360911142-12-11-2019-12-CC-JNEL-BJRUXJ-20191211145826

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 360911142
Report Date: 12/11/2019
Date Signed: 12/11/2019 02:58:36 PM

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:	PSD/VICTORVILLE HEAD START		FACILITY NUMBER:	360911142
ADMINISTRATOR:	LUCY ANGELA NARANJO		FACILITY TYPE:	850
ADDRESS:	14029 AMARGOSA ROAD, STE. C		TELEPHONE:	(760) 245-9147
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92392
CAPACITY:	95	CENSUS: 74	DATE:	12/11/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Kelli Burkins		TIME COMPLETED:	02:30 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) Neal met with the facility Director, Kelli Burkins, for the purpose of an Annual/Random inspection of the preschool. LPA observed 74 children total with 10 teachers and assistants. The Head Start preschool consists of 4 AM/PM classrooms and 2 full day classrooms. The facility operates from 7:00 am to 5:00 pm. During this inspection LPA toured the facility, observed equipment/supplies, and reviewed a sample of children and staff files. 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 their belongings in each classroom. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of water dispensers and fountains. There are cots available for napping children. The bedding is stored separately for full day children and taken home with parents weekly for washing. Facility has alarms on each door inside the facility to notify when doors are opened. Fire extinguisher, smoke detector and carbon monoxide detector were observed to be operable condition. Teacher/child ratios were observed. Fire/earthquake drills are current. Current Pediatric CPR and First Aid was observed. Director was reminded that all staff must take the Mandated Reporter training for Child Care every 2 years.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: PSD/VICTORVILLE HEAD START	FACILITY NUMBER: 360911142
	VISIT DATE: 12/11/2019

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

Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. There is a playground on the left side of the facility. Per Director, 2 classes at a time go outside. LPA observed a large play structure and swings securely anchored with wood chips underneath for cushioning. There is also an area with artificial grass turf for active play and an area with sand. The playground was observed to be free of debris. There is an area for shade and rest. Drinking water is available in the form of a water dispenser and disposable cups. There are no bodies of water on the premises.

LPA inspected and observed 4 clean bathrooms. The half day classrooms, have an open floor plan with dividers between them. There are 3 bathrooms available along the center wall (4 toilets, 1 urinal and 3 sinks total). The full day area is located behind a door to the right and has 1 bathroom with 2 toilets and 2 sinks. All are functioning properly and age appropriate. LPA observed soap, toilet paper and paper towels readily available. There is a clean, fully equipped kitchen with refrigerators, freezer, microwave, and sinks. The facility provides breakfast, lunch and afternoon snacks. Monthly menus are posted in classrooms and in the kitchen. Allergy lists are posted in each classroom and kept in the kitchen as well. Chemicals are kept separate from the food.

There are backpacks kept in each classroom with Epipens and inhaler/chamber medications, a picture of child, required medications, and documented instructions and action plan for each child in separate Ziplock bags.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies and reviewed administrative records. Facility has an IMS action plan detailing who is trained to administer medications (all staff) and physician's instructions. There is a binder of Children's Food Allergens and Medical Consent kept in the front office.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: PSD/VICTORVILLE HEAD START	FACILITY NUMBER: 360911142
	VISIT DATE: 12/11/2019

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

Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered and only with parent's written permission. There are lists of who can administer medication on file in classrooms and a binder in the office. Child's main teacher administers medication and documents the dosage, date and time onto a log. Medication is retained in locked bag, properly labeled and stored in its original container. During the inspection LPA verified facility meets the requirements for providing IMS services by reviewing storage of medication and equipment/supplies, checking records of individual children and staff that are trained and available to provide IMS service. There is a separate area for isolation and care of ill children in the director's office. There is a separate cot available for each ill child.

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

Notice of Site Visit was given to be posted for 30 days.

No deficiencies cited according to Title 22 Regulations.

Exit Interview conducted, report was read and a copy provided to Director.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

LIC809 (FAS) - (06/04)

Page: 3 of 3