364802212-1-9-2025-12-CC-CALI-DCRTCY-20250109133732

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364802212
Report Date: 01/09/2025
Date Signed: 01/09/2025 01:41:13 PM

Document Has Been Signed on 01/09/2025 01:41 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	MAGIC CARPET PRESCHOOL		FACILITY NUMBER:	364802212
ADMINISTRATOR/ DIRECTOR:	JANELLE VAZGUEZ		FACILITY TYPE:	850
ADDRESS:	17311 SULTANA STREET RM #F-603		TELEPHONE:	(760) 947-6777
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 30	CENSUS: 12	DATE:	01/09/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:26 AM
MET WITH:	Janelle Vasquez, Director		TIME VISIT/ INSPECTION COMPLETED:	01:50 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	On 01/09/2025, Licensing Program Analysts (LPAs) Ali and Rodriguez met with the Janelle Vazquez, Director to conduct an unannounced Annual/Random inspection. LPAs disclosed the purpose of the inspection and was granted entry to the facility. There were 16 volunteers on the premises and the director. The preschool operates 7:00am-2:30pm, Tuesday and Thursday and 7:30 am-1:45 pm Wednesday. 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. Incidental Medical Services (IMS) were discussed. There are no IMS children. Staffing Ration and Capacity: Upon arrival, LPAs observed 1 classroom in use with a total of 12 preschool age children and 1 teacher and 1 director on the premises. Facility maintains an adequate teacher-child ratio. Care and supervision were evaluated and determined basic needs of children are appropriate and are being met. Physical Plant: LPAs toured and inspected the preschool classroom. Furniture and equipment were checked for age appropriateness and good repair. All rooms are clean. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are three tables and a cabinet for the children belongings. LPAs observed age-appropriate toys and materials.

Claretta Yates	TELEPHONE: (661) 202-3318
Crystal Ali	TELEPHONE: (661) 202-3409
	DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

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

FACILITY NAME: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
	VISIT DATE: 01/09/2025

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There is napping for the children. Daily activities schedule was observed in each classroom. Drinking water is available inside the classrooms in the form of disposable plastic cups and water jugs. Cleaning supplies in the kitchen locked up and out of reach from children. LPAs observed two first aid kits with first aid manual in the off-limits area storage room next to kitchen and the other located in the kitchen top cabinet on the left inaccessible to children. All containers used for storage of solid wastes, including moveable bins, shall have a tight fitting cover that is kept on; they shall be leakproof and rodent-proof. LPAs observed three trash cans with no lids. There is a storage room next to the kitchen is off limits and locked, inaccessible to children. There is no weapons and no smoking on the premises. There are no body of water on the preschool premises.
Medication: Children are inspected for illnesses as they arrive with a no-touch thermometer and an overall wellness check. A review of medication policy indicated that prescription medication is administered only with the parent’s written permission. The Director and other administration staff administer medication and document the dosage, date, and time on a log. Medication is locked in the off-limits kitchen top left cabinet soon as you walk into the kitchen. Medication is labeled correctly and stored in its original container in locked box. Their are no children on medication at this time. There are currently no children in care with IMS needs. If child is ill they will be placed towards the back right of the room separate from other children until the child parents arrived. The child will be supervised by staff at all times. There is a cot available for ill children.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

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

FACILITY NAME: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
	VISIT DATE: 01/09/2025

NARRATIVE

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Bathroom: Age-appropriate sink and toilet were inspected for availability and good repair. There is one toilet and one sink in the bathroom. Each restroom has adequate toilet paper, hand soap, and paper towels available. Restrooms are cleaned, restocked with toiletries, and sanitized by on-site staff. The water temperature is appropriate.
Fire Extinguisher: A Fire Drill/Earthquake log is posted in the office. Fire drill and earthquake drill last completed on 10/17/2024. The center conducted disaster drills for at least 6 months. A current facility roster was provided to LPA. A fire extinguisher (checked 7/8/2024), a smoke detector, and a carbon monoxide detector are on the premises. Fire Marshall inspected the facility in 2024. LPAs requested a copy of the report.
Transportation: The facility does not provide transport.
Lead Water Testing: According to the director, since they are on a school premises that they probably have completed the lead water testing. LPAs requested a copy. Director spoke to administration and requested for the documentation. Currently children use their own bottles/cups for water.
Outdoor/Activity Space: The play equipment was inspected for health, safety, cushioning material, good repair, and age appropriateness. The outdoor play equipment was inspected for health, safety, cushioning material, good repair, and age appropriateness. The outdoor play equipment was inspected for health, safety, good repair and age appropriateness. In the play yard section, there is a large anchored play equipment in good condition. There is adequate shade available. The area was observed to be free of debris.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

