<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750078
Report Date: 09/29/2021
Date Signed: 09/30/2021 10:47:09 AM

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:SUNNY DAYS BEFORE & AFTER SCHOOL/SUMMER DAY CAMPFACILITY NUMBER:
197750078
ADMINISTRATOR:DENKOVSKI, SANDRAFACILITY TYPE:
850
ADDRESS:32248 CROWN VALLEY ROADTELEPHONE:
(661) 645-9493
CITY:ACTONSTATE: CAZIP CODE:
93510
CAPACITY:30CENSUS: 16DATE:
09/29/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
11:42 AM
MET WITH:Sandra Denkovski and Anais Femat, Director of ProgramTIME COMPLETED:
12:43 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
Licensing Program Analyst (LPA) Maddox met with Sandra Denkovski and Anais Femat, Director of Programs today for the purpose of relocating the School age program to Modular #133. The School age component was licensed as Preschool component in error. LPA will request a fire clearance and correct the error upon return to the office.

Indoor Measurements taken today were as follows:
26 X 40 = 1040/35 = 30

There are 3 individual bathrooms in the classroom, 1 bathroom will be designated for staff, the 2 remaining bathrooms will be designated for children. Each bathroom has 1 toilet and 1 sink in each.

The School age component will operate before and after school; school breaks, and full days during the Summer Day Camp.

Sign-in and Out Procedure: Center will utilize an electronic (Kangaroo Time) to sign children in and out. Center has the capability of producing hard copies if needed.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
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 3
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: SUNNY DAYS BEFORE & AFTER SCHOOL/SUMMER DAY CAMP
FACILITY NUMBER: 197750078
VISIT DATE: 09/29/2021
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
Meals:
School age who arrive before school starts will bring their own breakfast, center will provide after-school snacks.

Pesticides and other similar toxic substances were not stored in food storerooms, kitchen areas, food preparation areas, or areas where kitchen equipment or utensils are stored. Center utilizes a private pest control company. Soaps, detergents, cleaning compounds or similar substances were stored in areas separate from food supplies.

Incidental Medical Services was discussed.

Due to the COVID-19 pandemic, Center will be required to have COVID postings and information regarding the local health department; information on child passenger restraint systems; hand washing, screenings for staff and children and facial coverings.

LPA provided consultation on the following:


Inspection Authority; COVID-19 Hand Washing Best Practices
Lead Flyer
Unusual Incidents
CCL Website- Provider Information Notices (PIN's)

LPA observed smoke detectors with carbon monoxide detectors and fully charged fire extinguishers.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: SUNNY DAYS BEFORE & AFTER SCHOOL/SUMMER DAY CAMP
FACILITY NUMBER: 197750078
VISIT DATE: 09/29/2021
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
The School age component will be ready to relocate to Modular #133 when the following have been received:

Pictures will be accepted for the First Aid Kit, rubber sleeves on the chains connecting swing seat, and padding on the poles on the play yard.
Exit interview was conducted. This report was read and a copy provided to Sandra Denkovski and Anais Femat, Director of Programs.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3