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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360911276
Report Date: 02/21/2024
Date Signed: 02/21/2024 04:33:53 PM


Document Has Been Signed on 02/21/2024 04:33 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:SBCSS ADELANTO STATE PRESCHOOLFACILITY NUMBER:
360911276
ADMINISTRATOR:NANCY ALVARADOFACILITY TYPE:
850
ADDRESS:17927 JONATHAN STREETTELEPHONE:
(760) 246-3396
CITY:ADELANTOSTATE: CAZIP CODE:
92301
CAPACITY:48CENSUS: 20DATE:
02/21/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:04 PM
MET WITH:Donna Citron-PardusTIME COMPLETED:
04:34 PM
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On February 21, 2024, Licensing Program Analyst (LPA) Kris Diaz conducted a required 3-year inspection at the facility. LPA met with Site Supervisor/Teacher Donna Cintron-Pardus who granted access and guided the LPA on a tour of the facility. Upon arrival LPA observed 20 children in care with 4 staff. During the inspection, LPA observed staff and children using universal safe hand washing procedure, supervising toileting, circle time. The facility consists of 1 classroom. The facility operates a morning and afternoon program (AM: 8a-11:00a/ PM: 11:45a-2:45p). Incidental Medical Services (IMS) policy was discussed.

Furniture and equipment were inspected for age appropriateness and good repair. The classroom 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. 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.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina DiazTELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2024
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: SBCSS ADELANTO STATE PRESCHOOL
FACILITY NUMBER: 360911276
VISIT DATE: 02/21/2024
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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.

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. LPA observed staff CPR/First-AId indicates Pediatric CPR completed. LPA did not observe Pediatric First-Aid. LPA advised facility representative to ensure all staff have completed Pediatric first-aid by Friday, March 8, 2024

Lead Teacher is advised to visit www.shotsforschool.org for Immunization information.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina DiazTELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
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: SBCSS ADELANTO STATE PRESCHOOL
FACILITY NUMBER: 360911276
VISIT DATE: 02/21/2024
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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 PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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. Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina DiazTELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
LIC809 (FAS) - (06/04)
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