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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 147750003
Report Date: 10/12/2022
Date Signed: 10/12/2022 12:01:57 PM

Document Has Been Signed on 10/12/2022 12:01 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:ICOE-LONE PINE STATE PRESCHOOLFACILITY NUMBER:
147750003
ADMINISTRATOR:KATHLEEN DUNCANFACILITY TYPE:
850
ADDRESS:283 E LOCUST STTELEPHONE:
(760) 873-5123
CITY:LONE PINESTATE: CAZIP CODE:
93545
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 9DATE:
10/12/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Peggy Lindsay, Early Childhood CoordinatorTIME COMPLETED:
12:15 PM
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On 10/12/2022, Licensing Program Analyst (LPA) Pete Espinoza conducted an announced prelicensing inspection and met with Peggy Lindsay, Early Childhood Coordinator. A tour of the center was conducted both inside and outside. The center is located at 283 E. Locust St. in Lone Pine 93514. This is a change of Ownership from previous Facility; IMACA LONE PINE PRESCHOOL - 143810017. Applicant is requesting capacity of 24 preschool children ages 2-6. The operating hours for the center are; Monday - Friday 7:45 AM - 4:45 PM. Phone number for center is; (760) 873-5123 Ext. 3750.

Ms. Lindsay stated that the center will provide a morning snack, lunch & afternoon snack. There is a kitchen on site in which food will be warmed up and/or stored. Lunch is prepared at the Lone Pine Elementary School and delivered to center. The cleaning supplies are stored accordingly. There is hot running water in the kitchen. Staff will utilize the staff bathroom located next to office. Ill children will be isolated in the office and utilize the staff bathroom.

The classroom was observed to be clean and free of toxins. LPA observed that the furniture and equipment appeared to be safe and in good condition. There are enough tables, chairs, cots, and plenty of toys for children to play. There is a working carbon monoxide detector inside the kitchen.

Measurements of indoor activity space for Preschool program were taken and reviewed with Ms. Lindsay. The total usable square footage for Preschool program is approximately 895 square feet, which will accommodate the requested capacity of 24 Preschool children. There is adequate storage space available for children's belongings in the classroom. Director understands that children's equipment needs to match the capacity she is licensed for. Toys and equipment appear to be age appropriate. There is a total of 2 toilets and 3 sinks/hand washing fixtures which will accommodate the requested capacity of 24 preschool children. There is a water fountain inside and outside the classroom that children use to have water readily available to them.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2022
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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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: ICOE-LONE PINE STATE PRESCHOOL
FACILITY NUMBER: 147750003
VISIT DATE: 10/12/2022
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The approximate outside square footage for the preschool area is 6,220 square feet which will accommodate requested capacity of 24 Preschool Children. The preschool play area is fenced and gated all around. LPA observed age appropriate toys, a bike path, swings and age-appropriate structure. Applicant is using sand to cushion fall zones. There is shade available where children can rest and get water.

A fire clearance of 24 preschool children/infant/school age was approved & granted by the Bishop City Fire Department on 08/09/2022.

This facility plans to provide 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

Criminal background clearances are completed as condition for employment and maintained at the Inyo County Office of Education Administration Office.

This facility does/does not provide care to infants.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for the requested capacity of 24 preschool children.

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 platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with Peggy Lindsay, Early Childhood Coordinator.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE:
LIC809 (FAS) - (06/04)
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