364802212-5-14-2019-12-CC-LTMR-BC6TWV-20190514150611

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364802212
Report Date: 05/14/2019
Date Signed: 05/14/2019 03:06:21 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:	MAGIC CARPET PRESCHOOL		FACILITY NUMBER:	364802212
ADMINISTRATOR:	STRAHL, CHRISTINA		FACILITY TYPE:	850
ADDRESS:	17311 SULTANA STREET RM #F-603		TELEPHONE:	(760) 947-6777
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	30	CENSUS: 0	DATE:	05/14/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Christina Strahl		TIME COMPLETED:	03:20 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) Thompson-Miller met with the Director, Christina Strahl and conducted an Annual Random inspection. LPA toured and inspected the preschool in accordance with the facility sketch. LPA observed no children upon arrival. The staff present are Assistant Teacher Mary Cardoza, Kim Walker, District Coordinator Career and Adult Education and the Director. The facility is located on the Sultana High School campus. The center does a Career Technical Education Program with the High School. The facility consists of one classroom. The preschool operates 7:30am-3:45pm, Tuesday, Wednesday and Thursday, currently operating the first Tuesday in October through last the Thursday of April (next year schedule is in review with school district). 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 (intercom and radio) were verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings in the classroom. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of water fountain and water bottles. LPA observed classroom with smoke detector, carbon monoxide detector and fire extinguisher.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019

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: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
	VISIT DATE: 05/14/2019

NARRATIVE

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LPA inspected and observed 2 (girl, boy) clean bathrooms (each with 1 toilet, 1 sink). Toilets and sinks are functioning properly and are age appropriate. LPA observed working toilets, soap, toilet paper and paper towels readily available. There is a sink available in the classroom for the children.

Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. The play area has wood chips, grass and black rubber cushion. There is a bike route area, 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. Play area was inspected and found to be free of hazards and inaccessibility to bodies of water. There video cameras in the hallways and exterior of the school for added security.

Children are inspected for illnesses (wellness policy) as they arrive. A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director 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 is properly labeled and stored in its original container. There is a separate area for isolation and care of ill children in the High School campus Nurse office (an isolated toilet, sink and cot are available for ill children).

There is a kitchen area inside the classroom (door kept locked). Chemicals (locked) and food are kept in separate cabinets. The center provides snack (morning and afternoon). Parents provide lunch for the children. The children's lunch box is kept in the refrigerator (kitchen). Menus are posted in the classroom and kitchen. Allergy lists are posted in classroom.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019

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: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
	VISIT DATE: 05/14/2019

NARRATIVE

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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. Children's records and staff records were reviewed for required documentation.

LPA observed Licensing and Parent boards to be incompliance including the required posting (menu, daily schedule, community activities, High School District News Letter). Fire/earthquake drills are conducted four times a year. First Aid Kit observed.

Facility informed to review updates/regulations for 2015-2019 on the department website which includes information on: Summer 2015 - Incidental Medical Services information.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
	VISIT DATE: 05/14/2019

NARRATIVE

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--Director advised visit www.shotsforschool.org for Immunization information.
--Director 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
--Director 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 Procedures 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 deficiencies. Exit Interview conducted and a copy of report read and provided to Director, Christina Strahl on this date.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019

LIC809 (FAS) - (06/04)

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