197750157-6-11-2024-12-CC-JDMO-D65VLP-20240611163216

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197750157
Report Date: 06/11/2024
Date Signed: 06/11/2024 04:32:29 PM

Document Has Been Signed on 06/11/2024 04:32 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:	AUNTIE JESSIE PRESCHOOL		FACILITY NUMBER:	197750157
ADMINISTRATOR/ DIRECTOR:	JESSICA FONSECA		FACILITY TYPE:	840
ADDRESS:	321 EAST AVENUE K4		TELEPHONE:	(661) 483-1947
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93535
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 30	CENSUS: 13	DATE:	06/11/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Jessica Fonseca		TIME VISIT/ INSPECTION COMPLETED:	03:30 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 June 11, 2024, at 1:30 P.M., Licensing Program Analyst (LPA) Joselito L. Del Mundo met with the facility Director, Jessica Fonseca to conduct an unannounced Annual/Random inspection for the School age license in accordance with the facility sketch. A tour of the facility was conducted. LPA observed a total of 13 school age children for the one classroom with 1 teacher providing care and supervision. The hours of operation are 6:30 A.M. - 7:30 P.M. from Monday to Friday. Incidental Medical Services (IMS) was discussed. The facility fees are current. Indoor/Children’s Area: Child care center is clean, safe, sanitary and in good repair; all outdoor and indoor passageways, ramps, and other areas of potential hazard are kept free of obstruction; floors of all rooms have a surface that is safe and clean, cleaning compounds and poisons are locked inside the janitor’s room and are inaccessible; furniture/equipment is in good condition; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate. Toys are sanitized and dried out. Each child has an individual or portable storage space (cubby, individually labelled with name) for his/her clothing or 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 provided in every classroom and is stored in a small water pitcher. Water dispensers and water fountains are available in the facility. Children were provided with bottle/container when drinking. LPA observed a sufficient quantity of cots available for school age children. All materials and surfaces are toxic free. There is no fireplace in the facility. The center has an internal pull-down fire alarm system next to the entrance door and fire extinguishers (2-A:10-B:C classification) with

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

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: AUNTIE JESSIE PRESCHOOL	FACILITY NUMBER: 197750157
	VISIT DATE: 06/11/2024

NARRATIVE

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last service dates on 05/15/2024, reading in green, checked at 1:01 P.M.). Carbon monoxide devices are in operable condition (checked at 11:20 A.M.).

Restrooms: LPA inspected and observed a 1 toilet, 1 sink, 1 urinal, soap and tissue dispensers inside the school age bathroom. Water temperature is appropriate. There are water fountains and sink located outside the bathroom. The bathroom for staff is located adjacent to the school age bathroom. Lockers for school age children are also provided.

There is an isolation area for children who become ill while in care and is in the Nurse room. The facility maintains a comfortable temperature at all times, first aid supplies (first aid manual/guide, bandages, scissors, tweezers, antiseptics, gauze), electronic 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: The facility provides blankets and sheets for children in care. Mats are used and maintained in good condition, wiped/cleaned/disinfected daily, or when soiled and there is no contact with other children bedding.

Outdoor: The facility has a playground area for the school age children. The preschool and school age children share the same playground area and is scheduled at different time. Outdoor play equipment was inspected for health, safety, good repair, and age appropriateness. The area was observed to be free of holes, broken glass and other debris, free from hazard, and other items that may pose fire hazard. The slide has rubberized cushioning materials. No bodies of water were observed. LPA observed the entire yard is surrounded by wrought iron fencing. Drinking water is provided during outdoor plays. Staff also bring a water pitcher when they play outside.

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: Currently, no medications are being provided to children in care.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

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: AUNTIE JESSIE PRESCHOOL	FACILITY NUMBER: 197750157
	VISIT DATE: 06/11/2024

NARRATIVE

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Children are inspected for illnesses (wellness policy) as they arrive. Children were check visually as well at 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. The facility provides breakfast, lunch, afternoon snacks, and dinner to children. Children bring their own morning snacks.

Staff/Personnel Records: 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 05/21/2024 at 3:10 P.M. CPR/First Aid and mandated report trainings were reviewed and are current. Waiver to Share Play yard between the preschool and school age children was provided.

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 394), LIC 610 Emergency Disaster Plan, and Child Passenger Poster.

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

Advisory/Other: First Aid kit was observed with supplies readily available.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

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: AUNTIE JESSIE PRESCHOOL	FACILITY NUMBER: 197750157
	VISIT DATE: 06/11/2024

NARRATIVE

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Sign in and out sheets were reviewed. The facility is using electronic sign in and out sheet. 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

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 A.M. -5 P.M. Exit interview conducted and a copy of this report, Notice of Site Visit, and appeal rights were provide to Director Jessica Fonseca.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

LIC809 (FAS) - (06/04)

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