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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364808468
Report Date: 01/17/2020
Date Signed: 01/17/2020 02:57:16 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:KALEIDOSCOPE CHILDREN'S CENTERFACILITY NUMBER:
364808468
ADMINISTRATOR:SUZANNE SILVAFACILITY TYPE:
850
ADDRESS:12883 AMETHYST ROADTELEPHONE:
(760) 952-1146
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:54CENSUS: 10DATE:
01/17/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:41 PM
MET WITH:Tina SifuentesTIME COMPLETED:
03:13 PM
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Licensing Program Analyst (LPA) Neal met with Lead Teacher, Tina Sifuentes for the purpose of an Annual/Random inspection of the center. LPA observed 10 children and 2 teachers present during this inspection. The preschool consists of 4 classrooms. The facility operates from 6:00 am to 6:00 pm. During this inspection LPA toured the facility, observed equipment/supplies, and reviewed a sample of children and staff files. Current Pediatric CPR and First Aid was observed (Exp. 8/2021).

Furniture and equipment were inspected for age appropriateness and good repair. All rooms observed to be clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies with children's names on them for their belongings in each classroom. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of water pitchers and disposable cups. LPA observed a sufficient quantity of mats available for napping children. The bedding is stored separately and sent home with parents for washing on Fridays. Mats are cleaned regularly. Medications are stored in a lockbox in the refrigerator. Facility has a surveillance system on the premises. Fire extinguisher, smoke detector and carbon monoxide detector were observed to be operable condition.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Jazelle NealTELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: KALEIDOSCOPE CHILDREN'S CENTER
FACILITY NUMBER: 364808468
VISIT DATE: 01/17/2020
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Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. LPA observed small and large (anchored) play structures with sand underneath and a grass area for active play. There is also a concrete path for tricycles. 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 a drinking fountain and water pitcher with disposable cups. There are no bodies of water on the premises. There are 2 locked sheds for storage.

LPA inspected and observed the 3 bathrooms to be clean, functioning properly and age appropriate. The 2 & 3 year old class has a bathroom with 2 toilets & 2 sinks between the classrooms, 3 & 4 year old class bathroom has 2 toilets & 2 sinks, and the Pre-K class bathroom has 1 toilet and 1 sink. LPA observed them all to be clean with soap, toilet paper and paper towels readily available in each. There is a clean kitchen with refrigerator, microwave, and sink. Knives are kept inaccessible in the freezer. The facility provides morning and afternoon snack. Parent/guardians are to provide lunches, which are stored in the kitchen beside the refrigerator. Weekly menus are posted in the kitchen. LPA observed allergy list posted and an appropriate amount of food and snacks. The chemicals are kept separate from the food, in child locked cabinet.

Teacher/child ratios were observed. Fire/earthquake drills are current. Staff was reminded to review the Licensing website at ccld.ca.gov to obtain information about the most recent regulatory changes and the Quarterly Updates.

Children are inspected for illnesses as they arrive. There is a separate area for isolation and care of ill children either in the director's office or in a separate area of the classroom. A review of medication policy indicated that prescription medication is administered and only with parent's written permission. The director, assistant director or trained teacher administers medication and documents the dosage, date and time onto a log.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Jazelle NealTELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: KALEIDOSCOPE CHILDREN'S CENTER
FACILITY NUMBER: 364808468
VISIT DATE: 01/17/2020
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Medication is brought and taken home by the parent daily or retained securely, properly labeled and stored in its original container.

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 Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

Notice of Site Visit was given to be posted for 30 days. No deficiencies cited.

Exit interview conducted, report was read and a copy was provided to the Lead Teacher.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Jazelle NealTELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3