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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419664
Report Date: 05/11/2021
Date Signed: 05/13/2021 08:44:49 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:KIDS' CORNER PRESCHOOLFACILITY NUMBER:
197419664
ADMINISTRATOR:ANNA FISHERFACILITY TYPE:
850
ADDRESS:4020 LANCASTER BLVD.TELEPHONE:
(661) 946-4668
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:79CENSUS: 45DATE:
05/11/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Anna Fisher TIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA), Maddox met with Director, Anna Fisher for the purpose of conducting Pre-licensing inspection. This licensed center is relocating to a different section on the Lancaster Baptist Church grounds. The Parent Board will be located in the office. Mon - Fri from 6:30 am to 6:00 pm.

During this inspection, LPA and Director toured the area where the center wishes to relocate, this area consist of 7 modulars, office, bathrooms, and the outside play area.

A health check on staff and children will be conducted each day upon arrival. Staff will meet parents and children at the entrance where temperatures will be taken. Center is currently utilizing a manual sign in procedures.

If a child becomes ill during the day, they will rest in the isolation area which is located in the office in Room 8A. The Department of Public Health will be contacted in regard to any COVID-19 illness.

Center has a cleaning crew that does all of their deep cleaning. Staff will use Thieves cleaning solutions which is all natural. Center will not dispense medications, parents must give medications if needed to children.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
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: KIDS' CORNER PRESCHOOL
FACILITY NUMBER: 197419664
VISIT DATE: 05/11/2021
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Age appropriate furniture including tables and chairs are present in each of the rooms to meet the needs of children in care. There will be cubbies available to store children's belongings in each classroom. Center will utilize mats for napping, LPA reminded applicants that each mat shall be equipped with a sheet to cover the cot or mat and, depending on the weather, a sheet and/or blanket to cover the child. Bedding shall not be shared by different children without first laundering the bedding. Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. Sheets shall be washed daily or when soiled or wet. Blankets shall be cleaned or changed when soiled.


The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies. Center shall ensure a thorough review of Provider Information Notices (PINS) located on the Departments web page www.ccld.ca.gov and shall adhere to Public Health guidelines and directives.

LPA informed Director of the Departments Reporting Requirements. All UIR shall be reported by Telephone within 1 day of the incident, a written report must follow within 7 days.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS' CORNER PRESCHOOL
FACILITY NUMBER: 197419664
VISIT DATE: 05/11/2021
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The following measurements were taken:

Room 2A: 517/23 = 15
2B: 494/35 = 14
2C: 568/35 = 16
2D : 568/35 = 16
Room 3A: 656/35 = 19
3B: 633/35 - 18
Room 6A: 960/35 = 27
Total Capacity with Indoor Space: 125

The outside area measured: 3600/75 = 48

Bathrooms: 11 Toilets/8 sinks 120


Center is awaiting a Fire Clearance before the relocation is finalized.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3