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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364810038
Report Date: 01/22/2020
Date Signed: 01/22/2020 11:09:59 AM

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:SBCUSD-RILEY PRESCHOOLFACILITY NUMBER:
364810038
ADMINISTRATOR:LATASHIA KELLYFACILITY TYPE:
850
ADDRESS:1266 N. G STREETTELEPHONE:
(909) 388-6460
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92405
CAPACITY:24CENSUS: 21DATE:
01/22/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:17 AM
MET WITH:Kenneth HouchinTIME COMPLETED:
11:15 AM
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Licensing Program Analyst Aaron Mabika met with Teacher, Kenneth Houchin today for the purpose of conducting an unannounced Annual/Random inspection for the Pre-School. There are 21 children present upon arrival with 1 teacher and 2 Teacher Aides. Per director, the hours of operation are First Session 08:30 AM -11:30 AM and Second Session 12:30-3:30 PM Monday -Friday.
LPA verified the class teacher has current CPR and First Aid training. Breakfast and lunch is provided and menus were displayed. Allergy lists were reviewed and posted.
*No Disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were observed as they are centrally stored by janitorial inaccessible to children.
* Two separate bathrooms were toured and LPA noted all toilets had a sink soap, toilet paper, paper towels and were observed to be sanitary and operational. The classroom was observed to have cubbies with children's names identified and age appropriate furniture and toys.
*All flooring was found to be clean and safe with evidence that the carpets are cleaned every day.
**Teacher/child ratio observed, care and supervision were discussed, children's records were reviewed, parent board observed and fire drills are current. Fire extinguisher with a service date of 21 November, 2019 was observed. A CO2 and a smoke detector were observed in the room.
*Trash cans/storage containers for solid waste had tight-fitting covers that are kept on, and in good repair.
*First Aid supplies were inventoried, a review of medication policy, including administering, labeling, and storage.
*Telephone service, heating, lighting and ventilation were evaluated.
*Outdoor area and equipment were inspected for safety, cushioning material provided by thick foam rubber, good repair and age appropriateness, LPA noted two large portable umbrellas for shade, and drinking water provided by 3 drinking fountains around the room with one next to the play center.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020
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: SBCUSD-RILEY PRESCHOOL
FACILITY NUMBER: 364810038
VISIT DATE: 01/22/2020
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LPA observed a bike track, bikes, a slide/climbing structure, a lawn on the periphery and a 7 ft tall perimeter fence.
*Isolation area is in the front office along with the isolation bathroom. The school provides a school nurse to cater for sick children.
ADMINISTRATION:
*Director is aware that the Department has full inspection authority as specified in Health and Safety Code 1596.852, 1596.853, and 1596.535.
*There were no excluded individuals present; staff present were fingerprint cleared and associated, LPA and Teacher reviewed Personnel Report (LIC 500) together during this inspection.
*Center was found to be operating within its specified ratio and capacity.
*Sign in and Out sheets were inspected.
A sampling of 6 children’s files was reviewed and contained emergency contact information, 3 staff files were reviewed and contained qualifications.
LPA discussed the following:
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.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020
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: SBCUSD-RILEY PRESCHOOL
FACILITY NUMBER: 364810038
VISIT DATE: 01/22/2020
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This facility provides no Incidental Medical Services – (IMS). 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 Centers and ADA, available at: http://www.ada.gov/childqanda.htm
Director is advised to visit www.shotsforschool.org for Immunization information.
Director was informed of responsibility to report suspected Child Abuse, 1-800-540-4000.
Director is advised for quarterly updates to contact the 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”.

Facility was not cited any deficiency and is deemed to be operating according to California Code of Regulations Title 22. Exit interview conducted with Teacher, Kenneth Houchin.
Notice of Site Visit has been posted (LIC 9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in visible location the authorized representatives of children.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020
LIC809 (FAS) - (06/04)
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