367750020-12-8-2021-12-CC-LTMR-C9HUXU-20211208145854

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367750020
Report Date: 12/08/2021
Date Signed: 12/08/2021 02:59:00 PM

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:	JUST 4 TODDLERS PRESCHOOL		FACILITY NUMBER:	367750020
ADMINISTRATOR:	MEZA, LINDA		FACILITY TYPE:	830
ADDRESS:	15400 RANCHERO ROAD		TELEPHONE:	(760) 244-4600
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	8	CENSUS: 5	DATE:	12/08/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:59 AM
MET WITH:	Jennifer Morris		TIME COMPLETED:	03:15 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 Jennifer Morris and conducted a Required One Year inspection. LPA toured and inspected the Infant area accordance with the facility sketch. LPA observed 5 infants upon arrival. There were 2 teachers on the premises and the director. The facility consists of one classroom. Center also licensed for a pre-school center in the same building (367750019). The facility operates from 6:00am to 6:30pm. Monday through Friday. Incidental Medical Services (IMS) policy was discussed. Indoor/Infant Area: The center is clean, safe, sanitary and in good repair, there are no potential hazardous areas observed (passageways), floors are clean and safe, cleaning compounds are inaccessible, poisons locked, furniture and equipment in good condition, free of sharp, loose or pointed parts, including cribs, cots, changing table and feeding chairs, no insects or flies observed, play equipment are age appropriate. Each infant has own cubby, trash cans have tight fitting lids, drinking water (individual cup-labeled), no toxic materials observed, no fireplace, window screens in good repair. LPA observed the carbon monoxide, Fire Extinguisher and smoke detector in working condition. There is a working telephone on the premises, isolation area for ill infant at the office area, room temperature is comfortable, First Aid Kit observed, sign in/out observed (electronic), COVID-19 protocol observed (temperature check), no smoking on the premises. There are no prohibited play equipment on the premises. The facility has sufficient indoor activity space for infants that is physically separate from the preschool.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021

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: JUST 4 TODDLERS PRESCHOOL	FACILITY NUMBER: 367750020
	VISIT DATE: 12/08/2021

NARRATIVE

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Physical Plant: There are no bodies of water on the premises. No firearms on the premises. Disinfectants, cleaning solutions, poisons and other items that are dangerous to infant are inaccessible (top cabinet). LPA observed fire extinguisher (2A10BC) and smoke detectors are in operable condition. The facility has one or more carbon monoxide detectors that meet statutory requirements. The changing table is within arm's reach of the sink.
Napping: LPA observed cots in safe condition, cribs are in regulation (meets the requirements of 101439.1(a)-(f), no pillows, crib bumpers, loose bedding), sanitize after each use, cots spaced to have access to a safe walkway, bedding is not in contact with other bedding.

Restrooms: Not for infants.
Outdoor: Center has a shaded area, play ground free from hazards and debris, play structure has cushioning material (grass). The surface of the outdoor activity space is maintained in a safe condition and free of hazards. There are no high climbing equipment, swings, slides on the premises for infants.

Health Related Services: Medications when used are inaccessible to children (locked in kitchen refrigerator), child name and date on medication, parent written consent as required.

Food Service: Food prepared and served in a safe manner, food preparation is completed in the kitchen, cleaning compounds are kept in the supply room (off limits), utensils are cleaned and sanitized after each use, refrigerator temperature in regulation, menu posted in kitchen and classroom, breakfast and snack provided by the parent. Bottles, dishes and containers of food brought by the infant's authorized representative are labeled with infant's name and current date.

Staff Records: LPA reviewed files for Director Qualifications, immunization, licensing forms (LIC9108, Mandated Reporter, LIC508, LIC308).
Facility Records: LPA observed the Roster to be complete and current, staff has current CPR/First Aid expire 07/24/2023, fire and earthquake drills are conducted monthly. The facility has an Infant individual feeding plan, Infant Needs and Services Plan, Sleep Plan for each infant.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021

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: JUST 4 TODDLERS PRESCHOOL	FACILITY NUMBER: 367750020
	VISIT DATE: 12/08/2021

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Supervision: LPA observed infant/child is not left without the supervision (visual) of a teacher at any time, LPA observed the facility is in compliance with the staff-infant ratio (one teacher-four infants in attendance). The facility does not exceed the approved capacity of the fire clearance for the facility.

Posting Requirements: Center has required posting (license, PUB 393L, car seat law, emergency disaster plan, earthquake preparedness, lead poison, safe sleep).

Documents Discussed: IMS (Incidental Medical Services).

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.

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. All staff are fingerprint cleared and associated.

A notice of site visit was given and must remain posted for 30 days. No deficiency. The report was read with Director. Exit interview conducted and report was reviewed with Director, Jennifer Morris 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: 12/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021

LIC809 (FAS) - (06/04)

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