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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750161
Report Date: 02/21/2025
Date Signed: 02/21/2025 01:10:45 PM

Document Has Been Signed on 02/21/2025 01:10 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:ACADEMY OF EXCELLENCEFACILITY NUMBER:
197750161
ADMINISTRATOR/
DIRECTOR:		BEVERLY MOODYFACILITY TYPE:
850
ADDRESS:1324 WEST AVENUE J SUITE 5TELEPHONE:
(661) 206-9344
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY: 53TOTAL ENROLLED CHILDREN: 53CENSUS: 11DATE:
02/21/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Chauncy Smith, OwnerTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 2/21/25, Licensing Program Analysts (LPAs) Crystal Ali and Ana Rodriguez arrived at the facility to conduct an Annual Random Inspection. LPAs was met by Chauncy Smith, Owner and permitted to enter the facility. LPAs toured the facility in accordance with the facility sketch with Chauncy. During the inspection, LPAs observed 11 preschool children and 4 teachers providing care and supervision. Facility operates Monday through Saturday from 6:30am to 9pm.
Staffing Ration and Capacity: Preschool Classrooms consist of two classrooms each with their own bathrooms, one staff bathroom in hallway, kitchen, laundry room, and one outdoor play area (with approved wavier for staggered play times). Facility maintains an adequate teacher-child ratio. Care and supervision were evaluated and determined basic needs of children are appropriate and are being met. Owner informed LPAs that there are no weapons, no smoking, and no bodies of water on the premises.
Physical Plant: Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. LPAs observed sign-in sheets completed by each parent/guardian online system called “Procare App”. LPAs observed individual storage for children's belongings in each classroom. The children have access to filter water machines in the hallway and in each classroom, pitchers of water are taken outside during play yard time. Smoke detectors, carbon monoxide detectors, and fire extinguishers were observed and in operable condition per Fire Marshall standards.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
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: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750161
VISIT DATE: 02/21/2025
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Owner stated that fire marshall came prior to them being licensed. First Aid Kit are complete and in each classroom. Trash cans with tight-fitted lids were observed.
Napping: Children are provided napping daily from 12pm-2pm. Children are provided cots to sleep on during nap time. Each classroom has their own cots for napping. Napping materials are cleaned at the end of each week. If children have an accident, then facility will wash their napping materials right away. There is laundry area on the premises, inaccessible to children.
Kitchen: The kitchen is inaccessible to children. There is a clean, fully equipped kitchen with a refrigerators, freezers, oven and microwave. The facility provides breakfast, morning snack, lunch, and afternoon snacks to the children. Allergy lists are posted in the kitchen and in child record file. Their children that have lactaid allergy. LPAs observed an appropriate number of snacks and staff preparing snacks (with gloves). Chemicals, soaps, detergents, cleaning compounds, or similar substances are stored separately from food supplies and located in the kitchen under the sinks. The knives are located in the countertop pushed to the back inaccessible to children. LPAs observed that food preparation and storage areas are kept clean and free of litter and rubbish. Menus are posted at least one week in advance and made available for review by the parents. Food is purchased every two weeks. The facility does not participate in the food program. Daily activity schedules are posted showing meals/snack times, and specific activities.
Fire Extinguisher: Emergency Drills are conducted at least every six months, and the last drills were conducted on 1/14/25. There are three fire extinguishers throughout the facility all reading in green and meets the Fire Marshall Codes and Standards (last checked 12/2024).
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025
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: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750161
VISIT DATE: 02/21/2025
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Bathroom: Age-appropriate sinks and toilets were inspected for availability and good repair. Girls and boys share the bathroom with teacher supervision in each classroom. In each preschool classroom bathroom has 2 sinks and 2 toilets. Preschool classroom (age 2-3) is under repairs and classroom is not being used while repairs occur today. There is a bathroom in the hallway that the staff can use that is inaccessible to children. Each restroom has adequate toilet paper, diapers, pull ups, hand soap, and paper towels available. Restrooms are cleaned, restocked with toiletries, and sanitized by on-site staff. Janitor cleans entire facility daily Monday-Friday, 4:30pm-9pm. Owner states teacher wipe down tables and chairs throughout the day. Cleaning supplies is purchased every 1-2 weeks pending on what is needed.
Medication: A review of medication policy indicated that prescription medication is administered only with the parent’s written permission. The teachers pass out medication. Medication is labeled correctly and stored in its original container locked in the bottom cabinet next to stove in the kitchen, inaccessible to children. There currently are children on medication. Children are inspected for illnesses as they arrive with a no-touch thermometer and an overall wellness check. Isolation area is in the staff office and the child is provide a couch and supervised by staff until the parent arrives to pick them up.
Transportation: The facility does not provide transportation for preschool children.
Lead Testing/Drinking Water: The facility has no records completing lead water testing. LPAs observed Owner calling water company to set up an appointment for today.
Outdoor Activity Space: 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. Play yard is located in the back of the preschool. Teachers walk the children over to the play yard. Play yard has a play equipment (anchored and shaded) with a slides. There is basketball hoop, climbing doom,
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025
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: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750161
VISIT DATE: 02/21/2025
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three play equipment with slides for different ages, and several other outdoor toys. Children are provided filtered water via individual water bottles. There are adequate shaded areas for rest. However, the shade canopy needs to be lifted higher. Owner stated he will fix the canopy top this weekend. The playground is well-fenced all around, however, the bottom (small section) of the fence needs repair. Their no bodies of water were observed in the outdoor play area. Play yard is cleaned daily by the teachers and landscapers come weekly to clean debris. The teachers will continue to provide 100% supervision when outside in the play yard.
Records/Documentation: LPAs reviewed with Owner the LIC 125, records to be maintained at the facility, for child’s records, personnel records, administrative records, and parent board. Employee records are in incompliance. However, there is not a current director on file. The owner has begun submitted paperwork to LPA Ali today for the director packet. The child records are not in compliance. Two child files is are missing: Immunization's, TB, LIC 701, and LIC 9166.

Deficiencies cited: Two Type B’s in accordance with Title 22 of the California Code of Regulations and Health & Safety codes.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and a copy of this report and copy of appeal rights were provided to the Owner, Chauncy Smith.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025
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: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750161
VISIT DATE: 02/21/2025
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Criminal Record Clearance - Child Care Centers
Facility representative was reminded that all adults 18 and over, including
employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
Lead Testing – Child Care Centers (CCC)
CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025
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: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750161
VISIT DATE: 02/21/2025
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Safe Sleep - Child Care Centers
LPA discussed the safe sleep regulations with facility representative and
discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed facility
of the importance of checking for recalled infant devices on the United States
Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and
recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
Incidental Medical Services (IMS) - Child Care Centers
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
PIN 22-05-CCP
MyChildCarePlan.org – Child Care Centers
Facility representative was informed of the MyChildCarePlan.org website; a
consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025
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: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750161
VISIT DATE: 02/21/2025
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Subscribe to CCLD important information - Child Care Centers
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/
subscribe and select the Child Care option to receive email communication.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/21/2025 01:10 PM - It Cannot Be Edited


Created By: Crystal Ali On 02/21/2025 at 12:39 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750161

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(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.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in no lead water testing results which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/06/2025
Plan of Correction
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Licensee will provide proof of lead water testing results to LPA.
Type B
Section Cited
CCR
101212(b)
Reporting Requirements
(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in new director packet which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/06/2025
Plan of Correction
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Licensee will provide proof of director packet completion to LPA.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Claretta Yates
LICENSING EVALUATOR NAME:Crystal Ali
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2025


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