197750052-5-25-2023-12-CC-EROZ-CS76XS-20230525211225

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197750052
Report Date: 05/25/2023
Date Signed: 05/25/2023 09:12:31 PM

Document Has Been Signed on 05/25/2023 09:12 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	IT'S A SMALL WORLD		FACILITY NUMBER:	197750052
ADMINISTRATOR:	YESENIA CANCHOLA		FACILITY TYPE:	830
ADDRESS:	44221 10TH ST WEST		TELEPHONE:	(661) 802-4734
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	39	CENSUS: 42	DATE:	05/25/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Yesenia Canchola		TIME COMPLETED:	02:00 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 05/25/23 at 11:40 a.m. Licensing Program Analysts (LPA) Esequiel Rodriguez conducted an unannounced Annual Required inspection at the It's A Small World Infant Center Facility to assess the Center's operation of their Program and current physical plant status. Also, to evaluate the Center's continuing ability to meet compliance with California Code of Regulations (CCR) Title 22, Health and Safety requirements, and other applicable State and Licensing Statutory requirements. The LPA met with the Licensee, Yesenia Canchola and stated the purpose for the inspection and provided a copy of the Entrance Checklist form, LIC 125. The LPA was provided with a copy of the Child Care Center children roster (LIC 9040) and Personnel Report (LIC 500). The Center maintains on file a current Designation of Facility Responsibility (LIC 308), Sign in and Sign Out Rosters, the Center has a current Parent Handbook. At 12:25 p.m. LPA Rodriguez along with Licensee conducted a walk trough of the entire Facility. The following items are posted in a prominent place of the facility where any one visiting the Center can see it: Facility License; Child passenger restraint system poster; meal menus (posted one week in advance) Parents’ Rights Form (LIC 995) Personal Rights Form (LIC 613A) local Health Department information; Emergency Disaster Plan (LIC 610) and the Earthquake Preparedness Checklist (LIC 9148.) Also posted is the facility sketch depicting emergency exits. The LPA observed that the facility furniture and equipment are age appropriate, and in good repair; air conditioning/heating, lighting, and ventilation is adequate and appropriate; drinking water is readily available; there is adequate storage for children’s belongings (35 square feet per child based on total licensed capacity); there is a separate area for isolation and care of ill children with appropriate equipment; there is a separate isolation toilet and sink available for ill children; toilets flush and faucets work, and are in good

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: IT'S A SMALL WORLD	FACILITY NUMBER: 197750052
	VISIT DATE: 05/25/2023

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repair; toilets, urinals and sinks are age-appropriate, and in good repair; toilet paper and towels are available to meet needs of children in care. There are clean safe and sanitary individual space/cubbies with children's names. Sign in/out rosters are current.

Water temperature is between 105-120º; bathrooms clean and safe; temperature and lighting is adequate; required food groups is served; food preparation area is inaccessible to children; food preparation area is adequately equipped, clean, and free of hazard; cleaning supplies are inaccessible to children and stored separately from food; there is adequate food for meals and/or snacks; there is about 75 square feet per child based upon licensed capacity; climbing structures, swings, slides and other large play equipment are securely anchored and free of hazards; climbing equipment, swings, slides, etc., have adequate resilient cushioning material underneath and around perimeter; drinking water readily available on or near the play area; shaded rest areas are provided and adequate.

Fencing is appropriate around perimeter of play area; all play equipment and material is developmentally appropriate for age group and not made of or contain toxic materials or substances; playground is free of miscellaneous debris or hazards such as tree branches, cans, bottles, glass, etc. Sandboxes are free of hazardous materials. There are no bodies of water; cots and mats are available for each child in care under 5 years of age; bedding, cots, mats and sheets are stored properly; napping children properly supervised (within ratios) The Fire extinguishers, smoke detectors and carbon monoxide monitors are appropriate and in good working conditions. There is a working phone services in the promises; Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible to children.

The furniture and equipment is age appropriate, and in good repair; baby walkers are not on premises; high chairs or feeding tables have broad-based legs; plastic seats are in good repair and trays lock onto the chair; High chairs are made of washable, moisture-resistant materials; changing tables have at least 1” thick padding covered with washable vinyl or plastic, and sides raised a minimum of 3”. changing table are within arm’s length of sink when in use; there is a minimum of one potty chair or toilet for every five infants in toilet training; caregivers wash hands before & after each feeding & diaper change; toys are safe, with no sharp

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: IT'S A SMALL WORLD	FACILITY NUMBER: 197750052
	VISIT DATE: 05/25/2023

NARRATIVE

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edges, splinters or points, nor made of small parts that can be pulled off and swallowed; floor mats and cots are available for all infants able to climb out of a crib; cribs or other appropriate napping equipment is available for each crib age infant: bedding is separately identified and stored for each infant; placement of cribs, cots, or mats allows for entry to/exit from the napping space. There is an Isolation area with a crib, cot, mat or playpen for each ill child.

