197750064-8-19-2019-12-CC-TLAN-BF7PMC-20190819112606

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197750064
Report Date: 08/19/2019
Date Signed: 08/19/2019 11:26:22 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:	BECKFORD CHARTER SCHOOL (PEAK PROGRAMS INC)		FACILITY NUMBER:	197750064
ADMINISTRATOR:	BARTHOLOMEW, SCOTT		FACILITY TYPE:	840
ADDRESS:	19130 TULSA ST		TELEPHONE:	(818) 360-1924
CITY:	PORTER RANCH	STATE: CA	ZIP CODE:	91326
CAPACITY:	55	CENSUS: 0	DATE:	08/19/2019
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Scott Bartholomew		TIME COMPLETED:	11:40 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's) Lawson and Maddox met with Program Director, Scott Bartholomew, for the purpose of conducting a pre-licensing inspection of the School Age center. During this Pre-Licensing inspection, LPA's toured and measured center indoors according to facility sketch. Center is located at Beckford Charter School. The facility will operate out of the Upper Lab. Center will operate Monday through Friday from 2:28 PM to 6:30 PM. On minimum days, hours will be from 1:28 PM to 6:30 PM. LPA's observed age appropriate furniture, equipment, toys and materials. The classroom was observed to be clean, safe and free of any health or safety hazards. Telephone service was verified as well as adequate heating, lighting, and ventilation. Drinking water will be provided in the form of water dispenser and disposable cups. Medications will be stored in a locked storage cabinet. Emergency backpack is kept near the exit and incidental medicine. Cleaning supplies will be kept locked in storage cabinet. Room measures: 55.35 x 28.04 = 1549.21 The above measurements total 44 Bathrooms: 8 toilets/5 urinals/5 sinks Fire clearance was granted for 55; however, the measurements of the classroom only allow for 44. Therefore license will be granted with a capacity of 44.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Tyicee Lawson	TELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2019

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: BECKFORD CHARTER SCHOOL (PEAK PROGRAMS INC)	FACILITY NUMBER: 197750064
	VISIT DATE: 08/19/2019

NARRATIVE

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There are is an outdoor play area with blacktop and a large play structure with padding underneath for cushioning material. Per Title 22, Section 101538.2(c)(1) and Health and Safety Code Section 1596.806(b) regulations, outdoor activity space is located on a functioning public school site, therefore, the site is exempt from square-footage and fencing requirements for child care centers.

Furniture and equipment was observed to be in good condition, free of sharp, loose or pointed parts.

Children utilize the bathrooms in outside of the Upper Lab. Boys bathroom has 2 toilets, 5 urinals and 3 sinks. The girls bathroom has 6 toilets and 2 sinks. Children will be escorted by an adult, when using the bathroom. Staff will utilize the restroom located in the Upper Lab.

The facility serves afternoon snack. The facility's snack menu will be posted on a board that will be near the entrance in the room. Smoke detector and carbon monoxide detector were all observed to be maintained. Applicant was informed to conduct and maintain Fire/Earthquake drill logs. LPA's observed required forms posted on a board that will be kept where parents can see it. Staff are certified in Pediatric CPR and First Aid. The facility has sign in/sign out sheets.

This facility plans on providing Incidental Medical Services – IMS. LPA's went over proper storage of medication and documents needed to be kept on file. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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/childquanda.htm

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Tyicee Lawson	TELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2019

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: BECKFORD CHARTER SCHOOL (PEAK PROGRAMS INC)	FACILITY NUMBER: 197750064
	VISIT DATE: 08/19/2019

NARRATIVE

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Applicant was reminded to access the licensing website at ccld.ca.gov to obtain information about the most recent regulatory changes and the Quarterly Updates.

Applicant was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B (call within 24 hour and submit form within 7 days).

Applicant was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent when a serious deficiency, Type A, is cited (LIC9224).

The On Duty Worker is available for questions at (661) 789-6944, Monday through Friday 8am-5pm. LPAs provided consultation during the inspection.

During this inspection facility was observed to be in compliance with Title 22, License will be granted for a capacity of 44.

An exit interview was conducted and a copy of this report was read and provided to the Applicant Scott Bartholomew.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Tyicee Lawson	TELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2019

LIC809 (FAS) - (06/04)

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