364840755-2-13-2023-12-CC-DMAX-CNZQFM-20230213110810

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364840755
Report Date: 02/08/2023
Date Signed: 02/13/2023 11:08:51 AM

Document Has Been Signed on 02/13/2023 11:08 AM - 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:	FUNDAMENTALS PRESCHOOL ACADEMY, THE		FACILITY NUMBER:	364840755
ADMINISTRATOR:	EVELYN CHINCHILLA		FACILITY TYPE:	840
ADDRESS:	2424 KENDALL DRIVE		TELEPHONE:	(909) 887-1150
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92407
CAPACITY: 61	TOTAL ENROLLED CHILDREN: 61	CENSUS: 0	DATE:	02/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Director, Evelyn Chinchilla		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	Licensing Program Analyst (LPA) Maddox met with Center Director, Evelyn Chinchilla, today for the purpose of conducting an unannounced Annual/Random inspection for the School age program. There were no SA children present during this inspection. Center utilized 1 classroom in the main building and there are additional modulars in the rear of the center designated for SA children. There's a waiver on file for an alternative schedule for the school age children to share the playground with preschool children. This center also has a licensed Infant Component (364841490 - Not in use at this time) and Preschool component (364817412). Each component maintains a physical separation. The hours of operation: Monday through Saturday 6:30AM - 9:00PM. LPA reviewed a sampling of staff and children files as part of this inspection (Names recorded on LIC 859 dated 11/17/21). LPA toured and inspected the classroom designated for the SA program. LPA observed age appropriate furniture, equipment, toys and materials. 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 and along the far wall. Drinking water is available inside the classroom in the form of pitchers and disposable cups.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

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 6

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: FUNDAMENTALS PRESCHOOL ACADEMY, THE	FACILITY NUMBER: 364840755
	VISIT DATE: 02/08/2023

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
26
27
28
29
30
31
32

*The children's bathrooms (2 separate bathrooms, each with 1 toilet and 1 sink) are located in the classroom area.

The staff rest-room located in the hallway area near the entrance of the center, bathroom is marked as Staff Bathroom and also designated as the isolation bathroom. 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
LPA verified there is at least 1 staff person present with current CPR and First Aid training (exp. 3/2023).
*Snack/lunch menus, Allergy list were reviewed and posted. Food and snacks were reviewed for availability, quantity, proper storage, and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. (1 freezer 1 refrigerator, sink, stove/oven).
*Disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were inaccessible to children and stored in bathroom in a high cabinet.
*All flooring was found to be clean and safe (Director states carpets and floors were cleaned everyday by a contracted cleaning company. Parent board has all the required forms and fire/disaster drills are current.
*LPA observed fully charged Fire extinguishers throughout the center and hard wired smoke detectors and carbon monoxide were operable.
*Trash cans/storage containers for solid waste had tight-fitting covers that are kept on, and in good repair.

*First Aid supplies were inventoried, a review of medication policy, including administering, labeling, and storage.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

LIC809 (FAS) - (06/04)

Page: 6 of 6

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: FUNDAMENTALS PRESCHOOL ACADEMY, THE	FACILITY NUMBER: 364840755
	VISIT DATE: 02/08/2023

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
26
27
28
29
30
31
32

*Telephone service, heating, lighting and ventilation were evaluated.

*Outdoor area and equipment was inspected for safety, cushioning material, good repair and age appropriateness, LPAs noted shade, and drinking water: There are no bodies of water on the premises.

*Isolation area is located in the front office the children get to use the adjacent staff staff bathrooms.

ADMINISTRATION:

*Director is aware that the Department has full inspection authority as specified in Health and Safety Code 1596.852, 1596.853, and 1596.535.

*LPA verified staff present have fingerprint clearances and associated.

A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director administers medication and documents the dosage, date and time onto a log. Medication brought and taken home by the parent daily. Medication is properly labeled and stored in its original container.

*Sign in and Out sheets were inspected.

A sampling of children’s and staff files were reviewed today for completeness.

***Center maintains a Physical separation for each component (101438.3)
Licensee is advised for quarterly updates to contact the Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

LIC809 (FAS) - (06/04)

Page: 4 of 6

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: FUNDAMENTALS PRESCHOOL ACADEMY, THE	FACILITY NUMBER: 364840755
	VISIT DATE: 02/08/2023

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
26
27
28
29
30
31
32

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 Centers and ADA, available at: http://www.ada.gov/childqanda.htm

The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in visible location the authorized representatives of children.

Exit interview conducted with Licensee Evelyn Chinchilla, and a copy of the signed report left at facility

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

LIC809 (FAS) - (06/04)

Page: 5 of 6