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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364840539
Report Date: 09/20/2022
Date Signed: 09/20/2022 02:53:24 PM


Document Has Been Signed on 09/20/2022 02:53 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:LILLY BUG'S CHILDREN CENTERFACILITY NUMBER:
364840539
ADMINISTRATOR:LANGDO, TERESAFACILITY TYPE:
840
ADDRESS:4280 LINDERO STREETTELEPHONE:
(760) 868-6344
CITY:PHELANSTATE: CAZIP CODE:
92371
CAPACITY:14CENSUS: 5DATE:
09/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:54 PM
MET WITH:ROMERO ANNETTETIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) Ibitoye met with Child Care Facility (CCF) Licensee Romero Annette and Director Langdo Teresa, today for the purpose of conducting a Required 1 year unannounced Annual inspection for the child care facility School age. CCF has Infant, Pre School and School age component. There were 5 school age children present, with 1 staff's providing care. Hours of operation are: Monday thru Friday (between 6:00 am – 6:00 pm).Licensee led LPA on a tour of the center 2 classrooms (2 classrooms are designated for Pre-school; 1 classroom for School age component; and 1 classroom for Infants) bathrooms; outside play area. Waiver on file for middle classroom - during the day while school age children are away at school, this classroom is shared with Preschool children. When school-age children return, Pre-school children utilize the main classroom.

DOCUMENTATION INSPECTION:
LPA reviewed records to verified accuracy:
1. Sampling of children's records (See LIC 857)
2. Sign In and Out sheets were inspected.
3. Emergency contact information observed
4. Parent board observed
5. Staff personnel files reviewed for educational and certification. (See LIC 859 )
6. Pediatric CPR and First Aid training for one staff (EXPIRES: 09-17-2024)
7. Mandated Reporter Training (EXPIRES: 11-22-2023)
8. Emergency Fire Drills were current and up to date
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2022
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: LILLY BUG'S CHILDREN CENTER
FACILITY NUMBER: 364840539
VISIT DATE: 09/20/2022
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*LPA observed age appropriate furniture, equipment, toys and materials. Both classrooms were observed to be clean and safe 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 with storage buckets. Drinking water is available inside the classroom in the form of a water cooler and disposable cups.

**There are 2 separate bathrooms that provide individual privacy for school age children. LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and paper towels readily available. Toilets and sinks are functioning properly and age appropriate.

***Children's bedding and linens are kept in the storage room in large hanging sacks, bedding and linens are individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. Bedding and linens are laundered weekly and as needed. All flooring and carpets were inspected for cleanliness, and in good repair.
**Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes wood and rubber chips under climbing structures for cushioning material. Outside play area had adequate and sufficient shade available. Large play equipment and climbing structures are securely anchored (swing set and 2 large climbing structures). The area was observed to be free of debris. Staff bring water outside for children (water bottle). There are no bodies of water observed on the premises . The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area.

**Food preparation area/Kitchen was inspected for safety, cleanliness, proper equipment & protection against contamination and storage. parent bring breakfast and lunch Center serves snacks, menus observed and posted. 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: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
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: LILLY BUG'S CHILDREN CENTER
FACILITY NUMBER: 364840539
VISIT DATE: 09/20/2022
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  • **The Parent Board (located in the main entrance area) contained all documents that are required to be posted according to Title 22 Regulations. A sampling of Children's and Staff records were reviewed as part of this inspection. Staff are certified in Pediatric CPR and First Aid (exp 09/17/24).
  • Sign in and out sheets The center use procare app,. LPA observed a fully stocked first aid kit; fully charged fire extinguishers; carbon monoxide detectors throughout the center. Fire Drill/Earthquake log is observed.
  • Children and staff records were reviewed as part of this inspection, children's files contain required documents, staff files reveal fingerprint clearances, immunization's, and copy of certificate for Mandated Child Abuse Reporting Training.
  • 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

ADMINISTRATION:
Staff is aware the Department has “full inspection authority” per Health and Safety Code 1596.852, 1596.853, and 1596.535. *There were no excluded individuals present;
**All staff present received fingerprint cleared and associated,
LPA discussed the following:
Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: LILLY BUG'S CHILDREN CENTER
FACILITY NUMBER: 364840539
VISIT DATE: 09/20/2022
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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.

The following deficiencies are being cited in accordance to Title 22 of the California Code of Regulations and/or Health & Safety codes. Please refer to LIC 809 D for documentation of deficiencies cited: None.

Notice of Site Visit has been posted (LIC 9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted with Director LANGDO TERESA. 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 YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
LIC809 (FAS) - (06/04)
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