197750049-8-8-2019-12-CC-IORA-BEUP4G-20190808105907

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197750049
Report Date: 08/08/2019
Date Signed: 08/08/2019 10:59:19 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:	RISE AFTER SCHOOL PROGRAM		FACILITY NUMBER:	197750049
ADMINISTRATOR:	UNKNOWN		FACILITY TYPE:	840
ADDRESS:	3455 PARK VISTA DRIVE		TELEPHONE:	(562) 305-2238
CITY:	CASTAIC	STATE: CA	ZIP CODE:	91384
CAPACITY:	44	CENSUS: 0	DATE:	08/08/2019
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Francisco Rodriguez		TIME COMPLETED:	10:35 AM

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On 8/08/2019 at 9:20 a.m., Licensing Program Analysts (LPAs) Brianna Reynoso and Isabel Ortega met with above facility's Director, Francisco Rodriguez. LPAs were at the facility to conduct an announced prelicensing inspection as the facility had submitted a new application for a School Age Child Care Center.

The facility's hours of operation will be Monday through Friday from 6:30 a.m. to 7:30 a.m. After School: Monday, Tuesday, Thursday and Friday: 2:32 p.m. through 6:15 p.m. and Wed: 12:47 p.m through 6:15 p.m.. They will provide morning and afternoon snacks, which will be purchased and prepared in the Rise classroom by the facility. The facility will not be transporting school age children.

During this inspection, LPAs measured the indoor activity space that will be utilized by the facility. The facility will be using two classrooms, the Rise Room and Room 26. The measurements for each classroom are as follows:

Rise Room: 1019 square feet / 35 = 29 children

Room 26: 603 square feet / 35 = 17 children

A fire clearance request for capacity of 44 school age children was granted on 4/4/19, based on today's measurements the facility's capacity for 44 school age children will be granted.

The facility will be using the playground on the Castaic Elementary School site. The facility is exempt from square-footage requirements for outdoor activity space, and toilet requirements as they are operating in accordance with Health and Safety Code Section 1596.806.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019

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: RISE AFTER SCHOOL PROGRAM	FACILITY NUMBER: 197750049
	VISIT DATE: 08/08/2019

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LPAs observed the outdoor play area to be free of hazards, loose, or sharp objects. Equipment was inspected for safety, cushioning material, conditions and age appropriateness. Climbing structures, and play equipment were found to be securely anchored with resilient cushioning material underneath and around the perimeter. Children will have access to water through water fountains during outdoor activities. The playground was fenced all around, and no bodies of water were observed. LPAs also observed shaded rest areas for the children in care.

LPAs observed and inspected four gender separate restrooms for the children in care, which two were located in the Rise room. Restrooms had toilet paper, hand soap, and paper towels accessible to children in care. LPAs observed a total of seven sinks, fourteen toilets, and five urinals which all were in operating conditions.

Furniture and equipment were inspected for operable conditions and age appropriateness. Telephone service, heating, lighting and ventilation were evaluated. LPAs observed storage space inside of each classroom. Snacks will be stored inside of the Rise Room, and the parent board will be located inside of this classroom, to the left of the entrance.

LPAs observed a First Aid Kit located inside of each classroom. The fire extinguishers were observed and in operable condition. All fire extinguishers (2A10BC) had a service tag attached indicating they were last serviced on 7/15/19. Trash cans with tight lids were observed. The Director has a current CPR and Pediatric First Aid certification, which expires on 2/2020, and a Mandated Reporter certificate which was obtained on 8/7/2019.

The facility has a current annual certification for the fire alarm system, which was conducted by Fire Ace Department on 2019. The certification is proof that the fire alarm system as well as the smoke system is in operating conditions.

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

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019

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: RISE AFTER SCHOOL PROGRAM	FACILITY NUMBER: 197750049
	VISIT DATE: 08/08/2019

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Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com

The following was discussed with the Director:

Smoking is prohibited on the premises of a child care center; Infant walkers, baby jumpers, exersaucers, baby rockers and any other item that falls into that category are prohibited; Earthquake safety and necessity of drills are to be conducted every 6 months and logged; Required forms for children’s files, facility files, staff files, and posting requirements; Fingerprint clearances and the transfer process.

Based on the inspection, a license for a School Age Child Care Center with a capacity of 44 will be granted effective today, 8/08/19.

An exit interview was conducted and a copy of this report was provided to Director, Francisco Rodriguez.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019

LIC809 (FAS) - (06/04)

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