364813646-7-7-2021-12-CC-AMAA-C4PW44-20210707165655

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364813646
Report Date: 07/07/2021
Date Signed: 07/07/2021 04:57:08 PM

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:	VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCARE		FACILITY NUMBER:	364813646
ADMINISTRATOR:	LISA BALDWIN		FACILITY TYPE:	850
ADDRESS:	59025 YUCCA TRAIL		TELEPHONE:	(760) 365-9049
CITY:	YUCCA VALLEY	STATE: CA	ZIP CODE:	92284
CAPACITY:	60	CENSUS: 14	DATE:	07/07/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:04 PM
MET WITH:	Lisa Baldwin		TIME COMPLETED:	03:05 PM

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 Analysts Aaron Mabika met with Center Director Lisa Baldwin, today for the purpose of conducting an unannounced Annual/Random inspection for the Pre-School. There are 14 children present upon arrival with 2 teacher and 3 classrooms. Per licensee the hours of operation are 0600 -1800 Monday -Friday. The Center also has a School-age component. This facility provides Incidental Medical Services (IMS). Plan on file. LPA verified there is at least 1 staff person for this component present with current CPR and First Aid training * Allergy lists were reviewed and posted. LPA suggested some confidentiality of the Allergy lists in the classrooms and kitchen. 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. (2 refrigerators, sink, stove/oven in total) facilities are shared with the church and clearly separated. Disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were inaccessible to children and stored in the janitorial room in a locked cabinet. Bathrooms (3) are toured and LPA noted all toilets (6), sinks (6) and touch-free trash cans were sanitary and operational. LPA observed soap, paper towel and toilet paper and water tested at a safe temperature. Each classroom has a water cooler, water pitcher, disposable cups, cubbies with children's names identified and cots.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021

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: VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCARE	FACILITY NUMBER: 364813646
	VISIT DATE: 07/07/2021

NARRATIVE

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*All flooring was found to be clean and safe (Director states carpets are shampooed 3 times a year.
**Teacher/child ratio observed, care and supervision was discussed, 4 children's records were reviewed, parent board observed and fire drills are current ( done monthly). Fire extinguisher operable. A sprinkler system was observed.
*Storage containers for solid waste had tight-fitting covers that are kept on, and in good repair.
*First Aid and emergency supply bags/boxes were inventoried, a review of medication policy, including administering, labeling, and storage. *Telephone service, heating, lighting and ventilation were evaluated.
*Outdoor area and equipment was inspected for safety, cushioning material (rubber mulch), good repair and age appropriateness, LPA noted shade provided by a canopy and shady trees, and drinking water (from pitchers): There are no bodies of water on the premises.
*Isolation area is located in the front office along with the isolation bathroom
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 Director 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.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021

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: VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCARE	FACILITY NUMBER: 364813646
	VISIT DATE: 07/07/2021

NARRATIVE

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*Center was found to be operating within its specified ratio and capacity.
*Sign in and Out sheets were inspected.
A sampling of children’s files was reviewed and contained emergency contact information, 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.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies (in school office), 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.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021

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: VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCARE	FACILITY NUMBER: 364813646
	VISIT DATE: 07/07/2021

NARRATIVE

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4The 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)
Licensee is advised to visit www.shotsforschool.org for Immunization information.
Licensee was informed of responsibility to report suspected Child Abuse, 1-800-540-4000.
Licensee 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 deficiencies at today's inspection as it was deemed to be operating according to California Code of Regulations Title 22
Exit interview conducted with Licensee Lisa Baldwin. Licensee’s signature on this form acknowledges receipt of these rights.
A Confidential Names list (LIC 811) was provided during this inspection.
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. Copies of this report must be posted for 30 days in visible location the authorized representatives of children.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021

LIC809 (FAS) - (06/04)

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