364813646-1-25-2024-12-CC-KZIS-CZTVUX-20240125154527

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364813646
Report Date: 01/25/2024
Date Signed: 01/25/2024 03:45:40 PM

Document Has Been Signed on 01/25/2024 03:45 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
PALMDALE CHILD CARE, 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: 30	DATE:	01/25/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Administrator Lisa Baldwin		TIME COMPLETED:	12:30 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	On January 25, 2024, Licensing Program Analyst (LPA) Zirbes met with the Administrator Lisa Baldwin for the purpose of conducting an unannounced required one year inspection. LPA toured and inspected the facility in accordance with the facility sketch. There were 30 preschool age children, three teachers, two aides, and administrative staff on site. Based on LPAs observation the facility was meeting the capacity/ratio requirements during this inspection. The preschool program is operated out of three classrooms (Classroom B1, 3-4 year old children, Classroom B2, 2-3 year old children, Classroom B3 - Pre K). The center is located on Valley Community Chapel Campus. Therefore the Center utilizes the Valley Community Chapel's kitchen, office spaces and staff bathrooms located in the Social Hall. The center also operates a School Age Program (364818052). The facility operates Monday through Friday 6:00am -6:00pm. Indoor/Children's Area: Child care center was observed to be clean, safe, sanitary and in good repair; all outdoor and indoor passageways, stair ways, incline, ramps, open porches and other areas of potential hazard are kept free of obstruction; floors of all rooms have a surface that is safe and clean. Cleaning compounds were stored in key locked cabinets in each classroom or a cabinet equipped with a child safety lock. Per Licensee, zero poisons are stored within the preschool. LPA observed the furniture/equipment was in good condition. Classrooms were free of flies, other insects and rodents. The classrooms had tables and chairs to meet the children's needs. LPA observed the Center has a variety of art supplies, dramatic play equipment, blocks, books, social emotional areas, libraries and a wide variety of additional educational materials. Children's belongings are kept in cubbies labeled with the children's names. Trash cans for solid waste have tight fitting lids. Drinking water is readily available indoors via personal water bottles provided by the authorized representatives and water coolers/cups. All materials and surfaces are toxic free, window screens are in good repair and free of debris. There are carbon monoxide detectors, smoke detectors, a fire sprinkler system and multiple fire extinguishers located throughout the Center. There was working telephone service within the preschool. Report continued on page two

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCARE	FACILITY NUMBER: 364813646
	VISIT DATE: 01/25/2024

NARRATIVE

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Report continued from page one
There is an isolation area for children who become ill. The facility maintains a comfortable temperature at all times. LPA observed the centers electronic sign in/out sheets, which are completed daily. Smoking is prohibited on the premises. Teachers conduct daily inspection for illnesses. LPA did not observe prohibited childcare items during this inspection. Firearms/weapons are not allowed or stored on premises. LPA did not observe bodies of water on the premises.

Restrooms: The Center has a total of two children restrooms and a diaper changing area located in classroom B2. One restroom was equipped with two toilets and two sinks, the other restroom was equipped with one toilet, one urinal and one sink. Restrooms were observed to be in safe and sanitary operating condition. Toilets and sinks are functioning properly and are age appropriate. Paper towels and soap were available to the children.
Meals: The Center provides three snacks a day. The snacks are stored in each classroom. Menus were posted in the classrooms. Each family provides lunch for their child. Snacks are prepared in the kitchen located in the off limits social hall.
Napping: Cots are utilized and were observed to be in good condition. LPA observed the children's blankets/sheets are stored in a manner that does not allow different children's bedding to come into contact with each other. Classroom B1 is the designated sleeping area for the Center.
Outdoor
LPA inspected the outdoor play space for health, safety, cushioning material, good repair and age appropriateness. The Center has three outdoor play spaces. All outdoor spaces are enclosed by a fence. The climbing structures were placed on a combination of recycled rubber and sand. The climbing structures were anchored to the ground. An approved waiver is on file allowing for the school age and preschool components to share playground space and co-mingle. While engaged in outdoor play, water is readily available via personal water bottles provided by the authorized representatives and water coolers/cups and a drinking fountain.
Child/Personnel Records
LPA reviewed five child records and four personnel files during this inspection. Per LPAs review child records were complete and contained all required information. One of four personnel records did not complete the required two year renewal as required. A technical advisory notice was issued, reminding the Center that Mandated Reporter training had to be renewed every two years. Report continued on page three

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCARE	FACILITY NUMBER: 364813646
	VISIT DATE: 01/25/2024

NARRATIVE

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Report continued from page two

Facility Records
LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility. LPA observed a disaster drill log (last drill completed in November 2023), sign in/out records. The Center had the required lead testing completed in 1.25.23.

Incidental Medical Services: This facility provides Incidental Medical Services – IMS. 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 Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Posting Requirements
The following were observed posted as required: facility license, waivers, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 393L), menu, car seat law (PUB 269), emergency disaster plan.

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 center, and to privately interview children or staff, to determine compliance with or to prevent violations of laws 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.

Facility representative was advised of the requirement to report Unusual Incidents. Facility representative was informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address: 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 center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The On-Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm. Report continued

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCARE	FACILITY NUMBER: 364813646
	VISIT DATE: 01/25/2024

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Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

As a result of this inspection, one advisory notice was issued.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. 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/inspection-process.

A 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. Exit interview conducted and report was reviewed with the facility representative, Lisa Baldwin.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024

LIC809 (FAS) - (06/04)

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