364808468-12-13-2023-12-CC-KCAY-CYGUE5-20231213143035

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364808468
Report Date: 12/13/2023
Date Signed: 12/13/2023 02:30:46 PM

Document Has Been Signed on 12/13/2023 02:30 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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	KALEIDOSCOPE CHILDREN'S CENTER		FACILITY NUMBER:	364808468
ADMINISTRATOR:	SUZANNE SILVA		FACILITY TYPE:	850
ADDRESS:	12883 AMETHYST ROAD		TELEPHONE:	(760) 952-1146
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92392
CAPACITY:	54	CENSUS: 46	DATE:	12/13/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Maria Garcia, Facility Director		TIME COMPLETED:	02:30 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 December 13, 2023, Licensing Program Analyst (LPA) Calloway met with Facility Director for the purpose of an Annual/Random inspection. LPA observed 37 children and 6 staff present during this inspection. The facility operates from 6:00 am to 6:00 PM. Physical Plant: The preschool consists of 4 classrooms. Furniture, toys, books, 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 enough mats available for napping children. The bedding is stored separately and sent home with parents for washing on Fridays. Mats are cleaned at the end of each week. Facility has a surveillance system on the premises. Fire extinguisher, fire alarm pull, smoke detector and carbon monoxide detector were observed to be operable condition. 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.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023

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: KALEIDOSCOPE CHILDREN'S CENTER	FACILITY NUMBER: 364808468
	VISIT DATE: 12/13/2023

NARRATIVE

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LPA observed them all to be clean with soap, toilet paper and paper towels readily available in each. Kitchen observed 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 on shelves. Weekly menus are posted in the kitchen. LPA observed allergy list (kitchen) posted and an appropriate amount of food and snacks. The chemicals are kept separate from the food, in kitchen cabinet (safety latch). Unused outlets were covered.
Outside: Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness and fencing all around. 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. There are no bodies of water on the premises. There are 2 locked sheds for storage. AC unit was not covered. LPA recommended a mesh, breathable cover.
Other: Teacher/child ratios were observed. Fire/earthquake drills are current. Current Pediatric CPR and First Aid was observed (Exp. 1/2025). Mandated Reporter training verified. Children and staff files were reviewed. Postings were current. Roster was not current. Children are inspected for illnesses as they arrive. There is a separate area for isolation and care of ill children in the director's office. 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. Medications are stored in a lockbox in the refrigerator. Medication is brought and taken home by the parent daily or retained securely, properly labeled, and stored in its original container.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023

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: KALEIDOSCOPE CHILDREN'S CENTER	FACILITY NUMBER: 364808468
	VISIT DATE: 12/13/2023

NARRATIVE

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This facility does not provide 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.
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. Lead Poisoning: For more information, go to the California Childhood Lead Poisoning Prevention Branch’s website at: www.cdph.ca.gov/programs/clppb. or call them at (510) 620-5600. For Unusual Incident reporting or questions, contact (661) 202-3118 and speak to the On-Duty Worker, Monday-Friday 8-5 PM.
Licensee advised visit www.shotsforschool.org for Immunization information.
Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov. Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links. Put your email address and choose which program(s) you would like to subscribe to and click “subscribe”.

Per Title 22 there are deficiencies cited during this inspection. See 809 D pages.

Exit interview was conducted and a copy of this report was read, a Notice of Site Visit, and Appeal Rights were provided to Maria Garcia, Director at the facility. A Notice of Site Visit must remain posted for thirty (30) consecutive days. Failure to maintain posting will result in a $100 civil penalty.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/13/2023 02:30 PM - It Cannot Be Edited

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: KALEIDOSCOPE CHILDREN'S CENTER	FACILITY NUMBER: 364808468
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview , the licensee did not comply with the section cited above in the center did not submit the water sample report to Licensing which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/29/2023
	Plan of Correction
1 2 3 4	Per Director will submit by POC date

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 two staff S3 and S4 did not have mandated reporter training in their files which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/29/2023
	Plan of Correction
1 2 3 4	Director will submit proof by POC date

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) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/13/2023 02:30 PM - It Cannot Be Edited

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: KALEIDOSCOPE CHILDREN'S CENTER	FACILITY NUMBER: 364808468
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care 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. 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 one staff S3 did not have immunization records in staff files which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/29/2023
	Plan of Correction
1 2 3 4	Director will submit proof to Licensing by POC date

Type B

Section Cited

CCR

101217(a)(12)

Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g). 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 one staff S5 did not have TB test in staff files which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/29/2023
	Plan of Correction
1 2 3 4	Director will submit proof by POC date to Licensing

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) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/13/2023 02:30 PM - It Cannot Be Edited

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: KALEIDOSCOPE CHILDREN'S CENTER	FACILITY NUMBER: 364808468
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101221(b)(7)

Child's Records

(b) Each record shall contain information including, but not limited to, the following: (7) Name, address and telephone number of the child's physician and dentist and any other medical/dental or mental health providers. 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 childrens's roster did not have the physician's name and phone number which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/12/2024
	Plan of Correction
1 2 3 4	Director will submit proof to Licensing by POC date of 1/13/23

Type B

Section Cited

CCR

101212(b)

Reporting Requirements

(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s). 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 the submission of the new Director's packet to Licensing which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/29/2023
	Plan of Correction
1 2 3 4	Director will provide proof by POC date of 12/29/23.

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) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023

LIC809 (FAS) - (06/04)

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