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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401204
Report Date: 07/07/2021
Date Signed: 07/07/2021 11:04:44 AM

Document Has Been Signed on 07/07/2021 11:04 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:COLLEGE OF THE CANYONS, CHILD DEVELOPMENT CENTERFACILITY NUMBER:
197401204
ADMINISTRATOR:KELLER, JULIEFACILITY TYPE:
850
ADDRESS:26455 N. ROCKWELL CANYON ROADTELEPHONE:
(661) 362-3501
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY: 90TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/07/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Julie KellerTIME COMPLETED:
11:24 AM
NARRATIVE
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Licensing Program Analyst (LPA) Thompson-Miller met with Interim Director, Julie Keller, for a Case Management - Incident inspection involving an Incident Report dated May 19, 2021. The incident occurred on May 17, 2021.

Description of the incident: Child #1 left unattended at sign in/out station (check in process).
LPA previously spoke to Director (Monica Marshall-Retired), toured the sign in/out station where Child #1 was left, observed the location where incident occurred and where the Director has relocated the sign in/out station. During the inspection today, LPA toured the area where the sign in/out station will be location (lobby entrance). Center policy is to take one child to classroom at a time. Staff was checking in another child, asking the COVID-19 questions as Child #1 was signed-in and dropped off by guardian who then left the sign in/out station. Child #1 has a routine upon drop-off and did not want to leave but instead complete routine process. Staff left Child #1 at the sign in/out station, parent’s, and additional staff nearby. Child #1 guardian had left the station. Staff took the first child to the assigned classroom and returned to the sign in/out station. Once Child #1 was signed in by guardian this became a transfer of responsibility. This incident is the center’s responsibility, to supervision child(ren).
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Linda Thompson-Miller
LICENSING EVALUATOR SIGNATURE: DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: COLLEGE OF THE CANYONS, CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 197401204
VISIT DATE: 07/07/2021
NARRATIVE
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Based on information provided, LPA observation and interviews conducted the incident does appear to have been the result of the Title 22 regulation, therefore, facility cited Type A deficiency, according to California Code of Regulations Title 22. See 809D report for deficiency. Form Acknowledgement of Receipt of Licensing Reports (LIC9224) was provided to Director. An exit interview was conducted, a copy of this report was read and provided to Julie Keller, Director on this date.

Upon receipt of the Type A Violation(s), licensee shall post the report for 30 days in addition to the Notice of Site Visit & provide copies of the licensing report to parents/guardians of children in care at the facility by the close of business the following day or the next day child returns to the facility. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Linda Thompson-Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
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Document Has Been Signed on 07/07/2021 11:04 AM - It Cannot Be Edited


Created By: Linda Thompson-Miller On 07/07/2021 at 10:07 AM
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: COLLEGE OF THE CANYONS, CHILD DEVELOPMENT CENTER

FACILITY NUMBER: 197401204

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/08/2021
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall
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Director has relocated the sign in/out station to the lobby area to correct the check in process. Families will bring child(ren) to door of classroom and check in with teacher prior to leaving facility. Staff are available for monitoring the check in/out process.
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include visual observation. This was not met as evidenced by: Child #1 was signed in, Staff left child at the sign in/out area to take a child to the classroom. When Child #1 was signed in by guardian this became a transfer of responsibility and the center is responsible for supervision and care of Child #1.
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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:Linda Thompson-Miller
LICENSING EVALUATOR SIGNATURE:
DATE: 07/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/07/2021


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