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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417908
Report Date: 09/26/2024
Date Signed: 09/26/2024 11:08:30 AM

Document Has Been Signed on 09/26/2024 11:08 AM - 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:NOAH'S PARK PRESCHOOLFACILITY NUMBER:
197417908
ADMINISTRATOR/
DIRECTOR:
ARNOLD, RACHELLEFACILITY TYPE:
850
ADDRESS:28310 KELLY JOHNSON PKWYTELEPHONE:
(661) 621-6010
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 23DATE:
09/26/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Director Rachelle Arnold TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On September 26, 2024, Licensing Program Analyst (LPA) Andrew Alemoh and met with Director Rachelle Arnold for the One Year Required inspection. A tour of the facility was conducted. Upon arrival LPA observed 2 classrooms in use with a total of 23 preschool age children. There were 4 staff on the premises working under the facility’s License. The hours of operation are: morning session 8:15am to 11:15am and afternoon session from 11:45am to 2:45pm, Monday - Friday. Incidental Medical Services (IMS) were discussed.

There are no bodies of water on the premises.

Indoor/Children’s Area: Child care center is clean, safe, sanitary and in good repair; all indoor passageways, stair ways, incline, ramps, open porches and other areas of potential hazard are kept free of obstruction; floors of the classroom has a surface that is safe and clean, cleaning compounds inaccessible(locked in the cabinets with a safety latch), poisons locked, furniture/equipment is good condition, free of flies, other insects, 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 hooks for hanging backpacks and storing his/her clothing and personal belongings. An air purifier was located in the classroom.

Trash cans for solid waste have tight fitting lids and children bring drinking water is reusable cups from home and water is also provided by the facility. All materials and surfaces are toxic free are inaccessible and there is no fireplace. There are working carbon monoxide detectors, smoke detectors and Fire Extinguishers (2A10BC reading in the green zone tested regularly) in each classroom. There is a working landline telephone on the premises. This facility's water was tested for lead on January 21, 2023. The results were received on February 22, 2023, indicating all water tested was within acceptable levels and safe for drinking and food preparation.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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: NOAH'S PARK PRESCHOOL
FACILITY NUMBER: 197417908
VISIT DATE: 09/26/2024
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Restrooms: LPA inspected and observed one jack and jill style restroom between the two classrooms for children. The restroom has 1 toilet and 1 sink. LPA observed soap, toilet paper and paper towels readily available in both restrooms. Water temperature is appropriate.

Sign in and out sheets are completed daily on the Bright Wheel app. The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current. Roster current.

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: Director is advised all prescription and non-prescription medications must have child’s name and are dated, written consent and instruction from child’s representative, and a plan to document and report to child’s representative when medication is administered to a child; IMS plan was discussed and Director understands when IMS is necessary.

Children are inspected for illnesses (wellness policy) as they arrive. A review of medication policy indicated that prescription medication is administered only with parent's written permission (licensing medication form- LIC9221 - also used). Per Director, she does not have children enrolled who require medication. LPA advised the Director must administer medication, and document the dosage, date and time onto a log. Medication can be brought and taken home by the parent daily. Medication will be properly labeled and stored in its original container. There is a separate area for isolation and care of ill children in the director’s office. At the time of this visit no children on medication however per director statement there is an child that is on an medication plan.

Currently, Incidental Medical Services are provided to children in care. LPA reviewed 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/childquanda.html
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: NOAH'S PARK PRESCHOOL
FACILITY NUMBER: 197417908
VISIT DATE: 09/26/2024
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Outdoor: Children use the 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, No bodies of water were observed. There is an umbrella area for shade and rest. The jungle gym is padded all around with wooden chips. There is a shed that is locked storing extra play equipment. A gate was observed to be locked for the electric/generator. On the right side was a gate that was observed to be locked for the Trinity Academy. Right side of the play yard area is a door that gives access to the drop off and pick up areas. The door was observed to be locked.

Staff/Personnel Records: Designation of Responsibility observed, immunization's, TB clearance, mandated reporter training, Director qualifications, health screening, criminal record statement, and statement acknowledging suspected child abuse were reviewed and maintained current.



Facility Records: Roster, fire/disaster drill log last completed on 09/04/2024, CPR/First Aid expires on 11/2025 and mandated report training were reviewed and maintained current expiring on 01/2026.

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 394L), emergency disaster plan, earthquake preparedness checklist.

Food Service: Sharp utensils, open bottles or alcohol are inaccessible. This facility has a morning and afternoon program and lunches are not provided. The facility provides snacks which are kept in a locked storage container. Water is brought by the children from home and refilled as needed by the facility.

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

Advisory/Other: First aid supplies (thermometer, bandages, scissors) readily available in the office. There is an isolation area for children who become ill while in care located in the school’s office, facility maintains a comfortable temperature at all times, sign in/out sheets available and completed daily and digitally stored. Smoking is prohibited on the premises, and daily inspection for illness is conducted. Firearms/weapons are not allowed or stored on premises. There are no pools or bodies of water on the premises.

Electrical outlets are inaccessible, recalled and or prohibited toys or play equipment were observed on the premises. There are no window cords accessible to children.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
LIC809 (FAS) - (06/04)
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