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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844020
Report Date: 08/17/2022
Date Signed: 08/17/2022 04:14:09 PM


Document Has Been Signed on 08/17/2022 04:14 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'S CENTERFACILITY NUMBER:
364844020
ADMINISTRATOR:TERESA LANGDOFACILITY TYPE:
830
ADDRESS:4280 LINDERO STREETTELEPHONE:
(760) 868-6344
CITY:PHELANSTATE: CAZIP CODE:
92371
CAPACITY:8CENSUS: 3DATE:
08/17/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:07 PM
MET WITH:TERESA LANGDOTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Babatunde Ibitoye met with Child Care Facility (CCF) Director Teresa Langdo, today for the purpose of conducting an unannounced Required 1 Annual/Random inspection for the child care facility. CCF has an Infant component. There were 3 infant children, with 1 teachers available to providing care. Hours of operation are: Monday thru Friday (between 6:30 am – 5:30 pm). Note: facility has several components of Child Care (Infant, Pre school and School age)
DOCUMENTATION INSPECTION:

With director present, LPA reviewed records to verified accuracy:

1. Sampling of children's records (See LIC 857)
2. Sign In and Out sheets were inspected.(pro care App)
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: 05-08-2023)
7. Mandated Reporter Training (EXPIRES: 03-20-2020)
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: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2022
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'S CENTER
FACILITY NUMBER: 364844020
VISIT DATE: 08/17/2022
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INDOOR INSPECTION:
During today’s inspection, LPA toured the location. Observed teacher/child ratio, care and supervision. **Fire Extinguisher up to date and operable.
Infant class were inspected and LPA's noted a (2) sinks, (1) refrigerator . LPA's observed soap, paper towel . Tested water at a safe temperature .The classroom has a cubbies with children's names identified and cots. All flooring was found to be clean and safe
**(Director states Tiles are cleaned everyday. Disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were inaccessible to children and stored in kitchen locked cabinet. Trash cans/storage containers for solid waste were covered with tight-fitting tops that are kept on, and in good repair. *Snack/lunch menu’s, 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. Location had telephone service, heating/cooling, lighting and ventilation were evaluated. *First Aid supplies were discussed and inspected along with medication policy, including labeling, administering and appropriate storage in original container. A review of medication policy indicated prescription medications are administered with “parent's written permission”. Certified staff administers medications and documents: date, time and dosage onto a log. Medication brought and taken home by the parent daily.
*Incidental Medical Services (IMS) were discussed and location do not provide services.
*Children isolation area is located in the front office.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
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'S CENTER
FACILITY NUMBER: 364844020
VISIT DATE: 08/17/2022
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OUTDOOR INSPECTION
*Outdoor area and equipment inspected for safety, Grass material, good repair and age appropriateness, LPAs noted shade, and drinking water: No pool or bodies of water observed on the premises.

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
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.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
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'S CENTER
FACILITY NUMBER: 364844020
VISIT DATE: 08/17/2022
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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 LIC809D for documentation of deficiencies cited: None . LPA issued 1 Technical Assistance for expired Mandated Reporter Training. Mandated Reporter Training certificate on record expired 3/20/20

Notice of Site Visit has been posted (LIC9213). 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 Teresa Longdo. A copy of the Appeal Rights (LIC 9058) were given and explained. Director 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: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
LIC809 (FAS) - (06/04)
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