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

FACILITY NAME: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
	VISIT DATE: 01/09/2025

NARRATIVE

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The play area was inspected and found to be free of hazards and inaccessibility to bodies of water. Part of the play yard area is shared with the culinary school. LPAs observed a sign saying “STOP” to hinder the children from going into that area. Director stated that the children are supervised at all times when outside and do not go in the culinary porch area. LPAs inspected the culinary porch area since it is not off-limits. There is a locked shed and large empty sink basin. Side locked gate was observed.
Napping: Children are provided napping daily from 12:15pm-1:30pm. Children are provided cots to sleep on during nap time. Children bring their own napping materials (blankets). Napping materials are cleaned every Monday and Friday by teachers on the premises.
Parent board: The required documentation is present: facility license, menus, PUB 269, PUB 393, LIC 610, LIC 613A, and daily activity schedule. Fire/earthquake drills current. Sign-in and out sheets were reviewed. The teacher to child ratio was observed, and staff names were recorded. Care and supervision were evaluated to determine if the children’s basic needs were met and appropriate.
Kitchen/Food Service: There is a clean, fully equipped kitchen (off limits) with a refrigerator, freezer, stove, and microwave oven. The facility provides AM and PM snacks. Allergy lists are locked in emergency folders and posted in the kitchen (on refrigerator) and student board. Director states currently no children have food allergies. LPAs observed an appropriate amount of snacks. The chemicals are kept separate from the food under the sink of kitchen locked.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

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

FACILITY NAME: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
	VISIT DATE: 01/09/2025

NARRATIVE

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LPAs observed that food preparation and storage areas are kept clean and free of litter and rubbish. Soaps, detergents, cleaning compounds, or similar substances are stored separately from food supplies. Menus (for snacks only) are posted at least one week in advance and made available for review by the parents. There is a washer and dryer in the kitchen. LPAs observed an ant infestation on the filing cabinet. Director informed LPAs that maintenance request has been completed and showed proof via text message to maintenance and maintenance request form from administration.
Staff Records/ Children Records: LPAs reviewed with facility representative the LIC 125, records to be maintained at the facility, for child’s records, personnel records, administrative records, and parent board. Employee records are not incompliance. There are two employees with expired mandated reporter trainings. Child records are in compliance. LPAs reviewed 3 children's records and 4 Staff records (2 teachers and 2 volunteers). Volunteers (minors) are in the CTE program making them exempt from LIC 503 form.

Deficiencies cited: Two Type B’s cited in accordance with Title 22 of the California Code of Regulations and Health & Safety codes.
A notice of site visit was given and must remain posted for 30 days. A copy of this report and copy of appeal rights were provided to facility representative.
Exit interview conducted and report was reviewed with the Director, Janelle Vazquez.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

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

FACILITY NAME: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
	VISIT DATE: 01/09/2025

NARRATIVE

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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Criminal Record Clearance - Child Care Centers
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.
Lead Testing – Child Care Centers (CCC)
CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
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.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

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

FACILITY NAME: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
	VISIT DATE: 01/09/2025

NARRATIVE

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Safe Sleep - Child Care Centers
LPA discussed the safe sleep regulations with facility representative and
discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed facility
of the importance of checking for recalled infant devices on the United States
Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and
recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
Incidental Medical Services (IMS) - Child Care Centers
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/. PIN 22-05-CCP
MyChildCarePlan.org – 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.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

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

FACILITY NAME: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
	VISIT DATE: 01/09/2025

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Subscribe to CCLD important information - Child Care Centers
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/
subscribe and select the Child Care option to receive email communication.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Crystal Ali	TELEPHONE: (661) 202-3409
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/09/2025 01:41 PM - It Cannot Be Edited

Created By: Crystal Ali On 01/09/2025 at 01:09 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MAGIC CARPET PRESCHOOL	FACILITY NUMBER: 364802212
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/09/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101239(f)(1)

Fixtures, Furniture, Equipment and Supplies

(f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in three trash cans containing deposed food do not have tight fitting lids which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/10/2025
	Plan of Correction
1 2 3 4	Director will provide proof of completion to LPA Ali.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in expired mandated reporter training certificates for two employees which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/13/2025
	Plan of Correction
1 2 3 4	Director to provide proof of completion to LPA Ali.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Claretta Yates

TELEPHONE: (661) 202-3318

LICENSING EVALUATOR NAME:

Crystal Ali

TELEPHONE: (661) 202-3409

LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025

LIC809 (FAS) - (06/04)

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