197419540-4-25-2024-12-CC-IORA-D4P228-20240425170018

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419540
Report Date: 04/25/2024
Date Signed: 04/25/2024 05:00:28 PM

Document Has Been Signed on 04/25/2024 05:00 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:	YMCA OF METRO LA/NORTH VALLEY DARBY		FACILITY NUMBER:	197419540
ADMINISTRATOR/ DIRECTOR:	MEGAN TISLER		FACILITY TYPE:	850
ADDRESS:	10818 DARBY AVENUE		TELEPHONE:	(818) 368-3231
CITY:	NORTRIDGE	STATE: CA	ZIP CODE:	91326
CAPACITY: 70	TOTAL ENROLLED CHILDREN: 70	CENSUS: 19	DATE:	04/25/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:35 PM
MET WITH:	Amanda Rockford, Site Director		TIME VISIT/ INSPECTION 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 4/25/2024 Licensing Program Analyst (LPA) Isabel Ortega met with facility Site Director Amanda Rockford and conducted an Annual Random inspection. LPA toured and inspected the facility in accordance with the facility sketch. During inspection LPA observed 19 children and 2 staff providing care and supervision. Facility Operates in two classrooms referred to as the YMCA of Metro LA/North Valley Darby Before and After School Age Program. The YMCA program is located in two bungalows on Darby Elementary School campus. There are a total of two classrooms, one play yard and two rolling kit totes (snap lock) and utilized for emergency supplies. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. LPA observed individual storage with children’s name labeled for children's belongings. The classroom consists of filtered water in a Brita water dispenser for indoor and outdoor use. LPA observed individual disposable cups for children. An isolation area was inspected, which takes place in the classroom with an individual mat and blankets are also available and washed after each use. Children have the option for rest time and quiet time if needed.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024

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: YMCA OF METRO LA/NORTH VALLEY DARBY	FACILITY NUMBER: 197419540
	VISIT DATE: 04/25/2024

NARRATIVE

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Age appropriate sinks and toilets were inspected for availability and good repair. Toilets flush properly; toilet and sinks are reachable by the children. Each restroom has adequate toilet paper, hand soap and paper towels available. Restrooms are cleaned, restocked of toiletries and sanitized by staff daily and as needed.

Facility operates morning Monday through Friday from 6:30 a.m. to 8:30 a.m. and after school care Tuesday: 1:38 p.m. to 6:30 p.m. and Monday through Friday from 2:38 p.m. to 6:30 p.m. Facility provides one afternoon snack during regular care. Menu and food allergies are noted and posted by the snack area Refrigerator.

Facility has all the required licensing forms posted on the board by the entrance to the classroom.

First Aid supplies, smoke detectors, carbon monoxide(tested at 3:09 p.m.) and fire extinguishes(serviced 4/07/2024 yellow tag observed) were found to be in operable condition according to fire marshal standards. Trash cans with tight lids were observed. Snacks were inspected, and are properly labeled, stored, and within expiration date. Refrigerator is clean and operating at the proper temperature, and there is hot running water in the snack preparation area. The kitchen area is adequately equipped, clean, and free from hazards. Cleaning supplies are out of reach of children(a secured child safety latch was observed).

Emergency Drills are conducted every sixth month last drill was conducted and documented on 03/19/2024 at 2:38 p.m.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024

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: YMCA OF METRO LA/NORTH VALLEY DARBY	FACILITY NUMBER: 197419540
	VISIT DATE: 04/25/2024

NARRATIVE

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The outdoor play area was inspected and observed to be free of hazards, loose, or sharp objects. Equipment was inspected for safety, cushioning material, good repair and age appropriateness. Climbing structures other play equipment were found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. Children are provided with filtered water in a Brita dispenser and disposable cups are available a (cart utilized for transport). Facility also has two emergency kit tote bags.
The facility provided lead testing results under 5.5 ppb, which are the allowable exceedance tested on 12/13/2022.

There is adequate shade area for rest. The playground is well fenced all around, and no bodies of water observed in the outdoor play area.

Facility maintains adequate teacher child ratio. Care and supervision were evaluated and determine basic needs of children are appropriate and are being met. The parent board was reviewed and has all the required forms posted accessible to parents.

Children's records were reviewed for completeness. Health History, Emergency contact and Medical Exams; Immunization Records are all in the children's file. The facility roster was up to date and all staff have been fingerprinted and association to the designated license number.

The Director and Staff are currently certified in Pediatric First Aid and CPR which does not expire until 09/10/2025. Child Care Provider Mandated Reporter (AB1207) training is dated 03/09/2024.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024

LIC809 (FAS) - (06/04)

Page: 3 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: YMCA OF METRO LA/NORTH VALLEY DARBY	FACILITY NUMBER: 197419540
	VISIT DATE: 04/25/2024

NARRATIVE

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For additional information and forms visit our website at: www.cdss.ca.gov

For updates on Community Care Licensing please visit the following website at: Childcareadvocatesprogram@dss.ca.gov
https://ccld.childcarevideos.org/

Per Title 22 Regulations facility is in compliance, no deficiency will be issued today. An exit Interview was conducted with facility Site Director, Amanda Rockford. A copy of this Report, a Notice of Site Visit and appeal rights were provided on this day. A copy of this report must be made available to the public for 3 years.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024

LIC809 (FAS) - (06/04)

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