364840540-11-22-2022-12-CC-KZIS-CLF27U-20221122160920

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364840540
Report Date: 11/22/2022
Date Signed: 11/22/2022 04:09:34 PM

Document Has Been Signed on 11/22/2022 04:09 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:	MC DONALD LEARNING CENTER		FACILITY NUMBER:	364840540
ADMINISTRATOR:	LILIA VOLLAIRE		FACILITY TYPE:	840
ADDRESS:	1017 HOLDEN AVENUE		TELEPHONE:	(909) 585-6848
CITY:	BIG BEAR CITY	STATE: CA	ZIP CODE:	92314
CAPACITY:	28	CENSUS: 21	DATE:	11/22/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:01 AM
MET WITH:	Facility Representative Lisa Burtner		TIME COMPLETED:	03:00 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 November 22, 2022 at 11:01am Licensing Program Analyst (LPA) Zirbes met with the Facility Representative Lisa Burtner. The purpose of the inspection was to conduct an unannounced required one year inspection. During the inspection, LPA toured and inspected the school age program in accordance with the facility sketch. At the time of this inspection there were 21 school age children at the facility with one teacher and one aide providing supervision. The school age area consists of two classrooms (Monkey and Elephant), two bathrooms, and a outdoor space. The center also operates a Infant Center (#364815208) and Preschool Program (#364815206). The center operates Monday through Friday 7:00am -6:00pm, Monday through Friday. Indoor/Children's Area: Indoor activity space for school age children is physically separate from space used by children in the preschool and infant center components. School age center is equipped with appropriate furniture and equipment. LPA observed tables and chairs, games, books and art supplies. Furniture is maintained in good repair and safe condition (age appropriate). Drinking water is available inside the classroom via individual cups and a pitchers of water. Each school age child has an individual cubbies labeled with their name for the storage of personal items. All chemicals and cleaning materials are stored in a locked cabinet in the kitchen. The Center does not have a fireplace. The building has central heating. The room temperature was comfortable at the time of this inspection. LPA observed the carbon monoxide, and smoke detector in working condition. There is a working telephone on the premises. The Fire extinguisher was serviced in June 2022 and the last document emergency drill was conduced on October 2022. There is an isolation area for ill children. The Center has a first aid kit. LPA observed electronic sign in/out sheets. Per conversation with the facility representative, the facility staff sign the children in and out following pick up and drop off from school. No smoking is allowed on the premises. The bathroom utilized by the school age children was in safe and sanitary operating condition at the time of this inspection. 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: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

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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Document Has Been Signed on 11/22/2022 04:09 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: MC DONALD LEARNING CENTER	FACILITY NUMBER: 364840540
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/22/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101221(b)(8)

Child's Records

(b) Each record shall contain information including, but not limited to, the following: (8) Medical assessment, including ambulatory status as specified in Section 101220, and the following health information: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in four of nine child files which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/14/2022
	Plan of Correction
1 2 3 4	Per facility representative, the files will be updated. The center is conducting monthly audits of the child files and will ensure the medical assessment is included.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

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

FACILITY NAME: MC DONALD LEARNING CENTER	FACILITY NUMBER: 364840540
	VISIT DATE: 11/22/2022

NARRATIVE

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Report continued from page one

Children are inspected for illnesses (wellness policy) as they arrive. Per facility representative at this time zero medications are provided to the school age children. If medications were are administered they would be provided only with parent's written permission and a doctor's note. Staff document when the medication is administered. Facility was advised that the medication must be properly labeled and stored in its original container. All medications are stored in a locked cabinet within the staff bathroom.

Napping: At the time of this inspection, zero school age children nap at the center. Quite time is provided.

Meals are provided by the individual families and each child food is in labeled lunch boxes. The facility provides snacks.

Child File Review: LPA reviewed a total of nine school age files. Four of the nine school age files reviewed were missing the physicians report/medical assessment. Therefore a type B citation was issued for regulation 101221(b)(8). Refer to LIC 809D

Staff Files: LPA reviewed three staff files. All staff files contained the required information (Qualifications, immunization, licensing forms (LIC9108, Mandated Reporter, LIC508, LIC308).

Facility Records: LPA observed the Roster to be complete and current. The Administrator and additional staff have current CPR/First Aid with an expiration of 09/05/2024.

Posting Requirements: Center has required posting posted (license, PUB 393, LIC610, car seat law information).

Outdoor: Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Outside area is completely fenced. A approved waiver is on file regarding the outdoor space. LPA observed a basketball hoop, multiple balls, climbing equipment and swings placed on sand. Trees provide a shaded in the outdoor area. Pitchers and cups are brought outside by the teachers.
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: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

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

FACILITY NAME: MC DONALD LEARNING CENTER	FACILITY NUMBER: 364840540
	VISIT DATE: 11/22/2022

NARRATIVE

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Report continued from page two

Food Service: There is a kitchen area used by all three components The kitchen is inaccessible to the children via a child safety gate. Chemicals were located in a locked cabinet and were separate from the food cabinets. Based on LPA observation today, the food was prepared and served in a safe manner. Menus were posted in the lobby and kitchen. Allergy lists are posted in kitchen. LPA observed an appropriate amount of food and snacks for children during the inspection.

Transportation: The facility does not provide transportation.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

LPA reviewed with Administrator the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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

Director 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.

Report continued on page four

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

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

FACILITY NAME: MC DONALD LEARNING CENTER	FACILITY NUMBER: 364840540
	VISIT DATE: 11/22/2022

NARRATIVE

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Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The licensee/Applicant shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of family child care 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.

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/process.

Based on LPA observations and file review, one type B citation was issued today regarding child files. Refer to LIC 809D for further information.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Lisa Burtner.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

LIC809 (FAS) - (06/04)

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