197750058-2-28-2024-12-CC-JDMO-D2VULU-20240228144119

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197750058
Report Date: 02/28/2024
Date Signed: 02/28/2024 02:41:41 PM

Document Has Been Signed on 02/28/2024 02:41 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:	KIDS AND KRAYON INFANTS AND TODDLERS		FACILITY NUMBER:	197750058
ADMINISTRATOR:	CUEVAS, MARIA		FACILITY TYPE:	830
ADDRESS:	43137 VENTURE ST SUITE 103		TELEPHONE:	(661) 839-5252
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93535
CAPACITY: 15	TOTAL ENROLLED CHILDREN: 15	CENSUS: 9	DATE:	02/28/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Maria Cuevas		TIME COMPLETED:	02:40 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 02/28/2024, at 9:50 A.M., Licensing Program Analyst (LPA) Joselito L. Del Mundo met with the facility Director, Maria Cuevas to conduct an unannounced Three Year Required inspection for the Infant and Toddlers license in accordance with the facility sketch. A tour of the facility was conducted. LPA observed a total of 9 infants and toddlers’ children for the classroom (Yellow Room) with three staff providing care and supervision. The hours of operation are 6:30 A.M. to 6:30 P.M., Monday - Friday. Incidental Medical Services (IMS) was discussed. Indoor/Children’s Area: Child care center is clean, safe, sanitary and in good repair; cleaning compounds are inaccessible, poisons are locked, furniture/equipment is in good condition. Indoor activity space for infants is physically separate from space used by children in the preschool and toddler components. Infant center is equipped with age-appropriate furniture and equipment including cribs, cots, diaper changing table and feeding chairs. Per Director, toys are sanitized and dried out in the sun. Toys are also being used alternately; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate, each child has an individual or portable storage space (cubby, individually labelled with name) for his/her clothing and personal belongings. There is a working telephone. Electrical outlets are inaccessible and has plastic covers. Recalled and or prohibited toys or sleep/play equipment were not observed on the premises. There are no window cords accessible to children. Trash bins have tight fitting lids. Drinking water is available in the infant/toddlers room. Children bring their own bottle/container when drinking. LPA observed a sufficient quantity of cots available for napping toddler and preschool children. LPA also observed cribs, highchairs, and diaper changing table. The bedding is stored separately. Per Director, when infants have a bowel movement, the soiled diaper is placed in a plastic bag and discarded in the outdoor trash can. All materials and surfaces are toxic free and are inaccessible. There is no fireplace in the facility. The center has an internal pull-down fire alarm system and fire

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

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: KIDS AND KRAYON INFANTS AND TODDLERS	FACILITY NUMBER: 197750058
	VISIT DATE: 02/28/2024

NARRATIVE

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extinguishers with a 2-A:10-B:C classification (last service date was on Aprill 2023, reading in green, checked at 10:48 A.M.). Carbon monoxide devices are in operable condition (tested at 10:49 A.M.).

Restrooms: LPA inspected and observed a total 1 toilet and 1 sink in the bathroom. The LPA observed liquid soap, toilet paper, trash bins with covers, diaper changing table, and disposable gloves were readily available. Water temperature is appropriate. There is an isolation area in the corner of the room beside the cribs for children who become ill while in care and parents are immediately called to pick up their children. The facility maintains a comfortable temperature at all times, first aid supplies, 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.

Napping: LPA observed children's personal blankets. Per Director, they provide sheets for children in care during nap time. Mats are used and maintained in good condition, wiped/cleaned/sanitized, or when soiled and there is no contact with other children bedding.

Outdoor: The facility has a playground area for the infant/toddlers and preschool children. The infant/toddlers used only the outdoor playground between 2:00 P.M. to 3:00 P.M. Water jug is available when infant/toddlers are doing outdoor play. Outdoor play equipment was inspected for health, safety, good repair, and age appropriateness. LPA observed two canopies at the outdoor playground. The area was observed to be free of debris, free from hazard, holes, broken items, debris. The slides have wood chips to absorb the fall. No bodies of water were observed. According to the director, drinking water is provided during outdoor plays.

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 Director Cuevas, they were not providing medications to children in care. LPA observed the facility has Infants Needs and Service Plan. However, two of the five infants did not have LIC9227 Individual Infant Sleeping Plan. Director was advised to provide copies of the documents.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

LIC809 (FAS) - (06/04)

Page: 2 of 5

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: KIDS AND KRAYON INFANTS AND TODDLERS	FACILITY NUMBER: 197750058
	VISIT DATE: 02/28/2024

NARRATIVE

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Children are inspected for illnesses (wellness policy) as they arrive. Children were check with regards to their body temperature.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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: There is a clean microwave, refrigerators, and freezers available in the facility. Per Director Cuevas, parents bring their own infant formula for their children. LPA observed the infant formulas are individually labeled with child’s name.

Staff/Personnel Records: Director (qualified) qualifications were verified, Designation of Responsibility observed, immunization's, TB clearance for staff, health screening, criminal record statement, statement acknowledging suspected child abuse and mandated reporter were observed in file.

Facility Records: Roster, fire/disaster drills log was last completed on 01/31/2024 at 9:50 A.M. Per Director Cuevas, they were conducting fire/disaster drills every end of each month. For infants and toddlers, infants were placed inside the movable cribs when conducting fire/disaster drills. CPR/First Aid and mandated report trainings were reviewed and are on file. During this inspection, two Infant/Toddlers staff have pending CPR and First Aid training. The director and staff 3 have current CPR and First Aid trainings.

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 393), PUB 269 Child Passenger Restraint System Poster, emergency disaster plan, and earthquake preparedness checklist.
Documents Provided and or Discussed: Forms and records to keep at the facility and IMS.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: KIDS AND KRAYON INFANTS AND TODDLERS	FACILITY NUMBER: 197750058
	VISIT DATE: 02/28/2024

NARRATIVE

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Advisory/Other: First Aid kit was observed with supplies (thermometer) readily available. CPR/First Aid trainings were completed on different dates, 10/02/2023 and 05/17/2022. Mandated Reporter Trainings were completed on 12/30/2022, 10/05.2023, 09/10/2023, and 02/21/2024.

Sign in and out sheets were reviewed. The facility is using manual sign in and out sheet and were recorded daily. The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current.

Director 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 a day care center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.

Director 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 day care center, 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

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: KIDS AND KRAYON INFANTS AND TODDLERS	FACILITY NUMBER: 197750058
	VISIT DATE: 02/28/2024

NARRATIVE

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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 provide to Director Maria Cuevas.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

LIC809 (FAS) - (06/04)

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