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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750122
Report Date: 09/04/2024
Date Signed: 09/04/2024 02:48:43 PM

Document Has Been Signed on 09/04/2024 02:48 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MAGIC CAROUSEL MONTESSORI PRESCHOOL 2FACILITY NUMBER:
197750122
ADMINISTRATOR/
DIRECTOR:
CARMEN CERDAFACILITY TYPE:
850
ADDRESS:28200 BOUQUET CANYON ROADTELEPHONE:
(818) 912-1512
CITY:SANTA CLARITASTATE: CAZIP CODE:
91350
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 34DATE:
09/04/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:06 PM
MET WITH:Carmen Cerda, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On Wednesday, September 4, 2024 Licensing Program Analyst (LPA) Mayra Rivera conducted a Case Management- Deficiencies visit to review corrections in regards the below deficiencies cited on 10/11/23. LPA Rivera met with Director Carmen Cerda. During this visit, LPA Rivera observed 34 children present and napping. LPA observed staff #1, staff #2, staff #3, staff #4 and staff # 5 present providing care and supervision. Teacher and child ratio were observed, and present staff are fingerprinted cleared and trained in pediatric first aid/CPR.

1597.16(a)(1)-(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

1596.7995(a)(1)-(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

101216.2(e)-Based on observation and record review, the licensee did not comply with the section cited above in not having a qualified teacher in classroom Hungry Caterpillars which poses a potential health, safety or personal rights risk to persons in care.

Lead testing was conducted on 11/29/23, and LPA review the report and observed the report to indicate no lead exceedance in the food preparation area which is the kitchen.

LPA Rivera reviewed staff #1, staff #2, staff #3, staff #4, staff #5 and staff # 6 immunization's and observed them to be complete and stored in the staff files.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/04/2024
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MAGIC CAROUSEL MONTESSORI PRESCHOOL 2
FACILITY NUMBER: 197750122
VISIT DATE: 09/04/2024
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LPA Rivera observed a qualified teacher in classroom Hungry Caterpillars, staff # 5 (teacher) transcripts and observed 19 child development units and staff #6 (Teacher Assistant) transcripts and observed 6 child development units.

LPA Rivera observed the deficiencies to be corrected.

A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, during which this report and the Appeal Rights were discussed with director Carmen Cerda.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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