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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191200086
Report Date: 03/05/2024
Date Signed: 03/05/2024 04:56:46 PM

Document Has Been Signed on 03/05/2024 04:56 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:YMCA OF METRO LA/NORTH VALLEY CASTLEBAYFACILITY NUMBER:
191200086
ADMINISTRATOR:KAYLA CABRERAFACILITY TYPE:
840
ADDRESS:19010 CASTLEBAY LANETELEPHONE:
(818) 363-7414
CITY:NORTHRIDGESTATE: CAZIP CODE:
91326
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 34DATE:
03/05/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:23 PM
MET WITH:Mayra Varona, Site Coordinator and Karen Sandoval, Program Director
TIME COMPLETED:
05:00 PM
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On 3/05/2024 Licensing Program Analyst (LPA), Isabel Ortega met with Site Coordinator, Mayra Varona and Karen Sandoval, Program Direrctor. LPA conducted an Annual Random Inspection. LPA toured and inspected the facility in accordance with the facility sketch. During inspection LPA observed 34 children in care and four staff providing care and supervision. Facility operates in 2 classrooms referred to as the school age before and after care; Discovery Room and Adventure Room. YMCA of Metro LA facility operates on North Valley Castlebay Elementary school campus.

An isolation area was inspected, which takes place in the main office. Children have the option for rest time and quiet time if needed mats are provided. Age-appropriate sinks and toilets were inspected for availability and good repair. Toilets flush properly; Each restroom has adequate toilet paper, hand soap and paper towels available. Restrooms are cleaned, disinfected, sanitized daily, and restocked of toiletries by staff.
The furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and AC ventilation were evaluated. LPA observed individual storage for children's belongings.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2024
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: YMCA OF METRO LA/NORTH VALLEY CASTLEBAY
FACILITY NUMBER: 191200086
VISIT DATE: 03/05/2024
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Facility sampled water for lead and results are below the 5.5 ppb which is the maximum allowable. The facility provided lead testing results under 5.5 ppb, tested on 12/13/2022. The classroom consists of filtered water in a water jug container for indoor and outdoor. LPA observed a water dispenser in each classroom and 5 gallon filtered water jugs. Children bring their own water bottles from home; facility also has individual disposable cups available.

Facility operates morning and after school care Monday through Friday. Morning care is from 6:30 a.m. to 8:30 a.m. and after school care Tuesday: 1:34 p.m. and 1:44 p.m. to 6:30 p.m. and Monday, Wednesday, Thursday, and Friday from 2:35 p.m. and 2:46 p.m. to 6:30 p.m. Facility provides afternoon snack. Snack menu is posted visible to parents and available upon request. Food allergies are noted in each classroom and food preparation area by the refrigerator. Medication is not accessible to children and locked in a medication box.

Facility has all the required posted documents: Facility License, Notice of Parent's Rights Poster, Emergency Disaster Plan, and Earthquake Preparedness Checklist and other licensing required forms.

First Aid supplies, smoke detectors, carbon monoxide were observed to be operating properly(LPA observed a binder with logged in testing checks by staff). The fire extinguisher (2A10BC) is reading in green and meets the Fire Marshal codes and standards(last serviced on 10/15/2023).

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: YMCA OF METRO LA/NORTH VALLEY CASTLEBAY
FACILITY NUMBER: 191200086
VISIT DATE: 03/05/2024
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Trash cans with tight lids were observed. Food was inspected, and it was properly labeled, stored, and within expiration date. Refrigerator is clean and operating at the proper temperature. A refrigerator is adequately equipped, clean, and free from hazards. Snacks are individually packaged.

Cleaning supplies are out of reach of children(child safety latch observed).

Emergency Drills are conducted every sixth month last drill was conducted and documented on 11/13/2023 at 4:00 p.m.

The outdoor play area was inspected and observed to be free of hazards, loose, or sharp objects. Equipment was inspected for safety, cushioning material, good repair, and age appropriateness. There is adequate shade area for rest. The playground is well fenced all around, and no bodies of water observed in the outdoor play area.



Children's records were reviewed for completeness. Health History, Emergency contact and Medical Exams; Immunization Records are all in the children's file. The facility roster was up to date and all staff have been fingerprinted and association to the designated license number.

Staff are currently certified in Pediatric First Aid and CPR which does not expire until 02/19/2025. Child Care Provider Mandated Reporter (AB1207) training is dated 12/28/2023.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: YMCA OF METRO LA/NORTH VALLEY CASTLEBAY
FACILITY NUMBER: 191200086
VISIT DATE: 03/05/2024
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The following Incidental Medical Services (IMS) were discussed.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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-carecenters/.
All staff are required to take the Child Care Provider Mandated Reporter (AB1207) training every 2 years. www.mandatedreporterca.com.

Upon hired date all staff are required to be immunized and show proof of immunization records according to Title 22 regulations.

Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com. According to facility documentation all staff are aware they are mandated child abuse reporters and have the responsibility of reporting any suspected child abuse to the Child Abuse Hot-line at (800) 540-4000.


SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: YMCA OF METRO LA/NORTH VALLEY CASTLEBAY
FACILITY NUMBER: 191200086
VISIT DATE: 03/05/2024
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For additional information and forms visit our website at: www.cdss.ca.gov

For updates on Community Care Licensing please visit the following website at: Childcareadvocatesprogram@dss.ca.gov
https://ccld.childcarevideos.org/

Per Title 22 Regulations facility is complying with rules and regulation, facility is complying, and no deficiencies will be issued today. An exit Interview was conducted with Program Director Karen Sandoval. A copy of this Report, a Notice of Site Visit and appeal rights were provided on this day.

A copy of this report must be made available to the public for 3 years. The Notice of site visit shall be visibly posted for 30 days.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
LIC809 (FAS) - (06/04)
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