197750009-10-18-2024-12-CC-AVIA-DA6V6Y-20241018161019

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197750009
Report Date: 10/18/2024
Date Signed: 10/18/2024 04:10:27 PM

Document Has Been Signed on 10/18/2024 04:10 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:	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:	52	CENSUS: 45	DATE:	10/18/2024
TYPE OF VISIT:	Case Management - Infectious Disease Outbreak	UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Rosa Ayala Lopez		TIME COMPLETED:	04:30 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

On October 18, 2024, Licensing Program Analyst (LPA) Annelise Villa arrived at the facility for a case management visit. Present at the visit were Christian Brebu, Environmental Health Specialist, Dr. Rosita San Diego and Noely Garnica from the District Public Health Nurse and Rosa Ayala Lopez, Director. The purpose of the visit was to follow up on an Unusual Incident reported by the facility via telephone on October 9, 2024. The report indicated a recent outbreak of an unknown illness at the facility.

During the visit, LPA Villa conducted a census of the children present and discussed the details of the outbreak. Description of Incident:

The outbreak involved 31 children experiencing nausea, vomiting, and diarrhea between October 1, 2024 through October 17, 2024, across multiple classrooms.

On 10/1/24, Child #1 experienced diarrhea

On 10/4/24, Child #2 experienced vomiting

On 10/2/24, Child #3 experienced vomiting and diarrhea

On 10/2/24, Child #4 experienced vomiting and diarrhea

On 10/14/24, Child #5 experienced diarrhea

On 10/17/24, Child #6 experienced diarrhea

On 10/3/24, Child #7 experienced diarrhea

Continued on LIC 809-C

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Annelise Villa	TELEPHONE: 661-202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024

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 2

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: CCRC EHS LPC	FACILITY NUMBER: 197750009
	VISIT DATE: 10/18/2024

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
26
27
28
29
30
31
32

During these incidents, affected children were sent to the isolation area and parents were contacted for pickup. Cubbies, cots, and sheets were washed and disinfected the same day, and this cleaning continues on a weekly basis. Children's blankets and clothes are cleaned by the facility, and affected children were not allowed to return until they were symptom-free. The local L.A. County Department of Public Health was notified of the outbreak by Rosa Ayala Lopez. A report number OB2024653 was provided.

LPA Villa observed postings regarding a suspected communicable disease outbreak on the doors of each classroom. Director Rosa Ayala Lopez also stated that parents were informed via Learning Genie, an electronic communication system used by the facility. LPA confirmed that proper protocols for sanitizing and cleaning the facility were followed, including:

Parents received an Exposure Notice.

Additional cleaning was conducted, and floors, toys, surfaces, and furniture were sanitized in all classrooms. Staff have adjusted cleaning schedules to be twice daily, instead of the once daily.

Staff notified the L.A. County Health Department and have been providing updates as cases arise.

At this time, further follow up is needed. An exit interview was held. Appeal rights along with a copy of this report was provided at the time of visit.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Annelise Villa	TELEPHONE: 661-202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024

LIC809 (FAS) - (06/04)

Page: 2 of 2