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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801852
Report Date: 05/18/2023
Date Signed: 05/24/2023 04:14:16 PM

Document Has Been Signed on 05/24/2023 04:14 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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:THERESE M. HALL CHILDREN'S CENTERFACILITY NUMBER:
153801852
ADMINISTRATOR:MELODY SWEANYFACILITY TYPE:
850
ADDRESS:216 N. GOLD CANYONTELEPHONE:
(760) 375-9787
CITY:RIDGECRESTSTATE: CAZIP CODE:
93555
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: 21DATE:
05/18/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Director Melody SweanyTIME COMPLETED:
06:55 PM
NARRATIVE
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On 5/24/2023 at 3:20pm, Licensing Program Analyst (LPA) conducted an unannounced case management visit and was met by Director Melody Sweany. The purpose of the visit was to amend the report on 5/18/2023.

On 5/18/2023 at 2:15pm, Licensing Program Analyst (LPA) conducted an unannounced case management visit and was met by Director Melody Sweany. Director Melody Sweany took the LPA on a tour of the facility according to the facility sketch. LPA observed 21 children in attendance: 8 preschoolers, 7 infants, and 6 toddlers were in care and receiving supervision from 8 Staff.

During the inspection, the LPA reviewed the children's roster, facility roster, personnel files, sign-in sheets, and other relevant documents. LPA interviewed the Director Melody Sweany and Staff 1 and 2. The following represents the observations, interviews, and record review obtained during the inspection.

At 11:16am, LPA observed in the personnel files missing MMR and Tdap vaccinations and Flu immunization/declining statements records. The Director stated during her interview that she was unaware that she needed to include those records in the file. This is a Type B violation, see the LIC 809D for the details.

At 11:24am, LPA observed in the personnel files the record of a staff member not background cleared and not associated to the facility. Staff 1 was observed by the LPA providing care and supervision in the toddler room upon arrival at the facility. Staff 1 is not associated to the facility’s license. Staff 1 left the facility immediately; the Director is aware that Staff 1 cannot return until after they have been background cleared and associated to the license. Staff 1 left and was fingerprinted today after leaving the facility. This is a Type A violation, a civil penalty of $100/day for a total of $500.00 will be assessed for Staff 1 providing care and supervision without having a background clearance and association to the facility license, see the LIC 809D for the details. Continue to next page
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE: DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/18/2023
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: THERESE M. HALL CHILDREN'S CENTER
FACILITY NUMBER: 153801852
VISIT DATE: 05/18/2023
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Although there was sufficient staffing for the ratios, the Director was provided the policy for an Infant Teacher, Infant Teacher’s Aide, Teacher, and Teacher’s Aide as the Director stated during interview she was unaware of all of the course requirements needed to have those positions. Technical Assistance was provided for the policy requirements for Teachers and Aides.

At 11:54am, LPA observed Staff 2 providing care and supervision to children in care in addition to one qualified teacher and two teacher aides. Staff 2 was acting as an infant teacher aide in the infant classroom but stated that she acts as a floater for the preschool license, as well. Staff 2 stated during interview that she does not have any child development or early childhood education courses taken or transcripts for the courses and is not currently enrolled in any institutions to acquire the courses needed to meet the Title 22 Requirements. Staff 2 further stated she intends next Friday to be her last day. The Director was made aware of the admissions made by Staff 1, the Director stated that she will not be providing assistance as an infant teacher aide. The Director stated she will only drive and cook until she leaves.

LPA observed Staff 4 providing care and supervision in the preschool classroom; however, there two children who were left unattended by a book case out of sight of the Teacher without supervision and there were two children witnessed being in the bathroom with the door open by themselves without supervision. This is a Type B violation, see the LIC 809D for details.

LPA reviewed the file of Child 1 and seen that the sign-in sheet had not been completed by her parents during pick-up and drop-off. The Director stated that parents don’t always listen and sign-in and out when they are supposed to and the teacher may miss it while attending to other children. This a Type B Violation, see the LIC 809D for the details.

As a Type A deficiency has been cited and a civil penalty assessed of $100/day for a total of $500, a copy of the citation and licensing report must be posted for 30 days. The same report must be provided to Parents/Guardians and the Acknowledgment of Receipt of Licensing Reports LIC 9224 must be signed by Parents/Guardians of all enrolled children and any newly enrolled children in the next 12 months following the citation. If these requirements are not met, civil penalties per violation will be assessed.



