: 197408317
VISIT DATE: 10/19/2021
NARRATIVE
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The following Type A and Type B citations were issued today. A copy of this report must be made available to the public for 3 years.


There were no citations issued during today's inspection. An exit interview was conducted, copies of the inspection report & Notice of Site Visit were provided to Christine Aragon
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021
LIC809 (FAS) - (06/04)
Page: 9 of 10
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: SLOAN CANYON FREE WILL BAPTIST PRESCHOOL
FACILITY NUMBER: 197408317
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101223(a)(2)
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observationinterview, the licensee did not follow Public Health to wear the face mask. LPA Heath observed teachers, children and parents are not wearing the face mask on 10/19/2021 inspection. LPA interviewed the assistant director, according to her, the center does not practice face mask since COVID-19 happened, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/01/2021
Plan of Correction
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The director already wrote a plan to encourage families, staffs and children to start wearing the mask. The director will write a email to notify the families and CC LPA on the email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:
DATE: 10/19/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/19/2021
LIC809 (FAS) - (06/04)
Page: 10 of 10