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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364810044
Report Date: 09/19/2022
Date Signed: 09/19/2022 02:52:58 PM


Document Has Been Signed on 09/19/2022 02:52 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:SBCUSD-CALIFORNIA PRESCHOOLFACILITY NUMBER:
364810044
ADMINISTRATOR:LATASHIA KELLYFACILITY TYPE:
850
ADDRESS:2699 N. CALIFORNIA STREETTELEPHONE:
(909) 730-3674
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY:24CENSUS: 9DATE:
09/19/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:48 PM
MET WITH:Lead Teacher, Mr SanchezTIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) Maddox met with Lead Teacher, Mr Sanchez today for the purpose of conducting an unannounced Annual Random inspection. This program occupies 1 modular on the campus of Salinas Elementary School. Present today were 9 children and 3 staff persons. This modular has 1 bathroom with 2 stalls, 1 sink inside, and another sink directly outside of the bathroom. The facility operates two half day sessions. Days/Hours of operation:8:30 AM to 11:30 AM and 12:30 PM to 3:30 PM, Monday through Friday. This is a Title 5 funded program. Children's records were reviewed as part of this evaluation

**LPA observed age appropriate furniture, equipment, toys and materials. Telephone service was verified as well as adequate heating, lighting, and ventilation. Children's belongings are kept in cubbies along the wall as you enter classrooms. Drinking water is available inside the classroom in the form of a water cooler and disposable cups.

LPA observed the bathroom to be clean and sanitary, with soap, toilet paper and paper towels readily available. Toilets and sinks are functioning properly and age appropriate.

**Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. LPA observed 1 large play apparatus on the play yard (securely anchored) with rubber matting underneath for cushioning material. Outside Drinking water is available.

**The PM session is served lunch which is delivered from the school cafeteria daily.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2022
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: SBCUSD-CALIFORNIA PRESCHOOL
FACILITY NUMBER: 364810044
VISIT DATE: 09/19/2022
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**The Parent Board (located in the main entrance area) contained all documents that are required to be posted according to Title 22 Regulations. A sampling of Children's files were reviewed as part of this inspection. Staff are certified in Pediatric CPR and First Aid (exp 2/2034). Center also utilizes an IPad to sign children in an out (there is a manual back up in place). Sign in and out sheets were inspected and contain full legal signatures. LPA observed a fully stocked first aid kit; fully charged fire extinguishers; carbon monoxide detectors throughout the center.

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

There were no violations noted as a result of this inspection. Exit interview conducted and a copy of this report was left at the facility. A copy of this report must be made available to the public for 3 years.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022
LIC809 (FAS) - (06/04)
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