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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 143808047
Report Date: 08/20/2024
Date Signed: 08/20/2024 02:25:24 PM

Document Has Been Signed on 08/20/2024 02:25 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MT. WHITNEY PRESCHOOLFACILITY NUMBER:
143808047
ADMINISTRATOR/
DIRECTOR:		HUBBS, LINDAFACILITY TYPE:
850
ADDRESS:223 E. LOCUST STREETTELEPHONE:
(760) 876-5747
CITY:LONE PINESTATE: CAZIP CODE:
93545
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 4DATE:
08/20/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:50 AM
MET WITH:Brenda Marquez, TeacherTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 8/20/2024, Licensing Program Analysts (LPAs) Crystal Ali and Andrea Pittman arrived at the facility to conduct an Annual Random Inspection. LPAs was met by Brenda Marquez (Teacher) and permitted to enter the facility. LPAs toured the facility in accordance with the facility sketch with Brenda. During the inspection, LPAs observed 4 children and 1 staff providing care and supervision. Facility operates Monday through Friday from 8am-1pm.
Staffing Ration and Capacity: Facility consists of one classroom, one staff bathroom (near administration office upstairs), two children’s bathroom (boy & girl), kitchenette area, storage area, and one outdoor play area. Facility maintains an adequate teacher-child ratio. Care and supervision were evaluated and determined basic needs of children are appropriate and are being met.
Physical Plant: Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. LPAs observed sign-in sheets completed by each parent/guardian per requirements. LPAs observed individual storage for children's belongings. The children have access to water via individual water bottles and the filter water bottle fountain in the hallway cross from classroom. Smoke detectors, carbon monoxide detectors, and fire extinguisher were observed and in operable condition. Smoke and carbon monoxide detectors are operating
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MT. WHITNEY PRESCHOOL
FACILITY NUMBER: 143808047
VISIT DATE: 08/20/2024
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according to Fire Marshall standards. First Aid Kit is missing tweezers and thermometer. Two trash cans with tight-fitted lids were not observed. Two outlets observed with no safety covers.
Napping: The facility is not required to provide napping. However, if a child wants to nap the facility while provide napping material for the child to nap in the reading area on carpet.
Kitchen: There is a mini kitchenette in the storage room area. Equipped with a refrigerator/freezer (in the classroom area), and microwave oven. The children bring their own food and lunchboxes are labeled with their names. There is no food program for the preschool. The facility provides morning snack and afternoon snack. Allergy lists are posted on refrigerator and in their child file. Teacher states there are no children with allergies. LPAs did not observe an appropriate number of snacks. LPAs observed juice in the refrigerator and frozen foods that can be microwaved. Chemicals, soaps, detergents, cleaning compounds, or similar substances are stored separately from food located in the storage area that is accessible to the children. LPAs observed knives accessible in the storage room. LPAs did not observe a food preparation area kept clean and free of litter and rubbish. There are no menus observed, preschool does not have a full day program. Daily activity schedules not posted showing snack times, and specific activities.
Fire Extinguisher: Emergency Drills are conducted at least every six months, and the last drills were not available to LPAs. The fire extinguishers (3A40BC) are reading in green and meets the Fire Marshall Codes and Standards (last serviced 7/19/24). One fire extinguisher is at the front door of classroom.
Bathroom: Age-appropriate sinks and toilets were inspected for availability and good repair. Girls bathroom has 1 sink and 4 toilets (1) flushed properly. Boys bathroom has 1 sink, 2 urinals and three toilets. Each restroom has adequate toilet paper, hand soap, and
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MT. WHITNEY PRESCHOOL
FACILITY NUMBER: 143808047
VISIT DATE: 08/20/2024
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paper towels available. Restrooms are cleaned, restocked with toiletries, and sanitized by on-site staff. There is a staff bathroom down the hall near the administration office upstairs. The facility has an approved waiver to share bathroom with elementary school kids, dated 12/28/15.
Medication: LPAs did not observe a medication policy. LPAs reviewed the requirements for IMS policy with teacher. The facility teachers do pass out medication. Currently no children are on medication. Children are inspected for illnesses as they arrive for wellness check. Isolation area is at the nurse’s office away from the rest of the children and separate restroom. There are currently no children in care with IMS needs.
Transportation: The facility does not provide transportation for the children.
Lead Testing/Drinking Water: LPAs observed no copy of lead testing in the facility file. LPAs have a requested the most current lead testing results. Administration office rep stated they have a copy at the district office and will provide a copy to LPA Ali via email.
Outdoor Activity Space: Equipment was inspected for safety, cushioning material, good repair, and age appropriateness. The play yard has a tricycle track, a four-swing set, two large play side equipment’s, two lunch tables, two water tables, and two flower boxes. The facility will continue to provide 100% supervision when outside in the playground. Children are provided filter water for their individual drinking bottles. There is adequate shaded area for rest with the large trees. The playground is not well-fenced, around and no bodies of water were observed in the outdoor play area. Two sections of the fence are broken and need repair, shed door on side of building needs repair, one broken wagon needs to be removed or repaired, and two tricycles that need covers on handlebars. Due to the immediate hazard of safety to the children in care the play yard must remain off limits until the fence can be fully repaired.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MT. WHITNEY PRESCHOOL
FACILITY NUMBER: 143808047
VISIT DATE: 08/20/2024
NARRATIVE
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Records/Documentation: LPAs reviewed with facility representative the LIC 311A, records to be maintained at the facility, for child’s records, personnel records, administrative records, and parent board. Child files are in compliance. Staff file is not complete. Missing immunizations, CPR/FA, mandated reporter training, TB, LIC503, LIC508, LIC9108, and LIC9052. LPAs did receive transcripts for staff file. Staff does not meet the requirements for a teacher. Teacher stated that her file is with her supervisor who is not on site. Teacher will enroll or obtain updated transcripts. Teacher reports there is a new director, Mandy Kemp. LPA Ali have not received a new director packet. Parent board is missing 613A, 269, activity schedule, LIC9148, LIC309, LIC500, LIC508, and LIC9040.
Deficiencies cited: (See LIC 809D). The following Type A and Type B deficiencies are being cited in accordance with Title 22 of the California Code of Regulations and Health & Safety codes.

