364843657-3-21-2022-12-CC-LTMR-CCQR3A-20220321123936

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364843657
Report Date: 03/21/2022
Date Signed: 03/21/2022 12:39:46 PM

Document Has Been Signed on 03/21/2022 12:39 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:	KIDS & CARE PRESCHOOL & CHILD CARE CENTER		FACILITY NUMBER:	364843657
ADMINISTRATOR:	LUZ MARISOL VALENZUELA		FACILITY TYPE:	840
ADDRESS:	10662 MAPPLE AVENUE		TELEPHONE:	(760) 956-2000
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	14	CENSUS: 7	DATE:	03/21/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:36 AM
MET WITH:	Luz Marisol Valenzuela		TIME COMPLETED:	12:55 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) Thompson-Miller met with the facility Director, Luz Marisol Valenzuela and conducted a One Year Required Annual Inspection for School-Age children in care. LPA toured and inspected the facility in accordance with the facility sketch. Upon arrival there were 7 children, one teacher and the Director on the premises. There is one classroom. The facility also is licensed for Infant program (#364843655) and Preschool program (#364843656). The facility operates Monday through Friday from 6:00 am to 6:30 pm. Incidental Medical Services (IMS) were discussed. Indoor/Children's Area: Child care center is clean, safe, sanitary and in good repair; all outdoor and indoor passageways, stair ways, incline, ramps, open porches and other areas of potential hazard are kept free of obstruction; floor of the room have a surface that is safe and clean, cleaning compounds inaccessible, no poisons on the premises, furniture/equipment is good condition, free of flies, other insects, rodents; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate, each child has an individual permanent or portable storage space for his/her clothing, personal belongings. Trash cans for solid waste have tight fitting lids, drinking water is readily available indoors and outdoors (disposable cup). All materials and surfaces are toxic free, window screens in good repair and free of debris. There is a working Carbon monoxide detector, smoke detector and Fire Extinguisher (2A10BC). There is two toilets and two hand washing sink in safe and sanitary operating condition, working telephone service on the premises. There is an isolation area for children who become ill while in care located at the lobby, facility maintains a comfortable temperature at all times, first aid supplies (thermometer, bandages, scissors), sign in/out sheets available and completed daily (also on the APP (ProCare). Smoking prohibited on the premises, daily inspection for illness, no prohibited child care items observed. Firearms/weapons are not allowed or stored on premises. There is no body of water on the premises. Indoor/outdoor activity space is physically separated from infant and preschool children; meals (snacks) provided before/after school; Child Record reviewed and complete.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

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: KIDS & CARE PRESCHOOL & CHILD CARE CENTER	FACILITY NUMBER: 364843657
	VISIT DATE: 03/21/2022

NARRATIVE

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Napping
Children do not nap. Cots used are maintained in good condition, at least ¾ inch thick, wiped/cleaned/disinfected weekly or when needed, no contact with other children bedding. There is an area for rest, relaxation and play.

Restrooms
LPA inspected and observed one clean bathroom. Toilet (two) and sink (two) is functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Water temperature is appropriate.
Toilet/sink safe and sanitary, warm water available. Common towels or washcloths are prohibited. LPA observed paper towel and soap dispenser available for the children.

Outdoor
Outdoor play equipment was inspected for health, safety, cushioning material (sand, wood chips, artificial grass), good repair and age appropriateness. The play area has a walking trail (bike). The area was observed to be free of debris, holes, free of hazardous items, broken items, dry grass. Fence surrounding outdoor area, air conditioning equipment, water heaters, fuse boxes inaccessible. There is an area for shade and rest. Children's water bottles are brought outside during play time or the children bring their own individual water bottle. Play area was inspected and found to be inaccessible to bodies of water. There are video cameras in the classroom and exterior of the school for added security monitoring. Each classroom has a binder that includes activities (attendance, daily health check, environment checklist, medical consent form, child report-incident, sickness, accident, meal count, head count sheet and lesson plan).

Health Related Services
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 (licensing medication form- LIC9221 - also used). The Director administers medication and documents the dosage, date and time onto a log. Medication can be brought and taken home by the parent daily. Medication is properly labeled and stored in its original container. There is a separate area for isolation and care of ill children at the entrance lobby.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

LIC809 (FAS) - (06/04)

Page: 2 of 5

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: KIDS & CARE PRESCHOOL & CHILD CARE CENTER	FACILITY NUMBER: 364843657
	VISIT DATE: 03/21/2022

NARRATIVE

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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

Food Service
There is a kitchen area (door kept locked). Chemicals (locked) and food are kept in separate cabinets. The center provides breakfast, lunch and AM/PM snack. Menus are posted in the lobby and kitchen, menu posted one week or more in advance. Allergy lists are posted in kitchen and classroom. LPA observed an appropriate amount of food during the inspection (one large each commercial refrigerator and freezer). Facility food is safe, stored, prepared and served in a safe manner; kitchen, food preparation and storage areas are clean; dishes and utensils are clean and sanitized. Food preparation area is not being used for play activities or napping; food and beverages stored in covered containers at 45 degrees or less, no food damaged containers were observed.

Staff/Personnel Records
LPA reviewed files for staff Qualifications, immunization, licensing forms (LIC9108, Mandated Reporter, LIC508, LIC308). Director and Teacher are qualified, Designation of Responsibility observed, Immunization, TB clearance, health screening, criminal record statement, statement acknowledging suspected child abuse and mandated reporter were observed in file.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

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: KIDS & CARE PRESCHOOL & CHILD CARE CENTER	FACILITY NUMBER: 364843657
	VISIT DATE: 03/21/2022

NARRATIVE

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Staff files were reviewed and documented. Medication – all medications are stored with child’s name and date. Sign in/out sheets are complete.

Facility Records: LPA observed the Roster to be complete and current, staff has current CPR/First Aid expire 09/12/2023, fire and earthquake drills are conducted monthly, mandated report (expire 11/04/23 ) were reviewed.

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.

Documents Provided and or Discussed
Lead Flyer Requirement, forms and records to keep at the facility and IMS.

Advisory/Other: First Aid kit was observed with supplies (thermometer) readily available. Electrical outlets are inaccessible, there are no recalled and or prohibited toys or sleep/play equipment observed on the premises. There are no window cords accessible to children. Child nap on cots.

Director advised of the requirement to report Unusual Incidents. Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: KIDS & CARE PRESCHOOL & CHILD CARE CENTER	FACILITY NUMBER: 364843657
	VISIT DATE: 03/21/2022

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 Director 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.

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.

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.

Posting Requirements
The following were observed posted as required: , Personal Rights (LIC613A), Parent’s Rights Poster (PUB 393L), menu, car seat law (PUB 269), emergency disaster plan, earthquake preparedness checklist and lead poison.

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

No deficiency. The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.

Exit interview conducted and report was reviewed with Director Luz Marisol Valenzuela. This report was read and provided to Director Luz Marisol Valenzuela on this date.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

LIC809 (FAS) - (06/04)

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