360911568-12-4-2019-12-CC-AMAA-BJJRF4-20191204115830

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 360911568
Report Date: 12/04/2019
Date Signed: 12/04/2019 11:58:45 AM

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-TWENTY NINE PALMS HEAD START		FACILITY NUMBER:	360911568
ADMINISTRATOR:	WILSON, DEBORAH		FACILITY TYPE:	850
ADDRESS:	71409 29 PALMS HIGHWAY		TELEPHONE:	(760) 367-5150
CITY:	TWENTYNINE PALMS	STATE: CA	ZIP CODE:	92277
CAPACITY:	45	CENSUS:	DATE:	12/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Deborah Wilson		TIME COMPLETED:	11:58 AM

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 Aaron Mabika met with Center Director, Deborah Wilson today for the purpose of conducting an unannounced Annual/Random inspection for the Pre-School. access was granted and director led LPA on a tour of the center. There are 23 children present upon arrival (Classroom 60: 12 children, 1 Tr and 1 Aid; Classroom 61 with 11 Children, 1 Tch , 1 Aid)Per director, the hours of operation are 07:00 AM -04:30 PM Monday through Friday. LPA verified there is at least 1 staff person present with current CPR and First Aid training (expn. 04/2021) Snack/lunch menus observed displayed in the kitchen and din each of the classrooms. Allergy lists were reviewed and posted not in full public view. Food and snacks were reviewed for availability, quantity, proper storage, and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. (1 refrigerator, 2 sinks, 1 dry food shelf, stove/oven). Disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were inaccessible to children and stored in locked cabinet situated in the restroom. * Bathrooms are toured and LPA noted all toilets (6), sinks (4), Urinal (1) were sanitary and operational. LPA observed soap, paper towel and toilet paper and water tested at a safe temperature. Each classroom has a water dispenser and disposable cups labelled with children's names, cubbies with children's names identified and over 30 napping mats labelled and clean. LPA noticed in one bathroom a locked cubby with extra children's clothes bagged for sanitation and all labelled. *All flooring was found to be clean and safe.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019

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

FACILITY NAME: PSD-TWENTY NINE PALMS HEAD START	FACILITY NUMBER: 360911568
	VISIT DATE: 12/04/2019

NARRATIVE

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*Teacher/child ratio observed, care and supervision were discussed, 6 children's records were reviewed, parent board observed and fire drills are current. LPA observed 3 Fire extinguishers operable with a service date of August 6, 2019. LPA observed at least one carbon monoxide, smoke detector and central fire alarm in each of the classrooms including the kitchen.
*Trash cans/storage containers for solid waste had tight-fitting covers that are kept on, and in good repair. No trash was observed on the floor activity areas were well labelled and organized.
*First Aid supplies were inventoried, a review of medication policy, including administering, labeling, and storage. Emergency supply bags and First aid boxes were observed in every classroom.
*Telephone service, heating, lighting and ventilation were evaluated.
*Outdoor area and equipment were inspected for safety, cushioning material(deep foam rubber), good repair and age appropriateness and drinking water that is stored in the kitchen and taken out when children go to the play center. LPA noted shade(canopy), sand pit, climbing structure and a perimeter steel 8 feet high fence for security. There are no bodies of water observed on the premises.
*LPA was shown the isolation area is in the front office in the employee building along with the isolation bathroom. .

ADMINISTRATION:
*Director is aware that the Department has full inspection authority as specified in Health and Safety Code 1596.852, 1596.853, and 1596.535.
*There were no excluded individuals present; staff present were fingerprint cleared and associated, LPA and Director reviewed Personnel Report (LIC 500) together during this inspection.
A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director and some staff administers medication and documents the dosage, date and time onto a log. Medication is locked in the classrooms and only teachers have access to it. Medication is properly labeled and stored in its original container.
*Center was found to be operating within its specified ratio and capacity.
*Sign in and Out sheets were inspected and observed to be up to date.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019

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-TWENTY NINE PALMS HEAD START	FACILITY NUMBER: 360911568
	VISIT DATE: 12/04/2019

NARRATIVE

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A sampling of 6 children’s files was reviewed and contained emergency contact information, 4 staff files were reviewed and contained qualifications.
LPA discussed the following:
Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed child care facility (Center or family child care home) are aware of situations that present the greatest danger to children. These situations include:· Serious health and safety violations resulting in Type A citations;
· Non-compliance conferences; or
· Efforts by the Department to revoke a facility’s license. Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). Failure to meet the posting requirements shall result in an immediate civil penalty. In addition, all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report and sign the LIC 9224 acknowledging receipt. Civil Penalty assessments will be assessed if all above requirements are not adhered to.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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 Centers and ADA, available at: http://www.ada.gov/childqanda.htm
Director is advised to visit www.shotsforschool.org for Immunization information.
Director was informed of responsibility to report suspected Child Abuse, 1-800-540-4000.
Director is advised for quarterly updates to contact the Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov. Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links. Put your email address and choose which program(s) you would like to subscribe to and click “subscribe”.
Facility was not cited deficiency(ies) as it was observed by LPA that the center is operating according to California Code of Regulations Title 22. Exit interview conducted with Director, Deborah Wilson. Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in visible location the authorized representatives of children.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019

LIC809 (FAS) - (06/04)

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