364801923-3-4-2021-12-CC-LTMR-BYSSX5-20210304131521

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364801923
Report Date: 03/04/2021
Date Signed: 03/04/2021 01:15:58 PM

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 SIEGRIST STATE PRESCHOOL		FACILITY NUMBER:	364801923
ADMINISTRATOR:	DEJESUS, CHEZAREY		FACILITY TYPE:	850
ADDRESS:	15922 WILLOW STREET		TELEPHONE:	(760) 244-6225
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	63	CENSUS: 0	DATE:	03/04/2021
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Ernestine Steppes and Rosie Dunn		TIME COMPLETED:	10:25 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 (LPA) Thompson-Miller met with Ernestine Steppes, Teacher (Siegrist I) and Rosie Dunn, Teacher (Siegrist II) and conducted a virtual Tele Inspection due to the San Bernardino County Superintendent of Schools re-opening due to Covid-19. LPA toured and inspected the preschool. The school will continue to have Distance Learning 5 (five) days a week. The facility operates Siegrist I AM Class 7:45am -10:45am on Monday's and PM Class 11:45am -2:45pm Tuesday's. Siegrist II AM Class 8:30am -11:30am Monday's and PM 12:30pm -3:30pm Tuesday's. Facility has staggered arrival and drop off times. A complete disinfecting will be conducted on Wednesday's. The Special Education Children are at the facility 3 (three) hours a day, Monday through Thursday. Essential Protective Equipment and Supplies During the Tele Visit staff adhered to COVID-19 guidelines according to Public Health, Center for Disease Control (CDC) and Community Care Licensing. Incidental Medical Services (IMS) policy was discussed. Face mask, gloves, temperature taking, disinfecting, hand sanitizer usage, hand washing were discussed. Planning Sanitation practices, physical distancing guidelines, face covering, screening practices (temperature taking) were discussed. 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 children's belongings (labelled) in each classroom. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms, cot available for ill child, classrooms with smoke detector, carbon monoxide detector and fire extinguisher.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

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 SIEGRIST STATE PRESCHOOL	FACILITY NUMBER: 364801923
	VISIT DATE: 03/04/2021

NARRATIVE

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Cleaning
The following was observed and discussed: There are 2 (two) doors to allow for fresh air, procedure to frequently clean and disinfect high-touch surfaces (knobs, toilet handles, tables), container for toys to be cleaned/sanitized/disinfected, multiple toys and manipulative accessible.

Hygiene
Staff will take child upon entry to wash hands (20 seconds song), as well as model proper hand washing, staff supervise children at the bathroom, tissue paper available for children to wipe nose (sneezing), child personal items are labelled, a cot is available for child if become sick while in the classroom. LPA observed clean bathrooms, toilets and sinks are functioning properly and are age appropriate, and soap, toilet paper and paper towels readily available.

Arrival Procedures
Parent's are not entering the classroom, parent's will meet at the gate entrance, sign in/out child, parents bring own pen when possible otherwise a pen will be available (clean, dirty pen container), staff will take temperature of child, staff assist child to sanitize hands.

Health Screening/Classroom Space/Physical Distancing.
Children are given a wellness check and temperature taken/reading upon arrival. Children are monitored throughout the session for symptoms or signs of any illness. Children are in small groups, kept with same teacher and children during the school year, physical distancing of furniture was observed, individual play areas were observed, staggered in door/out door play, schedules for play reduce the number of children outside. Staff will ask parent the COVID-19 protocol questions. Staff receive a temperature check upon arrival to the center.

Meal Times
Children are spread out while at the tables, hand washing before and after an activity, lunch provided by School District. Menus are posted in each classroom. Allergy lists are posted in each classroom.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

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 SIEGRIST STATE PRESCHOOL	FACILITY NUMBER: 364801923
	VISIT DATE: 03/04/2021

NARRATIVE

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Outdoor play equipment was observed for health, safety, cushioning material, good repair and age appropriateness. 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. There is a water fountain for drinking water. Play area was inspected for hazards and inaccessibility to bodies of water.

A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Site Supervisor and/or Teacher administers medication and documents the dosage, date and time onto a log. Medication can be brought and taken home by the parent daily or remain at the school classroom in a locked box. Medication shall be properly labeled and stored in its original container. There is a separate area for isolation and care of ill children in the classroom office. There is a cot available for an ill child. An isolated toilet and sink are available for ill children (main school campus).

Personal rights of children were discussed. LPA observed Licensing and Parent boards to be incompliance including the required posting (menu, daily schedule, community activities). Fire/earthquake drills will be conducted. First Aid Kit observed.

Facility informed to review updates/regulations for 2020 - 2021 on the department website, staff was informed of responsibility to report suspected Child Abuse, 1-800-827-8724/760-243-6640.
Child Care Centers (Disaster Planning information):https://cccld.childcarevideos.org/child-care-center-operators/disaster-planning-and-fire-safety/
Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

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 Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Exit interview conducted and a copy of this report will be emailed to Ernestine Steppes (due to COVID-19). The read receipt is in lieu of a signature.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

LIC809 (FAS) - (06/04)

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