A notice of site visit was given and must remain posted for 30 days. A copy of this report and copy of appeal rights were provided to facility representative.

Exit interview conducted and report was reviewed with the Teacher, Brenda Marquez.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MT. WHITNEY PRESCHOOL
FACILITY NUMBER: 143808047
VISIT DATE: 08/20/2024
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Criminal Record Clearance - Child Care Centers
Facility representative was reminded that all adults 18 and over, including
employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
Lead Testing – Child Care Centers (CCC)
CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
Safe Sleep - Child Care Centers
LPA discussed the safe sleep regulations with facility representative and
discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or facility
representative] of the importance of checking for recalled infant devices on the United States
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MT. WHITNEY PRESCHOOL
FACILITY NUMBER: 143808047
VISIT DATE: 08/20/2024
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Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and
recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
Incidental Medical Services (IMS) - Child Care Centers
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care
Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
PIN 22-05-CCP
MyChildCarePlan.org – Child Care Centers
Facility representative was informed of the MyChildCarePlan.org website; a
consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
Subscribe to CCLD important information - Child Care Centers
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly
Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/
subscribe and select the Child Care option to receive.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/20/2024 02:25 PM - It Cannot Be Edited


Created By: Crystal Ali On 08/20/2024 at 01:59 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MT. WHITNEY PRESCHOOL
FACILITY NUMBER: 143808047

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above Cleaning supplies locked up, knives locked up, play yard area shed left side door repaired, play yard fence repaird in two places, and make the storgage inacessible to children in classroom in which poses an immediate health, safety or personal rights risk to persons in care. The play yard must remain inacessable until fence is fixed to ensure safety.
POC Due Date: 08/21/2024
Plan of Correction
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Facility will show proof of correction through photos and email reports with maintence to LPA Ali.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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
LICENSING EVALUATOR NAME:Crystal Ali
LICENSING EVALUATOR SIGNATURE:
DATE: 08/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/20/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/20/2024 02:25 PM - It Cannot Be Edited


Created By: Crystal Ali On 08/20/2024 at 01:59 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MT. WHITNEY PRESCHOOL
FACILITY NUMBER: 143808047

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in documenation of administraive file, personnal file (see LIC809), fire drill (most current) which poses/posed a potential health, safety or personal rights risk to persons in care. Items include: LIC613A, LIC269, activity schedule, LIC9148, LIC309, LIC500, LIC508, LIC9040, and director packet.
POC Due Date: 09/03/2024
Plan of Correction
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Proof of documenation will be sent to LPA Ali via email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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
LICENSING EVALUATOR NAME:Crystal Ali
LICENSING EVALUATOR SIGNATURE:
DATE: 08/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/20/2024


LIC809 (FAS) - (06/04)
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