197408260-3-16-2023-12-CC-AALH-CPYSGL-20230316135207

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197408260
Report Date: 03/16/2023
Date Signed: 03/16/2023 01:52:48 PM

Document Has Been Signed on 03/16/2023 01:52 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:	CROSSWIND COMMUNITY CHURCH-ADVENTURELAND INFANT		FACILITY NUMBER:	197408260
ADMINISTRATOR:	AMY CURTIS		FACILITY TYPE:	830
ADDRESS:	41337 10TH STREET WEST		TELEPHONE:	(661) 272-0681
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93551
CAPACITY: 16	TOTAL ENROLLED CHILDREN: 16	CENSUS: 8	DATE:	03/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Director Amy Curtis		TIME COMPLETED:	02:10 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) Andrew Alemoh met with the Director, Amy Curtis, for the purpose of conducting an annual inspection. LPA toured and inspected the infant rooms in accordance with the facility sketch. LPA observed 8 infants upon arrival in infant room 0-12. There was both teachers were fully qualified. In the infant room 12-24 months LPA observed qualified teacher observing 8 napping children. This facility has two infant classrooms. The facility operates from 6:00 am to 6:30 pm. Incidental Medical Services (IMS) policy was discussed. Per the Director, there are no firearms or weapons on the premise. LPA did not observe any bodies of water on the premises. Disinfectants, chemical compounds, and poisons were found to be inaccessible to children in care. Furniture and equipment LPA observed furnishing throughout the facility to be in good condition. Telephone service was verified. Heating, lighting, and ventilation are adequate. In each classroom, LPA observed cubbies in which infant's belongings can be stored. Infant bottles, and diapers were labeled with children's names. For the younger infants’, parents bring their own baby bottles. LPA observed that chemicals are kept separate from the infants food. There is a needs and services plan for each child to record the infant's care.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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: CROSSWIND COMMUNITY CHURCH-ADVENTURELAND INFANT	FACILITY NUMBER: 197408260
	VISIT DATE: 03/16/2023

NARRATIVE

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Medication is brought and taken home by the parent daily. Medication is properly labeled and stored in its original container. There is a separate area for isolation and care of ill children at the director's desk area.

There is a clean, fully equipped kitchen with refrigerator, freezer, stove and microwave oven, dish washer and a combination washer/dryer. The facility provides breakfast, morning snack, lunch and two afternoon snacks. Menus are posted in the office, kitchen and each classroom, in the infant room there are formula, jars of vegetable and fruit upon demand. Allergy lists are posted in the classroom. LPA observed an appropriate amount of food and snacks. The chemicals are kept separate from the food (classroom 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

**Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign in and out sheets were reviewed. The parent board was reviewed and has all of the required forms posted.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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: CROSSWIND COMMUNITY CHURCH-ADVENTURELAND INFANT	FACILITY NUMBER: 197408260
	VISIT DATE: 03/16/2023

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Fire/earthquake drills current. Children's records and staff records were reviewed. LPA verified at least one staff person present has current Pediatric CPR and First Aid training exp 08/2024. Mandated Reporter expires on 07/23. LPA observed the Safe Sleep Chart, as well as individual sleeping plans for 13 out of 15 infants in care

Additional forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov. To sign up for our Quarterly Updates please email the Child Care Advocates at chilcareadvocatesprogram@dss.ca.gov & (916) 654-1541

Per the Title 22 regulations, the above facility was found to be operating in compliance. No citations will be issued on this date.

Notice of Site visit was provided to Director Amy and must be posted for 30 days.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC809 (FAS) - (06/04)

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