197415141-5-3-2023-12-CC-AALH-CRH2MS-20230503173138

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197415141
Report Date: 05/03/2023
Date Signed: 05/03/2023 05:32:05 PM

Document Has Been Signed on 05/03/2023 05:32 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:	FIRST UNITED METHODIST PRESCHOOL		FACILITY NUMBER:	197415141
ADMINISTRATOR:	CLEMONS, SANDRA		FACILITY TYPE:	840
ADDRESS:	39055 10TH STREET WEST		TELEPHONE:	(661) 272-1334
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93551
CAPACITY:	50	CENSUS: 17	DATE:	05/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Sandra Clemons Director		TIME COMPLETED:	05:40 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 05/03/2023 Licensing Program Analyst (LPA) Andrew Alemoh met with the Director, Sandra Clemons for the purpose of conducting an annual random inspection of the preschool program. During this inspection, LPA toured the center indoor and outdoor according to the facility sketch. This facility is a combination center with a school age component. The school classrooms consist of (Room #2, 3, 4, 5, 6, and 7). This facility operates from 6:30 am to 6:30pm Mon - Fri. Classroom # 6, operates a staggered scheduled from 6:30 am -8:00 am and to 5:00 pm to 6:30 pm. This child care facility has an existing pre school component license number, (197402211) which is separate from the School Age program. Boys and girls bathrooms; and the outside play area. In each classroom LPA observed age appropriate furniture, equipment, toys and materials in the classrooms. The classrooms were observed to be clean, safe and free of any health or safety hazards. There is a designated area in which children can store their belongings. Telephone service was verified as well as adequate heating, lighting, and ventilation. LPA observed water dispensers and disposable cups in each classroom which are utilized for drinking. Water jugs are used for outside playtime. Medications are stored in a locked storage cabinet in the director's office.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

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: FIRST UNITED METHODIST PRESCHOOL	FACILITY NUMBER: 197415141
	VISIT DATE: 05/03/2023

NARRATIVE

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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

Menus are posted in the office and on the sign in sheets. Allergy lists are posted in each classroom, snack room, and the main office. LPA observed an appropriate amount of food and snacks. The chemicals are kept separate from the food. The facility has ensured and establish measures to keep the facility free of flies and other insects or rodents. Trash cans were observed to have tight fitted lids/covers.

There is an operating telephone in the office. LPA observed fully charged and operational 2A10BC fire extinguisher located in each classroom. This facility has one or more functioning carbon monoxide detectors that meets statutory requirements. All storage containers for solid waste are in good repair.

**Teacher child ratios were observed and care and supervision was evaluated to determine if the basic needs of children is appropriately met. Sign in and out sheets were reviewed. The parent board was reviewed and has all of the required forms posted. Fire/earthquake drills current and are conducted at least one a month. Children's records and staff records were reviewed were complete. LPA verified at least one or more staff person present at the facility has a current Pediatric CPR and First Aid training that is valid until 08/2024.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

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: FIRST UNITED METHODIST PRESCHOOL	FACILITY NUMBER: 197415141
	VISIT DATE: 05/03/2023

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 26 27 28 29 30 31 32	Additional forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov. PINS can be obtained by visiting Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov. No citation were issued during today's inspection. This facility meets title 22 regulations. A copy of this report was left with the Assistant Director, Sandra Clemons

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

LIC809 (FAS) - (06/04)

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