360911276-4-14-2022-12-CC-BIBE-CDGTXR-20220414150733

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 360911276
Report Date: 04/14/2022
Date Signed: 04/14/2022 03:07:41 PM

Document Has Been Signed on 04/14/2022 03:07 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	SBCSS ADELANTO STATE PRESCHOOL		FACILITY NUMBER:	360911276
ADMINISTRATOR:	NANCY ALVARADO		FACILITY TYPE:	850
ADDRESS:	17927 JONATHAN STREET		TELEPHONE:	(760) 246-3396
CITY:	ADELANTO	STATE: CA	ZIP CODE:	92301
CAPACITY:	48	CENSUS: 24	DATE:	04/14/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:21 PM
MET WITH:	Donna Cintron-Pardus		TIME COMPLETED:	03:27 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) Babatunde Ibitoye met with the Site Supervision/Teacher Donna Cintron-Pardus and conducted an Annual Random inspection. LPA toured and inspected the preschool in accordance with the facility sketch. Upon arrival LPA observed 24 children upon arrival. There were 3 staff ( engaged in circle time, later conducting Easter egg hunt game with plastic eggs,Children listening to music and were fully engaged). During the inspection LPA observed staff and children using universal safe hand washing procedure, supervising toileting, serve food for lunch and assist children in a family style lunch setting, clean up area after lunch, and circle time. The facility consists of 1 classroom. The facility operates a morning and afternoon program (AM: 8:11:00/ PM: 11:45-2:45), children leave at 2:36pm for afternoon session. Incidental Medical Services (IMS) policy was discussed. Furniture and equipment were inspected for age appropriateness and good repair. Room is clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings in each classroom. LPA observed age appropriate toys and materials. There are two water fountains. Drinking water is also available inside the classroom in the form of water pitchers, disposable cups and water fountain. LPA inspected and observed 2 clean bathrooms (4 toilets, 4 sinks). Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Water temperature was tested and is appropriate.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde Ibitoye	TELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022

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

FACILITY NAME: SBCSS ADELANTO STATE PRESCHOOL	FACILITY NUMBER: 360911276
	VISIT DATE: 04/14/2022

NARRATIVE

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Outdoor play equipment was inspected for health, safety, cushioning material (sand, rubber padding), good repair and age appropriateness. There are 2 playgrounds. Left side has the grass and sand area (large swings, octagon climbing equipment, age appropriate toys, shade trees and additional covered play area. Right side play area is separately gated with a canopy over the large jungle gym climbing equipment, water fountain and rubber padding on ground. Large play equipment and structures are securely anchored. The area was observed to be free of debris. There is an area for shade and rest. Drinking water is available in the form of water pitchers with cups and water fountain. Play area was inspected for hazards and inaccessibility to bodies of water.

Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered only with parent's written permission and doctor note. The Site Supervisor/Teacher administers medication and documents the dosage, date and time onto a log. Medication is brought and taken home by the parent daily. Medication is properly labeled and stored in its original container. There is a separate area for isolation and care of ill children in the Site Supervisor/Teacher office.

There is a clean, fully equipped kitchen with refrigerator/freezer, stove and microwave oven used mainly by the staff. Meals are brought into the facility from the Adelanto School District Food Services (breakfast, lunch). Menus are posted on the parent information board. Allergy lists observed and posted on the kitchen door. LPA observed an appropriate amount of food. The chemicals are kept separate from the food (kitchen, key lock).

Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Staff were questioned to establish their familiarity of emergency reporting requirements, emergency disaster plans and other site operations. Personal rights of children were discussed.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde Ibitoye	TELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022

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

FACILITY NAME: SBCSS ADELANTO STATE PRESCHOOL	FACILITY NUMBER: 360911276
	VISIT DATE: 04/14/2022

NARRATIVE

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Sign in and out sheets were reviewed. The parent board was reviewed and has all of the required forms posted (menus, daily schedule, community activities, lesson plan newsletter). Fire/earthquake drills current.

Children's records and staff records were reviewed. All staff are certified in Pediatric CPR and First Aid expire 01/23/2023.

Lead Teacher is advised to visit www.shotsforschool.org for Immunization information.
Lead Teacher was informed of responsibility to report suspected Child Abuse, 1-800-540-4000.
--Child Care Videos: https://ccld.childcarevideos.org
--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov
Lead Teacher is advised to visit the CCL website (www.ccld.ca.gov) to obtain updates of courses and updates/changes to the regulations.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedure for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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/childqanda.htm
No children currently requiring IMS.

No deficiencies cited according to Title 22 Regulations.
Exit Interview conducted and a copy of report read and provided to Site Supervision/Teacher Donna Cintron-Pardus.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde Ibitoye	TELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022

LIC809 (FAS) - (06/04)

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