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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197750053
Report Date:
05/20/2022
Date Signed:
05/20/2022 05:52:53 PM
Document Has Been Signed on
05/20/2022 05:52 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 CHILD CARE
FACILITY NUMBER:
197750053
ADMINISTRATOR:
YESENIA CANCHOLA
FACILITY TYPE:
850
ADDRESS:
44221 10TH ST. WEST
TELEPHONE:
(661) 802-4734
CITY:
LANCASTER
STATE:
CA
ZIP CODE:
93534
CAPACITY:
24
CENSUS:
11
DATE:
05/20/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
09:04 AM
MET WITH:
Director Loannie Ramirez
TIME COMPLETED:
06:15 PM
NARRATIVE
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On May 20, 2022 at 9:04AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced annual/random inspection. LPA disclosed the purpose of inspection and was granted entry by Director, Loannie Ramirez who guided LPA on a tour of the facility. At 11:30AM, Licensee Yesenia Canchola arrived at the facility. Upon arrival LPA observed two classrooms in use with a total of 11 preschool children and 3 staff (on association list) on the premises. The hours of operation are
6:30am - 6:00 pm
Monday - Friday. The center also has an Infant Program (#197750052). Incidental Medical Services (IMS) were discussed.
Furniture and equipment were inspected for age appropriateness and good repair. All rooms are clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of disposable cups and water pitcher. LPA observed a sufficient quantity of cots available for napping children. The bedding is stored separately and properly. The sheets and blankets are washed (weekly or as needed) and cots are sanitized daily. There is a fire extinguisher (serviced 3/2022), smoke detector and a carbon monoxide detector on the premises. Facility has central fire alarm system located outside pre-k classroom.
LPA inspected and observed one clean bathroom (4 toilets, 3 sinks). Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Water temperature is appropriate. LPA observed staff conducting a restroom break. Upon inspection of the staff bathroom, LPA observed a bottle of Ortho Home Defense Max Pesticide located in inaccessible staff restroom not secured/locked.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
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
11
Document Has Been Signed on
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- It Cannot Be Edited
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 CHILD CARE
FACILITY NUMBER:
197750053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/20/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(b)(2)(C)
Disaster and Mass Casualty Plan
(b) The plan shall be subject to review by the Department and shall include: (2) Contingency plans for action during fires, floods and earthquakes including, but not limited to, the following: (C) Transportation arrangements.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above by failing to post the completed Emergency Disaster Plan identifying transportation arrangements, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/20/2022
Plan of Correction
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2
3
4
Licensee agreed to completed the Emergency Disaster Plan on LIC610 and post in an area accessible to parents no later than 6/20/2022.
Type B
Section Cited
CCR
101238(g)(1)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1) Storage areas for poisons shall be locked.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above by failing to store the bottle of pesticides in the off-limits staff bathroom in a locked cabinet, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/10/2022
Plan of Correction
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2
3
4
Licensee agreed to obtain a storage receptical and store the pesticide in a locked cabinet no later than 6/10/2022.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
LIC809
(FAS) - (06/04)
Page:
2
of
11
Document Has Been Signed on
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- It Cannot Be Edited
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 CHILD CARE
FACILITY NUMBER:
197750053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/20/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.2(b)(1)
Outdoor Activity Space
(1) Provide a shaded rest area for the children.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above by failing to install a sufficient shade for children in care which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/20/2022
Plan of Correction
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2
3
4
Licensee agreed to install sufficient shade in the outdoor play area no later than 6/20/2022.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(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.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above by failing to maintain a copy of staff immunization records in the staff file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/10/2022
Plan of Correction
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2
3
4
Licensee agreed to provide proof of staff immunizations to the Department no later than 6/10/2022.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
LIC809
(FAS) - (06/04)
Page:
3
of
11
Document Has Been Signed on
05/20/2022 05:52 PM
- It Cannot Be Edited
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 CHILD CARE
FACILITY NUMBER:
197750053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/20/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care 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.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, facility staff failed to renew their mandated reporter training within the required 2 year renewal period.
