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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197402982
Report Date: 01/09/2024
Date Signed: 01/09/2024 02:25:58 PM

Document Has Been Signed on 01/09/2024 02:25 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:NEWHALL ELEMENTARY PRESCHOOLFACILITY NUMBER:
197402982
ADMINISTRATOR:FERKO, KELLYFACILITY TYPE:
850
ADDRESS:24607 NO. WALNUT ST.TELEPHONE:
(661) 291-6723
CITY:NEWHALLSTATE: CAZIP CODE:
91321
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 23DATE:
01/09/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Melanie Matkin, Site SupervisiorTIME COMPLETED:
02:30 PM
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On 1/09/2024 Licensing Program Analyst (LPA), Isabel Ortega met with Site Supervisor, Melanie Matkin and conducted an Annual Random inspection. LPA toured and inspected the facility in accordance with the facility sketch. During inspection LPA observed 23 children in care and seven staff providing care and supervision. Facility operates in three classrooms referred to as Newhall One A.M., Newhall Two A.M. and Newhall Two P.M. Facility is located on Newhall Elementary School premises.

An isolation area was inspected, which takes place in the main office. Children have the option for rest time and quiet time if needed. 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, restocked of toiletries by staff during the day and on-site custodian disinfects, and sanitizes daily.

Facility operates in two classroom sessions Monday through Friday: Morning session from 7:45 a.m. to 11:15 a.m. Two A.M. sessions) and one afternoon session from 11:45 a.m. to 3:15 p.m. In the Newhall Two P.M. class.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2024
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: NEWHALL ELEMENTARY PRESCHOOL
FACILITY NUMBER: 197402982
VISIT DATE: 01/09/2024
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First Aid supplies, smoke detectors, carbon monoxide and fire extinguishers were observed and in operable condition. Smoke and carbon monoxide tested at 11:30 a.m. The center participates in a Food Nutrition Program and provides breakfast for the A.M. sessions and lunch for the P.M. session. Food was inspected, and it was properly labeled, stored, and within expiration date. Refrigerator is clean and operating at the proper temperature. There is hot running water in the food preparation area, it is adequately equipped, clean, and free from hazards. Cleaning supplies are out of reach of children.

Emergency Drills are conducted every monthly last drill was conducted and documented on 12/04/2023 at 1:45 p.m. The fire extinguisher (2A10BC) is reading in green and meets the Fire Marshal codes and standards serviced on 6/14/2023). Food allergies are noted in each classroom and are posted in the food preparation area. Menu is posted in the classroom visible for parents on the parent broad and posted on the Parent Square App, a copy of the menu is available upon parent request.

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. Climbing structures other play equipment were found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter(LPA observed sand). Children have individual water bottles from home for outdoor and indoor(a container is utilized to carry the children's bottles for outdoor use). There is adequate shade area for rest.

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

DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024
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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: NEWHALL ELEMENTARY PRESCHOOL
FACILITY NUMBER: 197402982
VISIT DATE: 01/09/2024
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The playground is well fenced all around, and no bodies of water observed in the outdoor play area. There is one shed on the play area utilized for equipment and storage (maintained locked).

Facility maintains adequate teacher child ratio. Care and supervision were evaluated and determine basic needs of children are appropriate and are being met. A review of the sign in/out sheet was conducted to verify the current census of children. The parent board was reviewed and has all the required forms posted accessible to parents.

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.
Site Supervisor and Teachers are currently certified in Pediatric CPR/First Aid by the American Red Cross which does not expire until 10/13/2025.

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 Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024
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: NEWHALL ELEMENTARY PRESCHOOL
FACILITY NUMBER: 197402982
VISIT DATE: 01/09/2024
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 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

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. Child Care Provider Mandated Reporter training every 2 years. Upon hired date all staff are required within 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com. Director is aware self and all staff 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.


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: www.ccld.gov to access Title 22 educational videos log on to: https://ccld.childcarevideos.org.

Per Title 22 Regulations facility is in compliance, no deficiency will be issued today. An exit Interview was conducted, a copy of this Report, a Notice of Site Visit and appeal rights were provided to facility on this day.

A copy of this report must be made available to the public for 3 years.

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

DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024
LIC809 (FAS) - (06/04)
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