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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157750004
Report Date: 11/03/2021
Date Signed: 11/08/2021 09:07:21 AM

Document Has Been Signed on 11/08/2021 09:07 AM - 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:FIELD CHILD CARE CENTER-TEHACHAPIFACILITY NUMBER:
157750004
ADMINISTRATOR:GUISELA GIRONFACILITY TYPE:
850
ADDRESS:100 EAST E STREETTELEPHONE:
(661) 823-8826
CITY:TEHACHAPISTATE: CAZIP CODE:
93561
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
11/03/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Guisela Giron TIME COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Maddox met with Donald Thornsberry, CTE, Director For ECE and Guisela Giron, ECE Director today for the purpose of conducting a Pre-Licensing inspection for a Preschool Component for a capacity of 30 children. This center is located at a Church by the name of Tehachapi Community Church on the corner. The hours of operation: MON - FRI FROM 6:00 am to 6:00 pm LPA also observed hand washing, and wellness checks postings throughout the center, these posting are required in an effort to prevent the spread of COVID -19.

The Office will be used as an isolation room and the staff bathroom will be used as an isolation bathroom.

Sign-in and Out Procedure: Center will utilize a manual sign in and out procedure, each parent will have their own sign in and out sheet.

Food preparation area/Kitchen: Children will bring their own lunches with snacks available if needed.



LPA provided consultation on the following:
Inspection Authority; COVID-19 Hand Washing Best Practices; Lead Flyer
Unusual Incidents; CCL Website- Provider Information Notices (PIN) and
Guardian
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: FIELD CHILD CARE CENTER-TEHACHAPI
FACILITY NUMBER: 157750004
VISIT DATE: 11/03/2021
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NAPPING:

Applicants will utilize mats for children to nap on. Applicant shall ensure Napping equipment will be arranged so that each child has access to a walkway without having to walk on or over the mats of other children. Bedding will be stored in cubbies located in the hallway. 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. Bedding will be


OUTDOOR

The entire yard is fenced; there is artificial turf on the play yard and a swing set that is anchored into the ground. Age appropriate play equipment available; drinking water will be brought outside for children. Staff will carry drinking water outside for children.

HEALTH RELATED SERVICES:

Medications will be kept in a locked box, A refrigerator shall be used to store any medication that requires refrigeration.

Applicant has a developed plan to implement and to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.

LPA observed fully equipped first aid kits and hard wired fire systems including Carbon Monoxide detectors in all classrooms



LPA has verified Qualifications for Director including Lead Poisoning training; mandated reporter; and current Operations and Records Keeping.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: FIELD CHILD CARE CENTER-TEHACHAPI
FACILITY NUMBER: 157750004
VISIT DATE: 11/03/2021
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Pesticides and other similar toxic substances were not stored in food storerooms, kitchen areas, food preparation areas, or areas where kitchen equipment or utensils are stored. Soaps, detergents, cleaning compounds or similar substances were stored in areas separate from food supplies.

Due to the COVID-19 pandemic, applicant has Signs posted throughout the center with regards to the local health department; information on child passenger restraint systems; hand washing, screenings for staff and children, and facial coverings.


Measurements taken today:
2 classrooms separated by accordion door.

Preschool Room #1: 18 X 16 = 288/35 = 8
Preschool Room #2: 18 X 16 = 28835 = 8

Total inside activity space for Preschool = 16

Outdoor Space Preschool: 50 X 20 = 1000/75 = 13

Bathrooms:
1 bathroom located in the classroom and another bathroom located in the hallway. Each bathroom has 1 toilet and 1 sink.

Fire Clearance was received for 30 children, however, with measurements taken today, center can accommodate 16 children (8 Toddlers 8 PS children).
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
LIC809 (FAS) - (06/04)
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