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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750024
Report Date: 05/20/2022
Date Signed: 05/20/2022 04:53:04 PM

Document Has Been Signed on 05/20/2022 04:53 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:LITTLE MOUNTAIN PRESCHOOLFACILITY NUMBER:
367750024
ADMINISTRATOR:DOGERO, APRIL MARIEFACILITY TYPE:
830
ADDRESS:2915 LITTLE MOUNTAIN DRTELEPHONE:
(909) 882-1100
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92405
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 13DATE:
05/20/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Administrator, April Dogero TIME COMPLETED:
05:00 PM
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On May 20, 2022, Licensing Program Analyst (LPA) Kendal Zirbes conducted an unannounced Plan of Correction (POC) inspection. The purpose POC inspection was to clear deficiencies cited on May 9, 2022. Present during today’s inspection were thirteen infants and four staff members.

LPA toured the infant rooms. LPA observed new mattress had been purchased for the cribs. LPA observed the bathroom flooring had been replaced. The bathroom appeared clean and sanitary at the time of this inspection. LPA observed a complete first aid kit was in the classroom and a new changing pad had been purchased.

LPA completed a review of the infant files. LPA observed the needs and services are being updated to meet the quarterly requirement. In addition, LPA observed a LIC 9227 in each infant file and documentation of the 15 minute checks were being completed.

LPA completed a review of the facility records. Per record review the facility completed and documented a frill/disaster drill in May 2022.

Based on LPAs observations and record review on this day, the facility has completed all required corrections. No further action is required

An exit interview was conducted, a copy of this report, and notice of site visit were provided to Administrator April Dogero.
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2022
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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