An exit interview was conducted, a copy of this report was read and provided to the Director Melody Sweany, and the Notice of Site Visit and Appeal Rights was explained and given.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023
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Document Has Been Signed on 05/18/2023 06:42 PM - It Cannot Be Edited


Created By: Andrea Pittman On 05/18/2023 at 05:33 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: THERESE M. HALL CHILDREN'S CENTER
FACILITY NUMBER: 153801852

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/19/2023
Section Cited
CCR
101216(i)(1)

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101216 Personnel Requirements
(i) Prior to employment or initial presence in the child care center, all employees...subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption...
This requirement was not met as evidenced by:
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Staff 1 immediately left the facility. Staff 1 provided proof of fingerprinting during the visit. Director will not permit the Teacher to return until background clearance has been received. POC cleared during the visit.
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Based on observation, interview, and record review, the Licensee did not meet this requirement when she had Staff 1, an adult without a background clearance, working at the facility which poses an immediate risk to the Health, Safety, or Personal Rights risk to persons in care.
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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:Mariela Ramon
LICENSING EVALUATOR NAME:Andrea Pittman
LICENSING EVALUATOR SIGNATURE:
DATE: 05/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/18/2023


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Document Has Been Signed on 05/24/2023 04:16 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 05/24/2023 03:56 PM


Created By: Andrea Pittman On 05/18/2023 at 05:44 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: THERESE M. HALL CHILDREN'S CENTER
FACILITY NUMBER: 153801852

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/01/2023
Section Cited
CCR
101223(a)(2)

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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations... to meet his/her needs. This requirement was not met as evidenced by:
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The Director will provide training to staff on diaper changing policies to ensure children are dry at all times. Proof of training's agenda will be sent by 6/1/2023 via e-mail, mail, or fax.
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Based on observation, interview, and record review, the Licensee did not meet this requirement when the Director admitted there was a child a diaper that leaked through their clothing which poses a potential risk to the Health, Safety, or Personal Rights risk to persons in care.
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Type B
06/01/2023
Section Cited
CCR101229.1(b)

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101229.1 Sign In and Sign Out (b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

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The Director will provide training to staff on sign-in and out policy and provide the training's agenda by 6/1/2023 via e-mail, mail, or fax. The Director will have parents sign an agreement to sign the sign-in sheets and include it in the children's records.
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Based on observation, interview, and record review, the Licensee did not meet this requirement when Child 1 sign-in sheet did not have any required information on the form for signing in and out which poses a potential risk to the Health, Safety, or Personal Rights risk to persons in care.
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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:Mariela Ramon
LICENSING EVALUATOR NAME:Andrea Pittman
LICENSING EVALUATOR SIGNATURE:
DATE: 05/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/18/2023


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Document Has Been Signed on 05/18/2023 06:42 PM - It Cannot Be Edited


Created By: Andrea Pittman On 05/18/2023 at 05:57 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: THERESE M. HALL CHILDREN'S CENTER
FACILITY NUMBER: 153801852

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/01/2023
Section Cited
HSC
1596.7995(c)

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§1596.7995 Employees... day care center; immunization requirements... (c) The day care center shall maintain documentation of the required immunizations... in the person’s personnel record that is maintained by the day care center. This requirement was not met as evidenced by:
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The Director will notify staff to provide the proof of immunizations for MMR, Tdap, and Flu vaccination or declining statement during a staff meeting and provide proof of the agenda by 6/1/2023 via e-mail, mail, or fax. The Director will ensure the submission of immunization records in staff's personnel files.
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Based on observation, interview, and record review, the Licensee did not meet this requirement as observed missing immunizations from the personnel files of staff which poses a potential risk to the Health, Safety, or Personal Rights risk to persons in care.
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Type B
06/01/2023
Section Cited
CCR101229(1)

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101229 Responsibility for Providing Care and Supervision (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.

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The Director will complete a training and provide a copy of the agenda from the training by 6/1/2023 via e-mail, mail, or fax.
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Based on observation, interview, and record review, the Licensee did not meet this requirement as LPA observed Staff 4 not visually observing four children in care which poses a potential risk to the Health, Safety, or Personal Rights risk to persons in care.
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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:Mariela Ramon
LICENSING EVALUATOR NAME:Andrea Pittman
LICENSING EVALUATOR SIGNATURE:
DATE: 05/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/18/2023


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