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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750004
Report Date: 03/12/2020
Date Signed: 03/12/2020 02:59:06 PM

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:LEONA COX STATE PRESCHOOLFACILITY NUMBER:
197750004
ADMINISTRATOR:MILITZA GARCIAFACILITY TYPE:
850
ADDRESS:18643 OAKMOOR STREETTELEPHONE:
(661) 252-2100
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY:24CENSUS: 17DATE:
03/12/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Julie Gray, Lead TeacherTIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced annual random site inspection. LPA met with Lead Taecher Julie Gray. LPA inspected the inside and outside of the facility. LPA observed 17 school age children with 3 teachers. This facility is a Title 5 State Preschool that operates half day from 7:25 a.m. to 10:25 a.m for morning class and 11:25 am to 2:25pm for afternoon class, Monday through Friday. This facility provides breakfast for morning class and lunch for afternoon class. Food services for both classes are provided through school cafeteria. Menus were posted and visible.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. LPA observed individual cubbies with children’s name labeled for children's belongings. An isolation area was inspected (Staff office).

This is a half day program (children do not nap). Age appropriate sinks and toilets were inspected for availability and good repair. Toilet paper, paper towels were observed inside the restroom. First Aid supplies, smoke detectors, carbon monoxide and fire extinguishers were observed. Trash cans with tight lids were observed.

Sign in and out sheets were reviewed, and complete with full legal signature. The facility roster was up to date and all staff have been fingerprint association to the designated license number. Director and teachers are currently certified in Pediatric CPR/First Aid valid 11/21/2019 through 11/21/2020 . Fire and disaster drills are conducted , last drill was completed on 03/05/2020. Children's records and staff records were reviewed and complete.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 369-2168
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: (661) 202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 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: LEONA COX STATE PRESCHOOL
FACILITY NUMBER: 197750004
VISIT DATE: 03/12/2020
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There were no bodies of water observed in the playground area. The outdoor playground was inspected and was observed to be free of hazards, loose and sharp parts. There are two water fountains available to children during outdoor play. The playground was observed to be properly gated all around. Equipment was inspected for safety, cushioning material, good repair and age appropriateness.

The parent board was reviewed and has all of the required forms posted accessible to parents.

The following Incidental Medical Services (IMS) were discussed.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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 This facility is currently not providing IMS.

Mandated Reporter Training Requirements: §1596.8662 - As of January 1, 2018, child care providers, administrators, or employees who work in a licensed facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.



*All Licensing reports are available for review on-line and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code, to require the Department to post certain licensing information for CCCs and FCCHs on its public internet website.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 369-2168
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: (661) 202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020
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: LEONA COX STATE PRESCHOOL
FACILITY NUMBER: 197750004
VISIT DATE: 03/12/2020
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Fingerprint clearances and transfers: Prior to working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state licensed facility to another using form LIC 9184

Per the Title 22 regulations, the above facility was found to be operating in substantial compliance.

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

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



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

An exit Interview was conducted and a copy of this report was given to lead teacher.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 369-2168
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: (661) 202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3