364803507-8-27-2019-12-CC-LTMR-BFFQY6-20190827123436

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364803507
Report Date: 08/27/2019
Date Signed: 08/27/2019 12:34:46 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:	SBCSS LEMON STREET STATE PRESCHOOL		FACILITY NUMBER:	364803507
ADMINISTRATOR:	NICOLLE MERCADO		FACILITY TYPE:	850
ADDRESS:	16633 LEMON STREET		TELEPHONE:	(760) 956-3537
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	30	CENSUS: 13	DATE:	08/27/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:47 AM
MET WITH:	Chezarey De Jesus, Acting Director		TIME COMPLETED:	12:49 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 Chezarey De Jesus, Acting Director and conducted an Annual Random inspection. LPA toured and inspected the preschool in accordance with the facility sketch (to be updated). Upon arrival the morning session was ending and LPA observed 13 children with two teacher's along with the Acting Director. LPA observed 14 children for the afternoon session. The facility consists of 1 classroom (divided into two sections). The facility operates a morning and afternoon program (AM Session 8:00am to 11:00am, PM Session Noon to 3:00pm) Monday through Friday. The center follows Hesperia School District schedule. Incidental Medical Services (IMS) policy was discussed. Furniture and equipment were inspected for age appropriateness and good repair. Rooms are is clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings in classroom. LPA observed age appropriate toys and materials. Drinking water is available inside the classroom in the form water fountain and Dixie cups. Children do not nap. LPA inspected and observed 1 clean bathroom (3 toilets, 3 sinks, including one handicap toilet and large sink) and there is a sink inside both classrooms (water fountain with sink). Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Water temperature is appropriate.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019

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: SBCSS LEMON STREET STATE PRESCHOOL	FACILITY NUMBER: 364803507
	VISIT DATE: 08/27/2019

NARRATIVE

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Outdoor play equipment was inspected for health, safety, cushioning material (wood chips, grass), 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. The play yard is divided into two sections (gated). One section has the Little Tikes play equipment, 2 sheds (key lock), table, chairs, outside toys and the other section is not being utilized at this time. Drinking water is available in the form two water fountains (one on each section of the play yard). 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 Teacher administers medication and documents the dosage, date and time onto a log. Medication is properly labeled and stored in its original container. Medication as necessary are sent home daily. There is a separate area for isolation and care of ill children in the director office or library area. There is a cot available for each ill child.

Snacks are served in the morning and afternoon session provided by the State Preschool Program. There is a kitchen (key lock) which has a stove, refrigerator and microwave oven, allergy list posted (no names for AM class/PM class name posted) and chemicals are kept in a locked cabinet. The chemicals are kept separate from the food. The AM and PM programs are served the same snack. Menus are posted on the parent information board. Allergy lists observed and posted. Trash can with tight fitting lids.

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.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019

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: SBCSS LEMON STREET STATE PRESCHOOL	FACILITY NUMBER: 364803507
	VISIT DATE: 08/27/2019

NARRATIVE

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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. All staff are certified in Pediatric CPR and First Aid expire 03/16/2021. LPA observed staff interaction with students (free time-coloring, floor play, manipulative, puzzles).

Preschool staff advised of the following information:
--visit www.shotsforschool.org for Immunization information.
--responsibility to report suspected Child Abuse, 1-800-827-8724.
--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov
--visit the CCL website (www.ccld.ca.gov) to obtain updates of courses and updates/changes to the regulations.

Currently no children in care requiring IMS.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedure 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 cited according to Title 22 Regulations.
Exit Interview conducted and a copy of report read and provided to Chezarey De Jesus, Acting Director.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019

LIC809 (FAS) - (06/04)

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