197408240-4-13-2023-12-CC-DMAX-CQUTX9-20230413150645

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197408240
Report Date: 04/13/2023
Date Signed: 04/13/2023 03:06:54 PM

Document Has Been Signed on 04/13/2023 03:06 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:	PALMDALE SCH. DIST.-TIERRA BONITA (NO.) HEAD START		FACILITY NUMBER:	197408240
ADMINISTRATOR:	DR. MELANIE CULVER		FACILITY TYPE:	850
ADDRESS:	44900 27TH STREET EAST		TELEPHONE:	(661) 946-4126
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93535
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 13	DATE:	04/13/2023
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:33 PM
MET WITH:	Arasely Wences		TIME COMPLETED:	03:22 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Maddox met with Lead Teacher, Arasely Wences today for the purpose of conducting an unannounced Annual/Random inspection. This Pre-School program is located on the grounds of Tierra Bonita Elementary School. The hours or operation is 7:45 LPA noted age appropriate furniture, equipment, toys and materials. Classrooms were observed to be clean, safe and free of any Health or Safety hazards. Telephone service was verified as well as adequate heating, lighting, and ventilation. Children's belongings are kept in cubbies along the wall as you enter classrooms and labeled with each child's name. Bedding and linens are stored in individual bags to ensure no bedding or linens encounter other bedding or linens from other children (also stored in cubbies labeled with each child's name). Drinking water is available inside the classroom in the form of Brio water cooler with disposable cups. **The children's bathroom is located outside of the classroom to the left when exiting. The bathroom contains 4 toilets and two sinks. The staff rest-room is located next door.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

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: PALMDALE SCH. DIST.-TIERRA BONITA (NO.) HEAD START	FACILITY NUMBER: 197408240
	VISIT DATE: 04/13/2023

NARRATIVE

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LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and paper towels readily available. Children are escorted to the bathrooms by staff. Toilets and sinks are functioning properly and are age appropriate.

**The Outside play area is fenced off from the elementary school and exclusive for the Head-Start Program. Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes rubber matting under climbing structure. Large jungle gym on the play yard is securely anchored. The area was observed to be free of debris. Drinking fountains are readily available on the play yard, there are no bodies of water on the campus.

**Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

**Lunch and snacks are delivered twice a day from Palmdale School District. There is a Refrigerator located in the classroom.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

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: PALMDALE SCH. DIST.-TIERRA BONITA (NO.) HEAD START	FACILITY NUMBER: 197408240
	VISIT DATE: 04/13/2023

NARRATIVE

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**Parent Board contained all documents that are required to be posted according to Title 22 Regulations. Sign in and out sheets were inspected an contain full legal signatures

There is a fully stocked first aid kit available and fully charged fire extinguisher. Fire Drill/Earthquake log is posted.

Due to time restraints, an Annual continuation will be required.
Exit interview conducted, copy of report left with Lead Teacher. There were no violations noted as a result of this unannounced inspection, center is operating within the guidelines of Title 22 Regulations.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

LIC809 (FAS) - (06/04)

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