197408240-5-8-2024-12-CC-JDMO-D53SWM-20240508141434

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197408240
Report Date: 05/08/2024
Date Signed: 05/08/2024 02:15:04 PM

Document Has Been Signed on 05/08/2024 02:15 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:	PSD ECE TIERRA BONITA CENTER		FACILITY NUMBER:	197408240
ADMINISTRATOR/ DIRECTOR:	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: 8	DATE:	05/08/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Aracely Wences		TIME VISIT/ INSPECTION COMPLETED:	02:14 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	On 05/08/2024, at 9:30 A.M., Licensing Program Analyst (LPA) Joselito L. Del Mundo met with the Lead Teacher, Aracely Wences (staff 1) to conduct an unannounced One Year Required inspection for the preschool license in accordance with the facility sketch. A tour of the facility was conducted. This program is held on the grounds of Tierra Bonita Elementary School in classroom 310. This Head Start program operates Monday to Friday, from 7:45 A.M. to 2:45 P.M. LPA observed 8 children with 3 staff (Lead Teacher, Teacher Assistant, and Sub Teacher) providing care and supervision. Shortly after, School Readiness Coordinator Joe Vega-Smith arrived at the facility. Indoor/Children’s Area: The room is clean, safe, sanitary and in good repair; the entrance and exit doors of the classroom is kept free of obstructions; floors of the room have a surface that is safe and clean, spray bottles disinfectants are used to sanitize rooms, furniture/equipment is in good condition and is free of flies, other insects, and rodents; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate, each child has an individual storage space (cubby, individually labelled with name) for his/her clothing, personal belongings. There is a working telephone. Electrical outlets are inaccessible and has plastic safety plugs. Recalled and or prohibited toys or sleep/play equipment were not observed on the premises. There are no window cords accessible to children. The program has one classroom. Drinking water is available inside the classroom in the form of a water dispenser and disposable paper cups. Refrigerator for storing food is also provided. LPA observed perishable foods inside the refrigerator. Meals and snacks are prepared in the Tamarisk Cafeteria and there is a person in charge of preparing all meals and snacks that comes in the classroom twice a day. The facility provides breakfast, lunch and afternoon snack. Trash bins have tight fitting lids. All materials and surfaces are toxic free. There is no fireplace in the facility. The classroom has fire extinguisher with a 3-A:40-B:C classification and the last service date was on 02/27/2024 (reading in green, checked at 11:00 A.M.). Carbon monoxide

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

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: PSD ECE TIERRA BONITA CENTER	FACILITY NUMBER: 197408240
	VISIT DATE: 05/08/2024

NARRATIVE

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devices are in operable condition (tested at 11:41 A.M.).

Restrooms: Children's restroom is located outside of the classroom next to the restroom being used for storing emergency supplies. There are 4 toilets and 2 sinks inside the bathrooms. LPA also observed 2 step stools, touchless soap and paper towel dispensers. Water temperature is appropriate. The bathroom does not used hot water. There is a locked cabinet inside the bathroom for storing gloves, tissues, extra paper towels, trash bin with cover, extra clothes for children, and baby wipes with individual child’s name on the plastic bags. Children are escorted to the bathrooms by staff. There is a couch where a child can sit or lay down when he/she become ill while in care. The facility maintains a comfortable temperature at all times, first aid supplies (first aid manual/guide, bandages, scissors, tweezers) are stored in a cabinet, sign in/out sheets are available and completed daily. Smoking is prohibited on the premises, daily inspection for illness, no prohibited child care items observed. Firearms/weapons are not allowed or stored on premises. There is no body of water on the premises.

Per Arasely Wences (staff 1), children nap inside the classroom. Sleeping cots were observed during this inspection.

Outdoor: The facility has one playground area for the children. Outdoor play equipment was inspected for health, safety, good repair, and age appropriateness. The area was observed to be free of debris, free from hazard, holes, broken items, debris. Drinking water is provided using water pitcher. Play equipment has rubber cushioning material. No bodies of water were observed.

Teacher child ratios were observed, and staff name recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate.

Health Related Services: According to staff 1, she and the other Teacher Assistant are the only designated personnel to administer prescription medications with the parents’ consent and document the dosages, date, and the time the medications were administered. Per staff 1, they were trained by the Registered Nurse in the administration of medical services.
Staff 1 also stated that they were not providing transportation to children in care.
Sign in and out sheets were reviewed and are complete. The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current. The facility has a daily schedule posted inside the classroom.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

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: PSD ECE TIERRA BONITA CENTER	FACILITY NUMBER: 197408240
	VISIT DATE: 05/08/2024

NARRATIVE

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Children are inspected for illnesses (wellness policy) as they arrive. If medications are administered, they would be provided only with parent's written permission and a doctor's note. Staff document when the medication is administered. Facility was advised that the medication must be properly labeled and stored in its original container. All medications are stored in a locked cabinet.

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.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

Food Service: The facility has monthly menu posted on the parent board. The center provides meals and snacks.

Staff/Personnel Records: Designation of Responsibility observed, immunization's, health screening, criminal record statement, statement acknowledging requirement to report suspected child abuse, two of the three staff have expired CPR/First Aid trainings. Two staff have current Mandated reporter training certificate. Per School Readiness Coordinator Joe Vega-Smith, the sub teacher will complete her mandated reporter training and will send the certificate no later than Friday, 05/10/2024.

Facility Records: Electronic Roster, fire/disaster drills log was completed.

Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty. The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 394), emergency disaster plan, earthquake preparedness checklist, and California Car Seat Law.

Documents Provided and or Discussed: Forms and records to keep at the facility and IMS.

Advisory/Other: Emergency bag were observed with supplies (thermometer) readily available.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

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: PSD ECE TIERRA BONITA CENTER	FACILITY NUMBER: 197408240
	VISIT DATE: 05/08/2024

NARRATIVE

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Director Smith was advised of the requirement to report Unusual Incidents. Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.

Director Smith was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. Director shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of child care center or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

No deficiencies were cited during this inspection.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8:00 A.M. to 5:00 P.M.

Exit interview conducted and a copy of this report, Notice of Site Visit, and appeal rights were provided to School Readiness Coordinator, Joe Vega Smith.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

LIC809 (FAS) - (06/04)

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