197493026-3-21-2023-12-CC-DMAX-CQ5QBL-20230321120144

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493026
Report Date: 03/21/2023
Date Signed: 03/21/2023 12:01:52 PM

Document Has Been Signed on 03/21/2023 12:01 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:	KIDS AND KRAYONS LEARNING CENTER		FACILITY NUMBER:	197493026
ADMINISTRATOR:	CUEVAS, MARIA		FACILITY TYPE:	850
ADDRESS:	43137 VENTURE STREET #101		TELEPHONE:	(661) 839-5252
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93535
CAPACITY:	45	CENSUS: 21	DATE:	03/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Director, Maria Cuevas		TIME COMPLETED:	12:16 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	Licensing Program Analyst (LPA) Maddox met with Director, Maria Cuevas today for the purpose of conducting an unannounced Annual/Random inspection. LPA toured and inspected all areas designated for PS children. This is a combination center with a licensed Infant/Toddler component (X197750058). LPA noted age appropriate furniture, equipment, toys and materials. Classrooms were observed to be clean, safe and free of any Health or Safety hazards. Telephone service was verified as well as adequate heating, lighting, and ventilation. Children's belongings are kept in cubbies along the wall as you enter center. Each cubbie is labeled with each child's name. Bedding and linens are stored on stackable cots. Drinking water is available inside the classroom in the form of water pitchers with disposable cups. The children's bathroom is located in the rear of the center. The bathroom has 4 toilets and 4 sinks. There is a separate staff restroom. LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and paper towels readily available. Toilets and sinks are functioning properly and age appropriate.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

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: KIDS AND KRAYONS LEARNING CENTER	FACILITY NUMBER: 197493026
	VISIT DATE: 03/21/2023

NARRATIVE

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**Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes wood chips under climbing structures for cushioning material and there is enough and adequate shade available. Large play equipment and structures are securely anchored. The area was observed to be free of debris. Outside Drinking water is available in the form of water pitchers with disposable cups.

**LPA observed working smoke detectors, fire extinguishers, and carbon monoxide detectors throughout center. There is a log of emergency fire/disaster drills; sign in and out sheets contain full legal signatures; License is posted along with other forms that require posting after licensure. Names recorded of Staff and children files reviewed during this inspection. Files reviewed were complete with required forms and documentation including required immunization's; Health Screenings; current CPR and First Aide training (5/19/2023); fingerprint clearances, emergency contact information; copies of transcripts with required ECE units.

**Center provides full lunches (lunches are donated from Ilead) and snacks. Food preparation area/Kitchen was inspected for safety, cleanliness, proper equipment & protection against contamination and storage, menus observed and posted.

**Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). In addition; all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report documenting a Type A Citation and sign form LIC 9224 acknowledging receipt. Staff are aware of required forms for children's files and forms that shall be posted after licensure.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

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: KIDS AND KRAYONS LEARNING CENTER	FACILITY NUMBER: 197493026
	VISIT DATE: 03/21/2023

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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 - Director states there are no children present whom require IMS, but there is a plan in place.

Exit interview conducted, copy of report left with Director. There were no violations noted as a result of this unannounced inspection, center is operating within the guidelines of Title 22 Regulations.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

LIC809 (FAS) - (06/04)

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