364805889-3-4-2025-12-CC-AROZ-DEFSCN-20250304124550

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364805889
Report Date: 03/04/2025
Date Signed: 03/04/2025 12:46:21 PM

Document Has Been Signed on 03/04/2025 12:46 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:	SBCSS MOJAVE VISTA STATE PRESCHOOL		FACILITY NUMBER:	364805889
ADMINISTRATOR/ DIRECTOR:	NANCY CRUZ		FACILITY TYPE:	850
ADDRESS:	16100 BURWOOD AVENUE ROOM 3		TELEPHONE:	(760) 241-4144
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92392
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 20	DATE:	03/04/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:53 AM
MET WITH:	Site Supervisor Yasmin Jimenez		TIME VISIT/ INSPECTION COMPLETED:	02:00 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 2/25/2025, Licensing Program Analysts (LPAs) Ana Rodriguez and Carol Heath met with the Site Supervisor, Yasmin Jimenez, to conduct an unannounced Annual inspection. LPAs disclosed the purpose of the inspection and was granted entry to the facility. Upon arrival, LPAs observed 1 classroom with 20 children, 1 teacher and 1 assistant and 1 substitute teacher on the premises. The hours of operation are 7:15 AM – 3:15 PM, Monday - Friday. The Preschool component is for children ages 2 years through entry into the kindergarten grade. Incidental Medical Services (IMS) were discussed. Physical Plant (indoor and outdoor): LPA toured and inspected the preschool classroom. The Childcare Center maintains a clean, safe, and sanitary environment that is in good repair. Indoor and outdoor areas, including passageways and ramps, are free of obstructions and potential hazards. Floors are kept clean and safe, and all cleaning compounds and poisons are securely stored above the sink in a cabinet that is made inaccessible with 2 safety latch. Furniture and equipment are in good condition, and the facility is pests-free. Tables and chairs accommodate children's needs; all play equipment is age-appropriate. LPA observed age-appropriate toys and materials. Each child has a designated storage space for personal belongings and bedding. There are cubbies for children's belongings labeled with their names. There is no eating in the classroom, and drinking water is readily available indoors and outdoors. All materials and surfaces are non-toxic. A carbon monoxide detector is in place. Daily activities schedule was observed in classroom. The facility provides at least 35 square feet of indoor activity space per child and maintains a ratio of at least one toilet and handwashing fixture per 15 children. A working telephone is on-site, and an isolation area is available for children who become ill.

Claretta Yates	TELEPHONE: (661) 568-8081
Ana Rodriguez	TELEPHONE: (661) 202-3358
	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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: SBCSS MOJAVE VISTA STATE PRESCHOOL	FACILITY NUMBER: 364805889
	VISIT DATE: 03/04/2025

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Comfortable temperatures are always maintained, and first aid supplies, including antiseptic, bandages, scissors, and a thermometer, are readily accessible. Sign-in and sign-out sheets are used for accurate attendance tracking digitally. Daily health inspections ensure children with visible symptoms of illness, such as fever or vomiting, are not admitted. A smoke detector and a carbon monoxide detector are on the premises.
The outdoor play area includes a shaded rest area and is free from hazards, debris, and broken items. Cushioning material is placed under high climbing equipment, swings, and slides to absorb falls. LPA observed area under slide would need more cushioning material to be added. Sandboxes are inspected daily for safety. All air conditioning units, water heaters, and fuse boxes are inaccessible. There is no napping on the premises.
Restrooms: LPA inspected and observed six clean bathroom stalls. The toilets and sinks are functioning correctly and are age-appropriate. The water temperature is appropriate. LPA observed soap, toilet paper, and paper towels readily available.
Health-Related Service: Children are inspected visually for illnesses as they arrive to class. A review of medication policy indicated that prescription medication is administered only with the parent’s permission. All prescription and nonprescription medications have the child's name and are dated. A plan is to document and report to the child’s representative when medication is administered to a child. The Director and other administration staff administer medication and document the dosage, date, and time on a log. Medication is brought and locked at the center (unless the parent requests daily return). Medication is labeled correctly and stored in its original container. Medication is kept at the center until expiration and sent home with the parent for disposal. There are currently no children in care with IMS needs. The children will be in the classroom library area for isolating when ill. There is a blue plastic Childrens couch available for sick children. LPA observed a first aid kit.