LPA observed, at the time of this inspection, the entire facility being clean, safe and sanitary.

During this inspection, the LPA observed staff providing direct care and supervision to children in care. LPA observed staff treating all children with care, dignity and respect. The LPA advise the Site Supervisor to ensure every one working at the center is current in all required training and properly qualified to provide quality care and safe supervision to children in care. At the time of the inspection, the LPA observed appropriate Staffing Ratio and Capacity: Staffing ratios per number of children in care was in compliance.

Per Licensee, if applicable, medication are properly labeled and stored in original container and out of the reach of children. Everyday upon arrival to the Center, children are greeted and checked for illness before admission. First aid kit/supplies are available (the supplies consist of current edition of a first-aid manual; sterile first-aid dressings; bandages or roller bandages; adhesive medical tape; adequate scissors; tweezer; thermometer; antiseptic solution and other items specifically needed for the type of care the Center provides) the amount all required items is in a quantity sufficient to sustain the child care ratio. Also, indicated staff participates on the Job training requirements and are aware of Title 22 Reporting Requirements.

Staff reported that all infants in care are accorded with their Personal Rights. Each child in the facility receiving services is treated with dignity and respect and have certain rights that will never be waived or abridged by anyone providing services in the facility regardless of consent or authorization from the child's authorized representative.

Additionally during the inspection several staff and children records were reviewed. Required records on staff files are properly filled out and each file contain record of fingerprint (DOJ, CII, FBI) clearances or

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: IT'S A SMALL WORLD	FACILITY NUMBER: 197750052
	VISIT DATE: 05/25/2023

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record of submission or exemption, if needed; criminal record statements (LIC 508) no longer a requirement; staff qualification sheets (LIC 9095) for all 12-unit teachers with attached transcripts; reference letters verifying work experience on file; if applicable, Teacher Aides qualifications; Health clearances, including TB clearances (may be on LIC 503); Pediatric CPR/first aid cards for designated staff. record of full 16 hours of health and safety training (for at least one director or teacher) notice of Employee Rights receipts; current Mandated Reported certificate; Statement Acknowledging Requirement to Report Suspected Child Abuse. (LIC 9108); Copy of driver’s license or license number for staff transporting children; Personnel Record (LIC 501) or application/resume with required information.

A review of staff records on today's date indicates that the Center staff and other individuals listed on the LIC 500, Personnel Report and other personnel working at the Facility have received Criminal Record, FBI,
DOJ. and Child Abuse Central Index Check clearances or exemptions.

The infant records contain admission agreements; Needs and Services Plans for infants, if applicable; 2]
Immunization Records (“blue cards; PM 286) for non-school-age children; Authorizations for dispensing medications signed by parents; Identification and Emergency Information forms (LIC 700); Child’s Pre-admission Health History- Parents’ Report forms (LIC 702); Child’s Pre-admission Health Evaluations- Physician’s Report forms (LIC 701); Documentation required for Incidental Medical Services (IMA)/ health-related services (e.g., blood-glucose monitoring, nebulizer care LIC 9166, gastrostomy-tube care LIC 701A and LIC 701B) if applicable; Consent for Emergency Medical Treatment forms (LIC 627);
Unusual Incident/Injury or Death Reports (LIC 624); Parents’ Rights (LIC 995) receipts, signed and dated.
Personal Rights receipts (LIC 613), signed and dated.

The LPA advise the Licensee to continue to become very familiar with the Guardian Background Check Program and with the Regulatory Enforcement (CARE) Tools processes, to visit the Departments Website at www.ccl.ca.gov at least on a weekly basis to obtain the most current Child Care information. And, provided information regarding where to locate Information Provider Notices (PINs), Training (e.g. Mandated Reporter) and how to access and subscribe to Child Care Licensing Quarterly Updates.

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: IT'S A SMALL WORLD	FACILITY NUMBER: 197750052
	VISIT DATE: 05/25/2023

NARRATIVE

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During today's inspection the LPA observed no deficiencies that may hinder the health and safety of the children in care. Therefore, no deficiencies were cited. Overall, the Center is in compliance per Title 22 regulations.

The LPA and Licensee went over this report and an exit Interview was conducted and a copy of this Report, Children's Record Review form, LIC 857, Review of Staff Records form, LIC 859, Notice of Site Visit, LIC 9213 were provided to Ms. Canchola.

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC809 (FAS) - (06/04)

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