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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364806698
Report Date: 04/04/2023
Date Signed: 04/10/2023 10:17:40 AM


Document Has Been Signed on 04/10/2023 10:17 AM - 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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:SBCSS PUESTA DEL SOL STATE PRESCHOOLFACILITY NUMBER:
364806698
ADMINISTRATOR:NANCY ALVARADOFACILITY TYPE:
850
ADDRESS:15887 ACADEMY STREETTELEPHONE:
7602433850
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:22CENSUS: 15DATE:
04/04/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Susan ShelterTIME COMPLETED:
02:30 PM
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On April 4, 2023 at 11:45am, Licensing Program Analyst (LPA) Kris Diaz, conducted an unannounced 1-year inspection. LPA met with site supervisor, Susan Shelter who guided LPA on a tour of the center. LPA observed 15 children upon arrival. There were 1 teacher, 2 associate teachers. The preschool consists of 1 classroom. The facility operates half days from 7:30am to 10:30am and 11:15am to 2:15 pm. During this inspection LPA toured the facility, observed equipment/supplies, and reviewed a sample of children and staff files. Incidental Medical Services (IMS) were discussed. Current Pediatric CPR and First Aid was observed (expires Date).

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 the children’s belongings in the classroom. LPA observed age-appropriate toys and materials. Drinking water is available inside the classroom in the form of a water fountain.

Medications are stored in a locked cabinet, made inaccessible in a lock box. Facility has a surveillance system on the premises. Entire facility is gated and there is a bell to alert staff for entrance. Fire extinguisher was serviced 2.3.23 and meets State Fire Marshall requirements. Smoke detector and carbon monoxide detector were observed to be operable condition.

Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. Large play equipment and structures are securely anchored. There are wood chips for cushioning underneath. The area was observed to be free of debris. There is an area for shade and rest. Drinking water is available in the form of drinking fountains. Play area was inspected for hazards and inaccessibility to bodies of water. There are no bodies of water on the premises. Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered and only with parent's written permission.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina DiazTELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:
DATE: 04/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/04/2023
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SBCSS PUESTA DEL SOL STATE PRESCHOOL
FACILITY NUMBER: 364806698
VISIT DATE: 04/04/2023
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The teacher administers medication and documents the dosage, date and time onto a log. Medication is brought and taken home by the parent daily or retained. Medication was observed to be properly labelled and stored in its original container.

There is a separate area for isolation and care of ill children in area of the teacher's desk. There is a separate cot with fresh linens available for each ill child. LPA inspected and observed 2 clean bathrooms (2 toilets, 2 sinks total). LPA observed soap, toilet paper and paper towels readily available. Bathrooms are located in the kindergarten classroom. Staff restroom is in the other kindergarten (TK) classroom. The facility provides breakfast (a.m.) and lunch (p.m.) through the school cafeteria. Monthly menus are posted on the parent board.


Teacher/child ratios were observed. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. Fire/earthquake drills are current. Personal rights of children were discussed.

The site supervisor was advised of the requirement to report Unusual Incidents. A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The site supervisor was informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department.

The site supervisor was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days whenever a licensing inspection is conducted. If a Type A deficiency is cited, a copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. Copies of the reports must be provided to each parent when a Type A violation is cited along with Acknowledgment of Receipt of Licensing Reports LIC 9224. If these requirements are not met civil penalties per violation will be assessed.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina DiazTELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SBCSS PUESTA DEL SOL STATE PRESCHOOL
FACILITY NUMBER: 364806698
VISIT DATE: 04/04/2023
NARRATIVE
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Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, teaching staff, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When any IMS is provided, a Plan for Providing 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

Lead Flyer Requirement Health and Safety Code 1596.7996, mandated that effective January 1, 2019, CCC's and FCCH's are required to provide parents and guardians of children enrolling or reenrolling in care with written information on the risks and effects of lead exposure, blood lead testing requirements and recommendations, and options for locations of affordable blood lead tests as specified. A Lead Poisoning Facts Flyer was created, in partnership with the California Department of Public Health (CDPH), to satisfy this requirement.

The site supervisor was advised it is their responsibility to visit the department's website to access licensing forms, Quarterly Updates and Provider Information Notices (PINs): www.ccld.ca.gov

The report was read with the site supervisor and a copy was provided. Exit interview was conducted.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina DiazTELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023
LIC809 (FAS) - (06/04)
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