367750036-5-3-2021-12-CC-DMAX-C2NUAL-20210503152455

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367750036
Report Date: 05/03/2021
Date Signed: 05/03/2021 03:25:30 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:	CHILDRENS'S COURTYARD, INC.,THE		FACILITY NUMBER:	367750036
ADMINISTRATOR:	JENNIFER ROSA		FACILITY TYPE:	840
ADDRESS:	12303 RIDGECREST RD #7477		TELEPHONE:	(760) 245-8680
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92395
CAPACITY:	56	CENSUS: 12	DATE:	05/03/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Tammi Reilford		TIME COMPLETED:	03:30 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	Licensing Program Analysts (LPA's), Maddox and Ayala met with Tammi Reilford today for the purpose of conducting Pre-licensing inspection for a change of ownership. The current name of this center is Lakeside Academy. There is a Parent Board in place to post required forms located in the entrance area. Mon - Fri from 6:00 am to 6:30 pm. Measurements were as follows: Room #14 and 15 measured 2167-48= 2119/3560 Bathrooms: Girls and Boys bathrooms - Girls bathroom has 2T/2S; Boys bathroom 1T/1U/ 2S Outside measurements: 8950/75 = 119 There is an inground swimming Pool with a depth of 5ft, LPA's observed mesh fencing in place that measured at 5ft high, the entrance gate to the pool has a spring mechanism in place that allows the gate to immediately close when opened and it's self latching. There is an alarm on the classroom door that leads to the pool area.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021

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: CHILDRENS'S COURTYARD, INC.,THE	FACILITY NUMBER: 367750036
	VISIT DATE: 05/03/2021

NARRATIVE

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During this inspection, LPA toured the entire center which consist of an Infant component, Preschool with a Toddler option, and a School age component. Center also has an office area, Reception area, Staff Lounge, Staff Bathroom, and storage rooms. There is an isolation area located in the office and the Staff bathroom will be utilized as the isolation bathroom.

A health check on staff and children will be conducted each day upon arrival. Staff will meet parents and children at the entrance where temperatures will be taken and a brief health questionnaire will be completed before children are signed in for the day and escorted to their perspective classrooms. If a child becomes ill during the day, they will rest in the isolation area and child’s authorized representative will be contacted immediately for pick up. The Department of Public Health will be contacted in regard to any COVID-19 illness. Applicants are reminded to ensure parents sign children in and out daily.

Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. Storage areas for poisons shall be locked. Medicines shall be centrally stored and kept locked.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021

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: CHILDRENS'S COURTYARD, INC.,THE	FACILITY NUMBER: 367750036
	VISIT DATE: 05/03/2021

NARRATIVE

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Age appropriate furniture including tables and chairs are present in each of the rooms to meet the needs of children in care. LPA advised against using indoor water fountains at this time due to the Corona virus. There are cubbies available to store Infants belongings, Bedding shall not be shared by different children without first laundering. Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. Sheets shall be washed daily or when soiled or wet. Blankets shall be cleaned or changed when soiled.

The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies. Center shall ensure a thorough review of Provider Information Notices (PINS) located on the Departments web page www.ccld.ca.gov and shall adhere to Public Health guidelines and directives.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021

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: CHILDRENS'S COURTYARD, INC.,THE	FACILITY NUMBER: 367750036
	VISIT DATE: 05/03/2021

NARRATIVE

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LPA informed applicants of the Departments Reporting Requirements. Upon the occurrence, during the operation of the child care center of any of the events specified in Section 101212 a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information shall be submitted to the Department within seven days following the occurrence of such event. Applicants were also informed the Department has full Inspection Authority and no child shall be left without Adult supervision at any time.

Applicants have requested a capacity of 56 SA children, there is an approved fire clearance for the requested capacity. The center will be approved for 56 SA children.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021

LIC809 (FAS) - (06/04)

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