367750010-6-14-2023-12-CC-KCAY-CSSQZ8-20230614123619

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367750010
Report Date: 06/14/2023
Date Signed: 06/14/2023 01:20:49 PM

Document Has Been Signed on 06/14/2023 01:20 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:	ADVENTUROUS LEARNING GROUP, INC		FACILITY NUMBER:	367750010
ADMINISTRATOR:	ERIKA, SALTZMAN		FACILITY TYPE:	840
ADDRESS:	15011 BEAR VALLEY		TELEPHONE:	(760) 948-5500
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	10	CENSUS:	DATE:	06/14/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:49 AM
MET WITH:	Erika Saltzman, Director		TIME COMPLETED:	12:30 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 June 14, 2023, Licensing Program Analyst (LPA), Calloway made an unannounced inspection visit to the above facility. The purpose of visit was to conduct a Required Annual Inspection. LPA met with the Director who granted access and toured the facility with the Director inside and outside. Upon arrival, LPA observed nine (9) school aged children and one (1) staff member. LPA observed parent boards with the required postings, fire/earthquake drills current, sign in and out sheets (electronic) and facility roster are current. First Aid Kit, smoke alarm, carbon monoxide detectors (tested, operable), and fire extinguisher (several, all full/green). Per Director, children are inspected for illnesses (wellness policy) as they arrive. There is a separate area for isolation and care of ill children at the entrance on a chair near the Director’s desk or parent pick up. Physical Plant: There is one (1) classroom (right upon entry) with furniture and equipment are age appropriate and in good repair. Room is clean and safe. Telephone service (telephone in room) were verified. Heating, lighting, and ventilation are adequate. There are cubbies (labelled) for children's belongings in the classroom. LPA observed age-appropriate materials. Drinking water is available inside the classroom with filtered water dispenser and disposable cups.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

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

FACILITY NAME: ADVENTUROUS LEARNING GROUP, INC	FACILITY NUMBER: 367750010
	VISIT DATE: 06/14/2023

NARRATIVE

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Bathroom: Down the hall (2^nd door right) inspected and observed 1 clean bathroom with 1 toilet, 1 sink (boys and girls utilize the restroom individually). Toilets and sinks (working). Soap, toilet paper, and paper towels available.
Kitchen: (off limits, locked) No stove or sink. Equipped with microwave, refrigerator/freezer and pantry. Chemicals (locked) and snack food are kept on the shelves. Center provides AM, PM and evening snack, 2 lunches a week, 1 paid lunch (optional). Children bring own lunch 2 days a week. Menus are posted in the lobby, school age classroom and kitchen. Allergy lists are posted in kitchen and classroom. LPA observed an appropriate amount of food during the inspection. Expiration dates verified.
Ratios: Teacher child ratios were observed. Care and supervision were observed while teachers interacted with the children. Children's and staff records were reviewed. Trainings for staff are current for Mandated Reporter CPR/First Aid were not current, immunizations were current.
Outside: Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age-appropriate toys, bikes, for play. The play area has sand, cushion material, and concrete. The area was observed to be free of debris. There is an area for shade and rest. Igloo and Dixie cups brought outside during play. Play area was inspected and found to be free of hazards and inaccessibility to bodies of water. Play area used separate time from Pre school children.
Unusual incidents should be reported to licensing withing 24 hours of the occurrence with LIC 624B form. On duty worker is available, Monday through Friday 8:00 AM to 5:00 PM for reporting and questions. Lead Water testing was discussed. Mandated reporter training is renewed every two (2) years at www.mandatedreporterca.com.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

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: ADVENTUROUS LEARNING GROUP, INC	FACILITY NUMBER: 367750010
	VISIT DATE: 06/14/2023

NARRATIVE

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This facility does not provides Incidental Medical Services - IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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.
http://www.ada.gov/childqanda.htmSafe Sleep in Child Care: Resources can be found on our website at http://www.cdss.ga.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep
Lead Poisoning: For more information, go to the California Childhood Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb,or call them at (510) 620-5600.
Applicant advised visit www.shotsforschool.org for Immunization information.
Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov. Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links. Put your email address and choose which program(s) you would like to subscribe to and click “subscribe”.
There are deficiencies were cited during this inspection. Per Title 22 Regulations, See 809 D pages.

Exit interview was conducted. A copy of this report was read and left with Erika Saltzman, Director at the facility.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/14/2023 01:20 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: ADVENTUROUS LEARNING GROUP, INC	FACILITY NUMBER: 367750010
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in two out of two staff member S1 and S2 did not have required training which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/21/2023
	Plan of Correction
1 2 3 4	Director and Teacher will provide proof of training to LIcensing no later than POC date of 6/21/2023.

Type B

Section Cited

CCR

101215.1(m)

Child Care Center Director Qualifications and Duties

(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in one out oof one staff did not have required training which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/21/2023
	Plan of Correction
1 2 3 4	Director will provide proof of training to Licensing by POC date of 6/21/23.

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: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

LIC809 (FAS) - (06/04)

Page: 4 of 5

Document Has Been Signed on 06/14/2023 01:20 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: ADVENTUROUS LEARNING GROUP, INC	FACILITY NUMBER: 367750010
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216(f)

Personnel Requirements

(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in two out of two staff member S1 and S2 did not have required training which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/21/2023
	Plan of Correction
1 2 3 4	Director and Teacher will provide proof of training to Licensing no later than POC date of 6/21/23.

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: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema Calloway	TELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

LIC809 (FAS) - (06/04)

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