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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750122
Report Date: 10/20/2021
Date Signed: 10/20/2021 02:02:01 PM

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:DBA MAGIC CAROUSEL MONTESSORI PRESCHOOL 2FACILITY NUMBER:
197750122
ADMINISTRATOR:SUE/THUSHARIFACILITY TYPE:
850
ADDRESS:28200 BOUQUET CANYON ROADTELEPHONE:
(818) 912-1512
CITY:SANTA CLARITASTATE: CAZIP CODE:
91350
CAPACITY:80CENSUS: 0DATE:
10/20/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:08 AM
MET WITH:Applicant/Owners Ms. Sue Ranaweera and Ms. Thushari Don TIME COMPLETED:
01:32 PM
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Licensing Program Analysts (LPA) Maddox met with Applicant/Owners Ms. Sue Ranaweera and Ms. Thushari Don today for the purpose of conducting a Pre-Licensing inspection for a Preschool component for children ages 2 - 7 yrs (requested capacity 80). This Center is located within a Strip-Mall. A tour of the facility was conducted inside and outside. The tour included Office space, Kitchen, One staff bathroom, Children's Bathrooms, 5 Classrooms, and the Outside play area. Days/hours of operation will be Monday through Friday from 6:30 am to 6:00 pm.

INDOOR ACTIVITY SPACE: There are a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities. Telephone service, heating, lighting and ventilation were evaluated. LPA observed individual storage areas for children’s belongings, Center will use water pitchers with disposable cups Indoor and outdoors; Tables and chairs are provided to meet the needs of the children. The child care center was toured and found to be clean, safe, sanitary and in good repair to ensure the safety and well-being of children, employees and visitors.

Disinfectants, cleaning solutions, all potential hazardous that could pose a danger if readily available to children were stored and inaccessible to children (Staff Bathroom).

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

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
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 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: DBA MAGIC CAROUSEL MONTESSORI PRESCHOOL 2
FACILITY NUMBER: 197750122
VISIT DATE: 10/20/2021
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The isolation area (located in the front office area) is equipped to isolate and care for any child who becomes ill during the day.

HEALTH RELATED SERVICES:

Medications will be kept in a locked box (front office area). A refrigerator shall be used to store any medication that requires refrigeration.

Center has a developed plan to implement and to record the administration of prescription medication and to inform the child's authorized representative daily when such medications have been given.

LPA observed fully equipped first aid kits; fully operational Carbon Monoxide and Smoke detector; and Fire Extinguisher (2A10BC) throughout the center.



LPA Maddox has verified Qualifications for Director including Lead Poisoning training, Mandated Reporter and current Operations and Records Keeping Orientation.

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. 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 has Signs posted throughout the center with regards to the local health department; information on child passenger restraint systems; hand washing, screenings for staff and children and facial coverings.

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

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
LIC809 (FAS) - (06/04)
Page: 2 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: DBA MAGIC CAROUSEL MONTESSORI PRESCHOOL 2
FACILITY NUMBER: 197750122
VISIT DATE: 10/20/2021
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Bathroom

LPA ensured the toilets flushed properly and are reachable for children. The restroom has adequate toilet paper and paper towels available, were found to be clean and sanitary.

Center has a separate staff bathroom located off the Kitchen, this bathroom will be used as isolation bathroom for ill children. Water temperature is set on a regulated system to ensure a water temperature of no more than 120 degrees.

Sign-in and Out Procedure: Parents will sign children in and out in the fron Lobby area.

Napping

Center will utilize cots for children to nap on. Cots were stocked and stored in the Staff Bathroom. Director/Owner shall ensure Napping equipment will be arranged so that each child has access to a walkway without having to walk on or over the cots or mats of other children.



Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding (stored in the bathroom - staff key lock).

Outdoor

The entire yard is fenced; there is artificial turf underneath climbing equipment on the play yard; Age appropriate play equipment available; LPA highly discourages the usage of water fountains due to the COVID-19 pandemic.

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

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
LIC809 (FAS) - (06/04)
Page: 3 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: DBA MAGIC CAROUSEL MONTESSORI PRESCHOOL 2
FACILITY NUMBER: 197750122
VISIT DATE: 10/20/2021
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Measurements according to facility sketch submitted:

Preschool Room #1: 17.5 X 38 = 654 sq ft/35 = 19
#2 - 48 X 15.5 = 744/35 = 22
#3 - 40 X 16 + 87 = 727/35 = 21
#4 - 20 X 30 -32 = 568/35 = 16
#5 - 20 X 17 + 29 = 369/35 = 11
Total inside activity space for Preschool = 90 Preschool Children

Outdoor Space Preschool: 2700 + 2070 + 1386 = 6156/75 = 90
Total outdoor activity space for Preschool = 90

Bathroom:
There are a total of 7 Toilets and 6 sinks available for children (4 separate bathrooms) throughout the center.

1 toilet and 1 sink for every 15 children = 15 X 6 = 90

The following are needed prior to licensure:

List of Furniture and Equipment

Portions sizes needed for menu

Missing Orientation Certificates for both Applicants (Application and Operation and Records Keeping)

Mandated Reporter Training missing for Ms. Sue

Immunization's missing for both owners

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

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
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: DBA MAGIC CAROUSEL MONTESSORI PRESCHOOL 2
FACILITY NUMBER: 197750122
VISIT DATE: 10/20/2021
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Missing Job Descriptions needed for other positions (the only Job Description included is for the Teacher only

Update Staff Handbook to include Back Ground Clearance required and Immunization Requirements

Parent Handbook should include What actions staff will take in the case of a Medical Emergency; the forms that Parents or Legal Guardians should complete for Children's Records;

Rubber or plastic sleeves need to be placed on chains that hold swings

Need COVID Postings

LIC 309 - Administrative Organization

LIC 404 - Financial Release Information

LIC 500 - Add new Director

LIC 503 - Needed for Owners

LIC 215 - Needed for Ms. Sue

LIC 610 - Needs 2nd relocation site

LIC 9108 - Needed for Ms. Sue & Ms. Thushari

Exit interview was conducted. Copies of new Director Qualifications (Soumya Shetty) presented during this inspection. This report was read and a copy provided to Owners/Licensees Ms. Sue, and Ms. Thushari.

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

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
LIC809 (FAS) - (06/04)
Page: 5 of 5