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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364810044
Report Date: 09/20/2023
Date Signed: 09/20/2023 12:03:13 PM


Document Has Been Signed on 09/20/2023 12:03 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: 19DATE:
09/20/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:NATRESHA COLETIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Babatunde Ibitoye met with Lead Teacher Natresha Cole today for the purpose of conducting an unannounced Required 1 year Annual inspection. This program occupies 1 modular on the campus of Salinas Elementary School. Present today were 19 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. The PM session is served lunch which is delivered from the school cafeteria daily.

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.

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.Lead Teacher is certified in Pediatric CPR and First Aid (exp 4/8/2025 ),fire/disaster drill log last completed on 8/23/2023 .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.


SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2023
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SBCUSD-CALIFORNIA PRESCHOOL
FACILITY NUMBER: 364810044
VISIT DATE: 09/20/2023
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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. The area was observed to be free of debris, free from hazards, holes, broken items, and debris, there are areas for shade and rest. Outside Drinking water is available.

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

Electrical outlets are inaccessible, there are no recalled or prohibited toys or sleep/play equipment were observed on the premises. There are no window cords accessible to children.

Teacher-child ratios were observed and staff names were recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate.

Health-Related Services: Lead Teacher has been advised all prescription and non-prescription medications must have the child’s name and are dated, written consent and instruction from the child’s representative, and a plan to document and report to the child’s representative when medication is administered to a child; Medication will be properly labeled and stored in its original container

Lead Teacher advised of the requirement to report Unusual Incidents. Lead Teacher was informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of the day-care center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. An On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8 am-5 pm.

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

DATE: 09/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SBCUSD-CALIFORNIA PRESCHOOL
FACILITY NUMBER: 364810044
VISIT DATE: 09/20/2023
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Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The director shall permit the Department to inspect the family child care home and to privately interview children or staff, to determine compliance with or to prevent violations of child care center or regulations, also enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.

A survey will be sent to the email address provided to improve the quality and value of the new inspection process. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA Issued 1 Technical Violation and 1 Technical Advisory Note.

An exit interview was conducted and the report was reviewed with the lead Teacher Natresha Cole

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

DATE: 09/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023
LIC809 (FAS) - (06/04)
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