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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418166
Report Date: 06/20/2023
Date Signed: 06/20/2023 03:33:00 PM


Document Has Been Signed on 06/20/2023 03:33 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:SANDCASTLES CHILD CARE CENTERFACILITY NUMBER:
197418166
ADMINISTRATOR:SANDY DENKOWSKIFACILITY TYPE:
840
ADDRESS:27303 LUTHER DRIVETELEPHONE:
(661) 251-3182
CITY:SANTA CLARITASTATE: CAZIP CODE:
91351
CAPACITY:44CENSUS: 29DATE:
06/20/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Program Director Anais Vazquez TIME COMPLETED:
03:45 PM
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On 06/20/2023 Licensing Program Analyst (LPA) Alemoh met with the facility Program Director, Anais Vazquez, for the purpose of conducting a Random Annual Inspection. A tour of the facility was conducted. Upon arrival LPA observed two classrooms with a total of 29 school age children and 6 staff. The center operates from 6:00AM - 6:00PM Monday through Friday. Incidental Medical Services (IMS) policy was discussed.

Furniture and equipment were inspected for age appropriateness and good repair. All rooms are clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are two classrooms, in each classroom, there are cubbies for children's belongings. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of water dispenser/ pitcher and disposable cups. There is a fire extinguisher, smoke detector and a carbon monoxide detector on the premises. There is a First Aid Kit located in the main office.

LPA inspected and observed two clean bathrooms with designated stalls for girls and boys (one stall each) and two sinks. One bathroom for girls (2 toilets and 2 sinks) and one for boys (2 toilet, and 2 sink). Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Additional sinks are located in each of the classrooms, each sink has a water fountain attached.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew AlemohTELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2023
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: SANDCASTLES CHILD CARE CENTER
FACILITY NUMBER: 197418166
VISIT DATE: 06/20/2023
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Wellness Policy: Children are inspected for illnesses as they arrive. There are children in care that have incidental medical needs. There is a separate area for isolation for ill children in the office area. School age children do not sleep in the facility .

Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. The play area has sand and concrete. The area was observed to be free of debris. There is an area for shade and rest. Water pitcher and disposable cups are brought outside during outside play. Play area was inspected and found to be free of hazards and inaccessibility to bodies of water. Swings, climbing apparatus and large jungle gym are anchored.

There is a clean fully equipped kitchen (off limits) with refrigerator/freezer, stove, sink and microwave oven. The facility provides two snack. Parents bring lunch for their children. Allergy lists are posted in the kitchen area. LPA observed an appropriate amount of snacks. The chemicals/cleaning solutions are kept separate from the food and underneath the kitchen sink.

Sign in and out sheets were reviewed. The parent board was reviewed and has all of the required forms posted. Snack Menu is posted. Fire/earthquake was conducted on 05/16/2023. Roster current.

Teacher child ratios were observed and staff name recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate.
Children's records and staff records were reviewed. Staff are certified in Pediatric CPR and First Aid expire 09/30/2024. Mandated Reporter expires on 12/23/23.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew AlemohTELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023
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: SANDCASTLES CHILD CARE CENTER
FACILITY NUMBER: 197418166
VISIT DATE: 06/20/2023
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Additional forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov.
--Director was informed of responsibility to report suspected Child Abuse, 1-800-827-8724
--Child Care Videos: https://ccld.childcarevideos.org
--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

Facility has one child with Incidental Medical needs. Medicine was stored properly. 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

Unusual Incident reporting requirements were discussed, call within 24 hours and submit the form, LIC 624B, within 7 days.

Exit Interview conducted and a copy of report read and provided to Director, Anais Vazquez.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew AlemohTELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023
LIC809 (FAS) - (06/04)
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