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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364819465
Report Date: 04/05/2023
Date Signed: 04/05/2023 03:30:40 PM


Document Has Been Signed on 04/05/2023 03:30 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:SBCUSD - HARMON PRESCHOOLFACILITY NUMBER:
364819465
ADMINISTRATOR:LATASHA KELLYFACILITY TYPE:
850
ADDRESS:4865 STATE STREETTELEPHONE:
(909) 730-3674
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY:72CENSUS: 35DATE:
04/05/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Lead Teacher, Maria RamosTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Maddox met with Lead Teacher, Maria Ramos in for the purpose of conducting an unannounced Required inspection. This program occupies Rm #'s 2, & 3. Teacher/Child ratio's were observed: Rm#2 - 20C/3 Staff; Rm #3 - 15 C/3 Staff; LPA toured both classrooms and the outside play area. This site has two sessions (morning and afternoon session). The hours of operation for this site range from 8:00 am to 8:15 am and dismal begins at 11:00 to 11:30 am for the morning session and for the afternoon session 12:00 to 12:30 pm for arrivals to 3:00 pm to 3:15 dismissals. Due to half day sessions, children do not nap at this site. Staff are fingerprinted through San Bernardino School District, staff files are also kept at the District Office. There is a waiver on file for swimming pool located within the same building which is not immediately accessible to children. There is an indoor and outdoor play area for children.
**LPA observed age appropriate furniture, equipment, toys and materials. The classrooms were observed to be clean and free of any Health or safety hazards. 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 fountain. Lead Testing was conducted on 2/24/23 all levels were within acceptable limits, less than 5 ppb.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 04/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/05/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4


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: SBCUSD - HARMON PRESCHOOL
FACILITY NUMBER: 364819465
VISIT DATE: 04/05/2023
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**The children's bathrooms are located within the building, there is a bathroom for classroom #3 that has 2 toilets/2 sinks/1 urinal; LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and paper towels readily available. All toilets and sinks were functioning properly during this inspection.

**Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Outside Drinking water is available in the form of a water fountain. There is now rubber matting underneath jungle gym. The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area.

**Each classroom has a Parent Board with required licensing forms. A sampling of Children's records were reviewed as part of this inspection. Center utilizes IPads for signatures. LPA observed a fully stocked first aid kit; fully charged fire extinguishers; carbon monoxide detectors throughout the center. Fire Drill/Earthquake log is posted. Staff are certified in Pediatric CPR and First Aid (exp 8/2023).



**Center serves free breakfast for AM sessions and lunch for PM classes delivered daily from the school cafeteria. Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children were stored and inaccessible to children.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: SBCUSD - HARMON PRESCHOOL
FACILITY NUMBER: 364819465
VISIT DATE: 04/05/2023
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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, Center is operating in accordance to Title 22 Regulations. 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: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4