197408813-11-25-2019-12-CC-IORA-BJ9S4J-20191125123248

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197408813
Report Date: 11/25/2019
Date Signed: 11/25/2019 12:33:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	YWCA-NORTH VALLEY CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	197408813
ADMINISTRATOR:	CARILLO, ROCIO		FACILITY TYPE:	830
ADDRESS:	1200 N. MACLAY ST.		TELEPHONE:	(818) 365-6881
CITY:	SAN FERNANDO	STATE: CA	ZIP CODE:	91340
CAPACITY:	22	CENSUS: 8	DATE:	11/25/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:04 AM
MET WITH:	Rocio Carillo		TIME COMPLETED:	10:44 AM

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 11/25/19, Licensing Program Analyst (LPA) Isabel Ortega met with Director, Rocio Carillo to conduct an unannounced Annual Random inspection. LPA announced the purpose of the inspection and was granted entry to the facility. LPA toured and inspected the facility. Upon arrival LPA observed 8 children in care. The inside and outside of the facility were inspected. The indoor activity space for infants is physically separate from space used by preschool children. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible to children. Furniture and equipment were inspected for age appropriateness and observed to be in good repair. Telephone service, heating, lighting and ventilation were evaluated. The LPA observed individual cubbies with children’s names. The facility uses the Center Director's office to isolate sick children. The LPA observed the required cribs for infants. The LPA observed four teachers to 8 infants in compliance with the staff to infant ratios. Changing tables were observed to be in compliance with regulations. Storage containers for solid waste had tight fitting covers. The center provides food. Food is properly stored and labeled with the infants name and the current date. First Aid supplies, smoke detectors, carbon monoxide and fire extinguishers were observed and in operable condition. Facility conducted emergency drills monthly last drill recorded was 11/11/19. Trash cans with tight lids were observed. The center provides food for the children enrolled. 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 and cold running water in the kitchen/food preparation area. Food preparation area is adequately equipped, clean, and free from hazards. Cleaning supplies are out of reach of children and stored separately and away from food. Menu is posted for parents review.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: YWCA-NORTH VALLEY CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 197408813
	VISIT DATE: 11/25/2019

NARRATIVE

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The outdoor play areas were 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 other large play equipment were found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. the outdoor play has a shaded area for children and water is available. 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.

During the inspection LPA observed adequate teacher child ratio in each classroom. Care and supervision were evaluated and determine basic needs of children are appropriate and are being met. A review of the sign in/out sheet was conducted to verify the current census of children. 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 and Blue cards are all in the children's files. The facility roster was up to date and all staff have been fingerprinted and association to the designated license number. Director and teachers are currently certified in Pediatric CPR/First Aid which expires on 10/25/2020.

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

A copy of this report must be made available to the public for 3 years.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: YWCA-NORTH VALLEY CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 197408813
	VISIT DATE: 11/25/2019

NARRATIVE

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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. 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 self and all staff 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. Director and staff demonstrated Mandated Reporter Training certificate dated 2/21/18 to be renewed every two years.

For additional information and forms visit our website at: www.cdss.ca.gov

Went over new immunization new regulations and requirements which were effective 7/01/2019.

New Regulation regarding varicella(chickenpox) vaccination now due at 15 months month instead 18 months.

For updates on Community Care Licensing please visit the following website at: Childcareadvocatesprogram@dss.ca.gov
https://ccld.childcarevideos.org/

The facility was in compliance per Title 22 regulations, no deficiencies will be cited today 11/25/19. An exit Interview was conducted with Director Rocio Carillo, a copy of this Report, appeal rights and Notice of Site visit was provided.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

LIC809 (FAS) - (06/04)

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