197411390-9-21-2021-12-CC-BTSA-C73VYY-20210921165156

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197411390
Report Date: 09/21/2021
Date Signed: 09/21/2021 04:52:02 PM

Document Has Been Signed on 09/21/2021 04:52 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	LANCASTER UNITED METHODIST CHILDRENS CENTER		FACILITY NUMBER:	197411390
ADMINISTRATOR:	DAMON, TAMMY		FACILITY TYPE:	830
ADDRESS:	918 W. AVE J		TELEPHONE:	(661) 942-0812
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 0	CENSUS: 16	DATE:	09/21/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	10:34 AM
MET WITH:	Director Tammy Damon		TIME COMPLETED:	05:05 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 September 21, 2021 at 10:34AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced Case Management - Incident inspection regarding the three children that tested positive for COVID-19. LPA disclosed the purpose of the inspection and was granted entry by Staff 1 who took LPA's temperature. Director joined LPA immediately after entry and LPA reiterated the purpose of inspection. Upon entry LPA counted 16 children in care with 6 staff confirmed on association list. Upon arrival, LPA observed COVID-19 signs posted at the facility stating "masks must be worn," "Face mask required, even if you have been vaccinated," and the Public Health Order requiring all people 24 months and older to wear a face covering while on child-serving sites. LPA observed hand washing signs in the restroom and signs outside of each room identifying maximum occupancy. Upon entry, LPA observed Staff wearing face coverings and children of preschool age wearing face coverings. Infants are not wearing face coverings as it is not required. Director lead LPA to the off-limits isolation room and LPA observed Clorox Wipes and Lysol spray available for staff use. Director disclosed the Turner Professional Cleaning Service comes to the facility each Friday to deep clean and "bomb" the classrooms to disinfect for COVID-19. Director also disclosed teachers completed independent sanitization deep clean on Thursday, 08/19/2021 after Child 1 had gone home sick on Monday 8/16/21 and the facility was then disinfected again on Friday, 8/20/2021. Staff are also cleaning and disinfecting daily. The Turner Professional Cleaning Service was then hired to deep clean daily and "bombing" twice weekly for a duration of 4 weeks. Child 1 tested positive for COVID-19 on 8/20/21. On 08/16/2021, Child 1 went home early with congestion and lethargy. Child 1 stayed home the remainder of the week and that Friday, obtained a positive COVID-19 test. The child has not returned to the school since 8/16/2021.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LANCASTER UNITED METHODIST CHILDRENS CENTER	FACILITY NUMBER: 197411390
	VISIT DATE: 09/21/2021

NARRATIVE

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Child 2 tested positive for COVID-19 on an undisclosed date, but Child 2's authorized representative informed the facility of the COVID-19 positive on 8/25/21. The last day Child 2 was at the facility was 08/20/21.

Child 3 tested positive for COVID-19 on 8/24/2021. Child 3 has two siblings that quarantined for 10 days as a result of the COVID-19 positive, but Child 3 quarantined for 14 days as Child 3's authorized representative felt Child 3 needed a little more time to recuperate.

Child 1, Child 2, and Child 3 did not attend the facility on the same date simultaneously, but Child 1 and Child 3 both attended on 8/16/21. Child 2 and Child 3 attended the facility together in the same class from 8/17/21 until 8/20/21.

After the facility received notice of the positive COVID-19 cases, Director required all staff and infants to obtain a negative COVID-19 test. All staff and infants came back negative and the Director has not received a report of a COVID-19 positive case since the last positive disclosed on 8/25/21.

Director disclosed she had not submitted the notice to Department of Public Health (DPH) for the COVID-19 positive cases in the infant room, but completed the notification during inspection.

Based on evidence obtained and interviews conducted, no deficiencies were noted and no citations will be issued today. An exit Interview was conducted, a copy of this Report, Appeal rights and a Notice of Site visit were provided to the Director.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

LIC809 (FAS) - (06/04)

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