197750009-5-17-2019-12-CC-JNEL-BC9MHY-20190517093818

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197750009
Report Date: 05/17/2019
Date Signed: 05/17/2019 09:38:27 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	CCRC EHS LPC		FACILITY NUMBER:	197750009
ADMINISTRATOR:	ZAMORANO-PEDREGON, BEATRIZ		FACILITY TYPE:	830
ADDRESS:	2320 EAST AVE R		TELEPHONE:	(818) 717-1000
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93550
CAPACITY:	32	CENSUS: 13	DATE:	05/17/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:33 AM
MET WITH:	Theresa Miles		TIME COMPLETED:	09:50 AM

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 Analysts (LPA) Neal met with Site Director, Theresa Miles for the purpose of conducting a case management inspection for a change of capacity. Center is changing its capacity from 32 to 52 children. During this Pre-Licensing inspection, LPA toured the entire center indoors and outdoors according to the facility sketch. Center has a Toddler option. Each component maintains a physical separation (indoors and outdoors) at all times. The center consists of 4 classrooms. Center hours are Monday through Friday 7:30 am to 4:30 pm. Center will be closed from May 22, 2019 - August 15, 2019. The CCRC Infant Center is located through the gate on the left side and Living Praise Early Learning Academy is on the right. Each classroom has access to 1 bathroom which contains 2 toilets and 2 sinks in each and also have diaper changing tables within arm’s reach of a sink. Currently the bathroom in the room adjacent to the younger infant's classroom is out of order while door leading to outside gets repaired (observed boarded). Children in this room are changed on the portable changing table with sink located just outside of the bathroom. Operable bathrooms observed to be clean and sanitary, with soap, toilet paper and paper towels readily available. Toilets and sinks are functioning properly. Staff bathrooms are in an adjacent building.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: CCRC EHS LPC	FACILITY NUMBER: 197750009
	VISIT DATE: 05/17/2019

NARRATIVE

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There are 2 outside play yards. Playground area in front of center is currently pending repair. To the right, there is a play structure that is off limits in need of replacement due to not being age appropriate upon installation. LPA observed play structure taped off. There is an empty padded space in front of the center. Per site director, expected date for installation of age appropriate play equipment is August 2019 and licensing will be notified upon completion. Play yard #1 (located in front of center) is currently off limits. Play yard #2 located in back of facility is being utilized for outdoor play. LPA observed wood chips, a sand box and age appropriate toys.

There is a swimming pool located in front of the center made inaccessible with regulated 5 ft. fencing and spring closure on the gate.

Fire Clearance was approved on 4/4/2019. The Change of Capacity increase will be submitted for approval.

Exit interview was conducted and a copy of this report was given to Site Director, Theresa Miles.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019

LIC809 (FAS) - (06/04)

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