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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364808720
Report Date: 12/06/2022
Date Signed: 12/06/2022 12:09:03 PM


Document Has Been Signed on 12/06/2022 12:09 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:AVUSD RANCHO VERDE STATE PRESCHOOLFACILITY NUMBER:
364808720
ADMINISTRATOR:MICHELLE PONCEFACILITY TYPE:
850
ADDRESS:14334 PIONEERTELEPHONE:
(760) 240-4732
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92307
CAPACITY:24CENSUS: 18DATE:
12/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:SHARON SCHEIDERTIME COMPLETED:
12:20 PM
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Licensing Program Analysts (LPA,s) Babatunde Ibitoye and Kuliema Calloway met with Pre school Child Care Facility (CCF) Lead Teacher Sharon Scheider , today for the purpose of conducting a Required 1 year unannounced Annual inspection for the child care facility. CCF has an Pre-School-age component. There were 18 children present, with 3 teachers providing care.
Hours of operation are:
Monday thru Friday (between 8:15 am – 11:15 AM and 12:15 PM - 3:15 PM ).

DOCUMENTATION INSPECTION:
With Lead Teacher present, LPA reviewed records to verified accuracy:

1. Sampling of children's records (See LIC 857)
2. Sign In and Out sheets were inspected.
3. Emergency contact information observed
4. Parent board observed
5. Staff personnel files reviewed for educational and certification.(See LIC 859 )
6. Pediatric CPR and First Aid training for lead staff (EXPIRES: 02-22-2024)
7. Mandated Reporter Training Lead Teacher (Completed: 07-28-2022)
8. Emergency Contact and Fire Drills were current and up to date
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:
DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: AVUSD RANCHO VERDE STATE PRESCHOOL
FACILITY NUMBER: 364808720
VISIT DATE: 12/06/2022
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The facility is operating within the terms of the license (3 TEACHER AND 18 CHILDREN).
Ratios were met during this visit YES
Appropriate supervision was provided during the visit YES
Classrooms are equipped with age appropriate furniture and equipment in good condition YES
Classrooms are clean and free of hazards YES
No weapons stored at the facility NONE
Medications are stored where inaccessible to children YES, MEDICATION AND CONSENT FORM IS SIGNED, DATED AND CURRENT
Hazards are stored where inaccessible to children YES
Toxins are locked YES
Bathrooms were observed to be safe, sanitary and in operating condition YES, WAIVER ON FILE TO SHARE BATHROOMS WITH KINDERGARTENERS
All materials and surfaces accessible to children are toxic free YES
Uncontaminated drinking water is available both indoors and out YES
Outdoor activity areas are supplied with age and size appropriate equipment in good condition, free of sharp, loose, or pointed parts YES, WAIVER ON FILE TO SHARE KINDERGARTEN PLAYGROUND.
Outdoor activity space surface is maintained in a safe condition and free of hazards: areas under/around high climbing equipment, swings, and slides have sufficient wood chips material YES
All bodies of water are covered or are accessible NO BODIES OF WATER OBSERVED . Food preparation area is clean and free of vermin YES
Solid waste storage vessels, including moveable bins, have tight-fitting covers on, are in good repair YES


SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: AVUSD RANCHO VERDE STATE PRESCHOOL
FACILITY NUMBER: 364808720
VISIT DATE: 12/06/2022
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 Food is stored appropriately and protected from contamination. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 (F) or less YES
Menus are posted at least one week in advance, where an authorized representative can view them, are dated and kept on file for 30 days, and are available on request YES, FACILITY SERVES ONLY AM & PM SNACKS.
Sign in/Sign out record was reviewed and the person responsible for the child has signed their full legal signatures with time of day noted. YES
Staff records contain appropriate documentation of education credits TEACHER PERMITS ARE CURRENT
Child’s admission agreement is available for review YES
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”.

On January 1,2018 or before March 30,2018, a person who, is a licensed childcare provider, administrator, or employee of a licensed child day care facility shall complete the on-line mandated reporter training and shall complete renewal mandated reporter training every two years. www.mandatereporterca.com

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures 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

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: AVUSD RANCHO VERDE STATE PRESCHOOL
FACILITY NUMBER: 364808720
VISIT DATE: 12/06/2022
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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 child care facility (Center or family child care home) are aware of situations that present the greatest danger to children. These situations include:

· Serious health and safety violations resulting in Type A citations.

· Non-compliance conferences; or Efforts by the Department to revoke a facility’s license. Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). Failure to meet the posting requirements shall result in an immediate civil penalty. In addition, all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report and sign the LIC 9224 acknowledging receipt. Civil Penalty assessments will be assessed if all above requirements are not adhered to

Center was found to be operating within its specified ratio and capacity.

There were no citations issued because of this inspection, Center operating in compliance with Title 22 Regulations.

Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

An exit interview was conducted , Notice of Site Visit and a copy of this report was provided to Lead Teacher, SHARON SCHNEIDER .


SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
LIC809 (FAS) - (06/04)
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