364811636-1-31-2020-12-CC-AMAA-BLCRA3-20200131115029

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364811636
Report Date: 01/31/2020
Date Signed: 01/31/2020 11:50:58 AM

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:	SBCSS YUCCA VALLEY STATE PRESCHOOL		FACILITY NUMBER:	364811636
ADMINISTRATOR:	KYLENE RICKETTS		FACILITY TYPE:	850
ADDRESS:	7601 HOPI TRAIL, ROOM K-3		TELEPHONE:	(760) 365-3381
CITY:	YUCCA VALLEY	STATE: CA	ZIP CODE:	92284
CAPACITY:	24	CENSUS: 18	DATE:	01/31/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:18 AM
MET WITH:	Kylene Ricketts		TIME COMPLETED:	11:58 AM

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	Licensing Program Analyst Aaron Mabika met with Site Supervisor, Kylene Ricketts, today for the purpose of conducting an unannounced Annual/Random inspection for the Pre-School. There are 18 children present upon arrival with 4 teachers. Per director, the hours of operation are DAYS/HOURS: MONDAY - FRIDAY- AM CLASS: 8:00 AM - 11:00 AM AND PM CLASS: 12:00 PM - 3:00 PM. LPA verified that all staff on duty today were with current CPR and First Aid training Breakfast/lunch menus provided by the school. Allergy lists were reviewed and posted. Food and snacks were reviewed for availability, quantity, proper storage, and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. Disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were inaccessible to children and stored in a locked cabinet. * Bathrooms (2) are toured and LPA noted all toilets (5), sinks (4) were sanitary and operational. LPA observed soap, paper towel and toilet paper. The classroom was observed to have a water dispenser, labelled children's water bottles (Supervisor stated they are sanitized every Friday), cubbies with children's names. All flooring was found to be clean and safe. A strict Teacher/child ratio was seen to be observed at all time, care and supervision were discussed, 6 children's records were reviewed, parent board observed and fire drills are current bi-monthly and varied. Fire extinguisher operable with a service date of July 10, 2019. 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.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020

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: SBCSS YUCCA VALLEY STATE PRESCHOOL	FACILITY NUMBER: 364811636
	VISIT DATE: 01/31/2020

NARRATIVE

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*Outdoor area and equipment were inspected for safety, cushioning material(sand), good repair and age appropriateness, LPA noted a shady tree, and two outdoor drinking fountains (Supervisor notes that instead they use water bottles for drinking water): There are no bodies of water on the premises. LPA observed equipment in the form of 3 barrels, park benches, a table and chairs, a climbing structure, a dome climber, a mud kitchen, a basketball hoops and bikes.
*Isolation area is by the Site Supervisor's desk a cot is provided, just in case.
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 Director reviewed Personnel Report (LIC 500) together during this inspection.
A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Supervisor administers medication and documents the dosage, date and time onto a log. Medication brought and taken home by the parent daily. Medication is properly labeled and stored in its original container.
*Center was found to be operating within its specified ratio and capacity.
*Sign in and Out sheets were inspected.
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.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020

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: SBCSS YUCCA VALLEY STATE PRESCHOOL	FACILITY NUMBER: 364811636
	VISIT DATE: 01/31/2020

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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.
This facility provides Incidental Medical Services – IMS and training certification for staff is on file. 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 Centers and ADA, available at: http://www.ada.gov/childqanda.htm
*Center has Physical separation for each component (101438.3) LPA noticed the Center all its physical infrastructure is fenced out from the rest of the grade school.
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(ies), as they are deemed to be operating according to California Code of Regulations Title 22. Exit interview conducted with Director Kylene Ricketts. A copy of the Appeal Rights (LIC 9058) were given and explained. Licensee’s signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020

LIC809 (FAS) - (06/04)

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