A Fire Drill/Earthquake log is posted in the entrance of the classroom. The center conducted disaster drills for at least 6 months, last drill conducted on 2/27/25. A current Roster is available.
Lead Testing: According to the Site Supervisor, the center had drinking water tested for lead contamination, levels are under 5.5.
The parent board was reviewed and has posted all the required forms.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Ana Rodriguez	TELEPHONE: (661) 202-3358
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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: SBCSS MOJAVE VISTA STATE PRESCHOOL	FACILITY NUMBER: 364805889
	VISIT DATE: 03/04/2025

NARRATIVE

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Staff Records/ Children Records: Staff and Children's records were reviewed. LPA verified that at least one staff member with current CPR and First Aid Training is present. All staff complete the Mandated Reporter training every two years. All staff receive the Measles, Pertussis, and Influenza vaccinations. All staff have required fingerprinting associated with the facility. LPA reviewed 5 children's records, complete with the parent’s signature. Upon arrival, LPA observed 1 classrooms in use, with 20 preschool children and 3 teachers on the premises.
Food Service: Food is prepared and provided through SBCCS school district and staff do not handle food preparation. No food is stored in the classroom. The facility provides breakfast and lunch. Allergy lists are posted in the classroom above the sink. Menus are posted at least one week in advance and made available for review by the parents.
The following general information was discussed during this inspection:
· Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
· *All Licensing reports are available for review online and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code, requiring the Department to post certain licensing information for CCCs and FCCHs on its public internet website.
· Fingerprint clearances and transfers: Before working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state-licensed facility to another using form LIC 9184
· **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 childcare facility are aware of situations that present the greatest danger to children

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Ana Rodriguez	TELEPHONE: (661) 202-3358
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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: SBCSS MOJAVE VISTA STATE PRESCHOOL	FACILITY NUMBER: 364805889
	VISIT DATE: 03/04/2025

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The Center Director advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation (call within 24 hours and submit a written report within 7 days) and on the form LIC624. The Center reminded to review updates/regulations as well as quarterly updates on the Department website. The "Notification of Parent's Rights" poster must be posted in an area of the center accessible to parents. The information regarding new legislation with regard to exemptions and parents' rights was also discussed.
· Criminal Record Clearance - Child Care Centers Licensee [or 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.
· For the following scenarios use the below un-bolded language: • CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES, or • CCC COMPLETED SAMPLING BUT THE TEST RESULTS ARE NOT YET AVAILABLE, or • CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE, or • CCC TESTING DEADLINE HAS NOT PAST LPA referred licensee [or facility representative] to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Ana Rodriguez	TELEPHONE: (661) 202-3358
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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: SBCSS MOJAVE VISTA STATE PRESCHOOL	FACILITY NUMBER: 364805889
	VISIT DATE: 03/04/2025

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Incidental Medical Services (IMS) - Child Care Centers IF A FACILITY IS CURRENTLY PROVIDING IMS, USE AS FOLLOWS: 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 PIN 22-02-CCP. 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-carecenters/. IF THERE IS NO CHILD AT THE FACILITY THAT CURRENTLY NEEDS IMS, USE AS FOLLOWS: 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/.
· MyChildCarePlan.org – Centers and Family Child Care Homes Licensee [or 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.
· Notice of Site Visit - Centers and Family Child Care Homes A notice of site visit was given and must remain posted for 30 days.
No deficiencies are being cited at this time; the facility complies with Title 22
An exit interview was conducted, and the report was reviewed with the Site Supervisor, Yasmin Jimenez.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Ana Rodriguez	TELEPHONE: (661) 202-3358
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

LIC809 (FAS) - (06/04)

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