360908874-1-31-2024-12-CC-KDIZ-CZZU98-20240131142242

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 360908874
Report Date: 01/31/2024
Date Signed: 01/31/2024 02:22:47 PM

Document Has Been Signed on 01/31/2024 02:22 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	VICTOR VALLEY CHRISTIAN PRESCHOOL		FACILITY NUMBER:	360908874
ADMINISTRATOR:	ROSE SANTIAGO		FACILITY TYPE:	850
ADDRESS:	15260 NISQUALLI ROAD		TELEPHONE:	(760) 241-7395
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92395
CAPACITY:	114	CENSUS: 44	DATE:	01/31/2024
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	01:21 PM
MET WITH:	Patricia Tyler		TIME COMPLETED:	02:23 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) Kris Diaz met with the Facility Representative, Patricia Tyler for an Unusual Incident Report (UIR) received in the Regional Office (RO) 1/23/24. At the time of the inspection there were a total of 44 children in care with 7 staff members. Description of the incident: A incident occurred on 1/23/24 at the childcare center involving C1. C1 had a seizure in the classroom. C1 woke during naptime to tell S2 that they needed to use the restroom. S2 allowed C1 to use the restroom and C1 returned to mat to go back to sleep. About the same time P1 arrived to pick the child up. S1 notified S2 that P1 arrived to pick them up. S1 left the room and S2 called out for the child and received no response. S2 went to C1 to attempt to wake them with no response and immediately noticed C1’s eyes rolling back. S2 alerted S3 that help was needed in the classroom. S2 and S3 stated that saying we need help is the communication method used at the center to alert staff that assistance is needed. S3 informed S1 that help was needed and C1 was having a seizure. P1 was at the counter waiting and went back to help the child. S1 called 911. Staff was later informed that this has occurred in the past when the child has had a fever. S2 stated that while aid was being rendered to C1 their temperature was being taken and indicated it was 99 degrees. Paramedics arrived and took the child into their care. C1 returned to school on 1/26/24. S1 stated Dad disclosed that doctor stated child was fine.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina Diaz	TELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: VICTOR VALLEY CHRISTIAN PRESCHOOL	FACILITY NUMBER: 360908874
	VISIT DATE: 01/31/2024

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Based on information obtained and interviews with S1, S2, and S3 on this date and S4 on 1/23/24 via phone it is determined that staff properly rendered aid to child in a timely manner. LPA also spoke with P1 at pickup today and they stated they were satisfied with care given and response time aid was rendered to C1. P1 stated “They were great and I have no complaints.”

LPA completed a safety inspection and found zero deficiencies. No citations will be issued during this visit.

This inspection was conducted in person. A copy of this report, appeal rights and a Notice of Site Visit was left with the Facility Representative, Patricia Tyler. An exit interview was conducted.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina Diaz	TELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024

LIC809 (FAS) - (06/04)

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