POC Due Date:
06/10/2022
Plan of Correction
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Licensee agreed to obtain updated mandated reporter training certificates from staff and submit a copy to the Department no later than 6/10/2022.
Type B
Section Cited
HSC
1596.8662(c)
Administration of Child Day Care Licensing
(c) Current proof of completion for each licensed child day care provider or applicant for that license, administrator, and employee of a licensed child day care facility shall be submitted to the department upon inspection of the child day care or upon request by the department.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above by failing to maintain a current copy of the mandated reporter training certificate in the staff files which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/10/2022
Plan of Correction
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Licensee agreed to obtain updated mandated reporter training certificates from staff and submit a copy to the Department no later than 6/10/2022.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
LIC809
(FAS) - (06/04)
Page:
4
of
11
Document Has Been Signed on
05/20/2022 05:52 PM
- It Cannot Be Edited
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 CHILD CARE
FACILITY NUMBER:
197750053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/20/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101215.1(m)
Child Care Center Director Qualifications and Duties
(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the Director failed to complete Preventative Health and Safety Training and maintain a copy of the certificate in their file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/20/2022
Plan of Correction
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Licensee agreed to submit the Preventative Health and Safety Certificate to the Department no later than 6/20/2022.
Type B
Section Cited
CCR
101216(g)(2)
Personnel Requirements
(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above by failing to obtain a copy of the completed Health Screening Report (LIC503) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/03/2022
Plan of Correction
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2
3
4
Licensee agreed to obtain an updated Health Screening Report for both Staff 1 and Staff 3 and provide a copy to the Department no later than 6/03/2022.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
LIC809
(FAS) - (06/04)
Page:
5
of
11
Document Has Been Signed on
05/20/2022 05:52 PM
- It Cannot Be Edited
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 CHILD CARE
FACILITY NUMBER:
197750053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/20/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)(13)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (13) A signed statement regarding their criminal record history as required by Section 101170(d).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the facility staff failed to complete the Criminal Record Statement (LIC508) and maintain copy in the staff file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/10/2022
Plan of Correction
1
2
3
4
Licensee agreed to obtain the LIC508 for Staff 2 and submit a copy to the Department no later than 6/10/2022.
Type B
Section Cited
CCR
101220(a)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above by failing to maintain completed medical assessments in child files, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/20/2022
Plan of Correction
1
2
3
4
Licensee agreed to obtain completed child medical assessments and submit copies to the Department no later than 6/20/2022.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
LIC809
(FAS) - (06/04)
Page:
6
of
11
Document Has Been Signed on
05/20/2022 05:52 PM
- It Cannot Be Edited
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 CHILD CARE
FACILITY NUMBER:
197750053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/20/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101220.1(g)
Immunizations
(g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above by failing to obtain a copy of immunization records for Child 5 and maintain a copy in the child's file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/10/2022
Plan of Correction
1
2
3
4
Licensee agreed to obtain a copy of Child 5's immunization record and submit to the Department no later 6/10/2022.
Type B
Section Cited
CCR
101221(b)(6)
Child's Records
(b) Each record shall contain information including, but not limited to, the following: (6) A signed copy of the admission agreement specified in Section 101219.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above by failing to obtain the signed Admission Agreement for Child 6 and maintain in the child file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/10/2022
Plan of Correction
1
2
3
4
Licensee agreed to obtain the signed Admission Agreement from parents of Child 6 and submit a copy to the Department no later than 6/10/2022.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
LIC809
(FAS) - (06/04)
Page:
7
of
11
Document Has Been Signed on
05/20/2022 05:52 PM
- It Cannot Be Edited
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 CHILD CARE
FACILITY NUMBER:
197750053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/20/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(6)
Health-Related Services
(6) When no longer needed by the child, or when the child withdraws from the center, all medications shall be returned to the child's authorized representative or disposed of after an attempt to reach the authorized representative.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above by failing to discard/return expired medication to the parent, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/20/2022
Plan of Correction
1
2
3
4
Licensee agreed to submit a plan to the Department detailing how to ensure expired medication will properly be disposed of/returned to the parent once it has met the expiration date no later than 6/20/2022.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
LIC809
(FAS) - (06/04)
Page:
8
of
11
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 CHILD CARE
FACILITY NUMBER:
197750053
VISIT DATE:
05/20/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
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20
21
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26
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32
Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered only with parent's written permission. Medication is brought and locked at the center (unless parent request daily return). Medication is properly labeled and stored in its original container. Medication is kept at the center until expiration date (given to parent or discarded through the Fire Department). LPA observed expired inhaler in emergency bag located in classroom. Licensee removed during inspection and agreed to return to parent. Licensee stated child has not used medication in quite some time.
Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. The play area has sand and concrete. There is an area for rest. Shade is available under play structure. Canopy over play yard blew off and became tattered due to wind. Licensee stated she has replaced canopy multiple times and intends to renovate shaded area to have more secure/permanent structure in it's place. Water pitcher and disposable cups brought outside during play. Play area was inspected and found to be free of hazards and inaccessibility to bodies of water. Separate playground schedule for infant and preschool children. Swing and jungle gym are anchored. Age appropriate outdoor toys in good repair are available to children for play.
There is a clean kitchen (off limits) with refrigerator and microwave oven. The facility provides breakfast, lunch, snacks (afternoon, evening). Allergy lists are posted in kitchen and classrooms. LPA observed an appropriate amount of food and snacks, staff preparing lunch (with gloves). The chemicals are kept separate from the food (off-limits staff restroom).
Sign in and out sheets procedures were reviewed. The facility uses Brightwheel as the method if signing in/out children and a primary platform of parent/staff communication. The parent board was reviewed and is missing the emergency disaster plan. LPA observed copy in facility file. Licensee provided a written Emergency Disaster Plan (Not on LIC610), which did not stipulate how children will be transported or who will transport them in the case of an emergency. Fire/earthquake drills current. Roster current.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
LIC809
(FAS) - (06/04)
Page:
9
of
11
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 CHILD CARE
FACILITY NUMBER:
197750053
VISIT DATE:
05/20/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
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19
20
21
22
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Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Personal rights of children were discussed.
Children's records and staff records were reviewed. During file review, LPA observed staff files of staff present at the center. LPA observed staff files were missing the Health Screening (LIC503), the Criminal Record Statement (LIC508), and proof of required immunizations (MMR, DTap, and Influenza). LPA also observed expired Mandate Reporter Training certificates in the staff files. The Director's file was missing proof of Preventative Health and Safety Training. Staff are certified in CPR/First Aid expire 11/14/2022. During file review of child files, LPA observed 10 child files. One file was missing the Physician Report while files had incomplete Physician Reports without the TB Screening completed by a physician. Additionally, one file was missing the immunization record.
--Director advised visit
www.shotsforschool.org
for Immunization information.
--Director was informed of responsibility to report suspected Child Abuse, 1-800-827-8724/760-243-6640
--Child Care Centers (Disaster Planning information):
https://cccld.childcarevideos.org/child-care-center-operators/disaster-planning-and-fire-safety/
--Child Care Videos:
https://ccld.childcarevideos.org
--Child Care Advocates information:
www.childcareadvocatesprogram@cdss.ca.gov
Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep
as an additional resource.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
LIC809
(FAS) - (06/04)
Page:
10
of
11
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 CHILD CARE
FACILITY NUMBER:
197750053
VISIT DATE:
05/20/2022
NARRATIVE
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LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at
https://www.cpsc.gov/
and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
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
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process
.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Type B deficiencies were cited during this inspection. See LIC809D for deficiency details. Exit interview conducted and report was reviewed with the licensee Yesenia Canchola.
SUPERVISOR'S NAME:
Carissa Bell
TELEPHONE:
(661) 202-3359
LICENSING EVALUATOR NAME:
Brigitte Tsutaoka
TELEPHONE:
(661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE:
05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/20/2022
LIC809
(FAS) - (06/04)
Page:
11
of
11