364819503-3-15-2023-12-CC-KCAY-CPXRVZ-20230315132221

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364819503
Report Date: 03/15/2023
Date Signed: 03/15/2023 01:22:53 PM

Document Has Been Signed on 03/15/2023 01:22 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:	KIDS AND CARE PRESCHOOL AND DAY CARE CENTER		FACILITY NUMBER:	364819503
ADMINISTRATOR:	CLAUDIA VALENZUELA GARCIA		FACILITY TYPE:	840
ADDRESS:	9560 I AVE		TELEPHONE:	(760) 956-5000
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	14	CENSUS:	DATE:	03/15/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Katrina Henderson, Director		TIME COMPLETED:	01:30 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 March 15, 2023, Licensing Program Analyst (LPA) Kuliema Calloway arrived at the above facility and met with the Katrina Henderson, Director and conducted a Random Annual Inspection for school-age children in care. LPA toured and inspected the facility in accordance with the facility sketch. LPA observed no School Age Children upon arrival there were 52 Pre-K children in care and seven staff. There is one classroom for school aged (on the left hand side upon entry) and 24 enrolled school aged children. There were no school aged children present at the time of the visit. The facility also is licensed for Infant program (#364830159) and Preschool program (#364819502). The facility operates Monday through Friday from 6:00 AM to 6:30 PM. Incidental Medical Services (IMS) was discussed. Furniture and equipment were inspected for age appropriateness and good repair. Room is clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies with coat hooks for children's belongings. LPA observed age appropriate toys and materials. Drinking water is available inside the classroom in the form of a water dispenser and disposable cups. LPA observed staff interacting with the small children. The trash can have a lid. LPA inspected and observed one gender neutral bathroom. Toilet and sink are functioning properly and are age appropriate. LPA observed soap, toilet paper, seat covers and paper towels readily available. Water temperature is appropriate. Two children's records and two staff records were reviewed. The staff are certified in Pediatric CPR and First Aid which expire: 3/27/2023 and 9/12/2023. The required immunization's MMR, DTAP, Influenza, negative TB skin test, and Mandated Reporter training are current.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

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

FACILITY NAME: KIDS AND CARE PRESCHOOL AND DAY CARE CENTER	FACILITY NUMBER: 364819503
	VISIT DATE: 03/15/2023

NARRATIVE

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Additional forms review updates and a copy of Title 22 Regulations may be obtained at the department's website: www.ccld.ca.gov.
--Director was advised to visit www.shotsforschool.org for Immunization information.
--Director was informed of responsibility to report suspected Child Abuse, 1-800-827-8724
--Child Care Centers (Disaster Planning information): https://cccld.childcarevideos.org/child-care-center- operators/disaster-planning-and-fire-safety/
--Child Care Videos: https://ccld.childcarevideos.org
--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

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.

Children are inspected for illnesses (wellness policy) as they arrive. A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director and other administration staff administer medication and documents the dosage, date and time onto a log. Medication is brought and locked at the center (unless parent request daily return). Medication is properly labeled and stored in its original container. Medication is kept at the center until expiration date (given to parent or discarded through the Fire Department).

Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. The play area has sand and concrete. The area was observed to be free of debris. There is an area for rest and it is shaded. A water pitcher and disposable cups are brought outside during play. Play area was inspected and found to be free of hazards and inaccessibility to bodies of water. Separate playground schedule for school-age and preschool children. Bikes, basketball court, and teether ball court were present and in good repair.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

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

FACILITY NAME: KIDS AND CARE PRESCHOOL AND DAY CARE CENTER	FACILITY NUMBER: 364819503
	VISIT DATE: 03/15/2023

NARRATIVE

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There is a clean fully equipped kitchen (off limits) with refrigerator, freezer, stove, and microwave oven. The facility provides breakfast, lunch, snacks (afternoon, evening). Menu is posted in the classroom and front office. Allergy list is posted in the kitchen. LPA observed an appropriate amount of food and snacks, staff had just finished preparing lunch. The chemicals are kept separate from the food (inside the kitchen locked cabinet under sink).

Sign in and out sheets were reviewed. The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current. Roster is not current or available for LPA to review.

Teacher child ratios were observed for the Pre-K kids in care, and staff name recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. Staff were questioned to establish their familiarity of emergency reporting requirements, emergency disaster plans, and other site operations. Personal rights of children were discussed.

There is one deficiency cited during this inspection according to Title 22 Regulations. See 809 D page.

Consultation provided during the inspection. Exit Interview was conducted and a copy of this report and Notice of Site Visit were provided to Claudia Garcia, Program Owner.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/15/2023 01:22 PM - It Cannot Be Edited

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: KIDS AND CARE PRESCHOOL AND DAY CARE CENTER	FACILITY NUMBER: 364819503
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/15/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review , the licensee did not comply with the section cited above in water lead testing per Written Directive which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/14/2023
	Plan of Correction
1 2 3 4	Per the licensee, the facility has not been tested for lead contamination. Provide proof of lead testing to CCLD no later than the due date of 4/14/2023.

Type B

Section Cited

HSC

1596.841

This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/22/2023
	Plan of Correction
1 2 3 4	The Facility Director will provide an updated roster to the CCLD office no later than the due date of 3/22/2023.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

LIC809 (FAS) - (06/04)

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