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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750180
Report Date: 04/16/2025
Date Signed: 04/16/2025 04:03:39 PM

Document Has Been Signed on 04/16/2025 04:03 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:KIDS N COLORS DAYCARE INCFACILITY NUMBER:
197750180
ADMINISTRATOR/
DIRECTOR:		ISRAEL MORENOFACILITY TYPE:
860
ADDRESS:1850 E AVENUE RTELEPHONE:
(661) 916-0631
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 25DATE:
04/16/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:03 PM
MET WITH:Israel Moreno, Licensee and Mayra Truilljo,DirectorTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 04/16/25, Licensing Program Analyst (LPA) Justeene Tamayo met with Licensee Israel Moreno today for the purpose of conducting an unannounced Annual Inspection. This is a single license with a total capacity of 60 children: 10 toddlers (ages 18-36 months in room #6, 20 preschool children (ages3-5 years) in room #4, and 30 school age children (ages 5-12 years) in the bungalow. Days of operations are Monday-Friday 6AM-8PM. Upon arrival, LPA observed 17 preschool age children, and 7 school age children, along with 4 Teachers, Director, and Licensee.

Indoor/Children’s Area: Childcare center is clean, safe, sanitary and in good repair. Floors of each classroom have a surface that is safe and clean, cleaning compounds inaccessible, poisons locked, furniture/equipment is good condition, free of flies, other insects, rodents; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate, each child has an individual permanent or portable storage space (cubbies, individually labelled with name) for his/her clothing, and personal belongings.



Trash cans for solid waste have tight fitting lids and water is provided by the facility by the water dispenser. All materials and surfaces are toxic free are inaccessible and there is no fireplace. There are working carbon monoxide detectors, smoke detectors and Fire Extinguishers (2A10BC) in each of the classrooms and read in green. There is a working landline telephone (landline) on the premises.

Restrooms: LPA inspected and observed 2 sets of bathrooms: 1 toilet and 1 sink in classroom #4 and 1 toilet and 1 sink in classroom #6. LPA observed soap, toilet paper and paper towels readily available in both restrooms. Water temperature is appropriate. For the school age, there is a total of 2 bathrooms (one girls, one boys) near the bungalow area. The boys bathroom has 3 sinks, 2 toilets, and 2 urinals. The girls bathroom has 3 sinks and 4 toilets available.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Justeene Tamayo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS N COLORS DAYCARE INC
FACILITY NUMBER: 197750180
VISIT DATE: 04/16/2025
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Staff/Personnel Records: Licensee Israel Moreno is designated as the Director, however he will send Director Packet for Mayra Truijillo to LPA Tamayo. There is an exception on file for Mayra Truijillo to be Director. Immunization's, TB clearance, mandated reporter trainings, Director qualifications, health screening, criminal record statement, and statement acknowledging suspected child abuse were reviewed and maintained current.

During file review, Teachers #1, #2, and #4 did not have proof of 12 ECE units. Facility has been cited a type B citation. Please see LIC809-D for deficiency page. During staff file review, teachers were missing proof of required immunization's. Facility has been cited a Type B citation. Please see LIC809-D for deficiency page. Licensee will send corrections to LPA Tamayo no later than 05/01/25.

Facility Records: Roster, fire/disaster drill log last completed 02/07/2025, CPR/First Aid and mandated reporter training were reviewed and maintained current. Directors CPR/First expires on 03/06/2026. Director's mandated reporter training expires on 03/11/2027.

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 394L), emergency disaster plan, earthquake preparedness checklist.

Food Service: Per licensee, the children bring their own food to the center. Snacks are provided if needed.

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

Advisory/Other: First aid supplies (thermometer, bandages, scissors) readily available in each classroom. There is an isolation area for children who become ill while in care located in the facility office. The facility maintains a comfortable temperature at all times, sign in/out sheets available and completed daily at pick up and drop off. Smoking is prohibited on the premises, and daily inspection for illness is conducted. Firearms/weapons are not allowed or stored on premises. There are no pools or bodies of water on the premises.
NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Justeene Tamayo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS N COLORS DAYCARE INC
FACILITY NUMBER: 197750180
VISIT DATE: 04/16/2025
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Electrical outlets are inaccessible, recalled and or prohibited toys or play equipment were observed on the premises. There are no window cords accessible to children.

The play yard was toured, LPA observed the black top in appropriate condition, there is 1 large climbing structure, a swing set on the side (this will be off limits for the PS children). There is wooden chipping for the swings to help absorb the fall. The entire yard is totally fenced in. Staff bring water out in pitchers and disposable cups and/or water bottles. There are no bodies of water on the premises

There is no physical separation on the play yard for Preschool and School-age children, waiver is on file for the 2 groups to share the play yard with alternating schedules. There's a climbing apparatus on the play yard with a manufactures age limit of 2 - 5 yrs, this climbing apparatus if off limits for toddlers and School-age children. LPA observed a separate outside play area set up for toddlers barricaded by a wrought iron fence. Toys and play equipment is readily available and in stable condition. Licensee is reminded to ensure all outdoor fencing remains locked at all time.



Sign in and out sheets are completed daily at pick up and drop off times. The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current. Roster current. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate.

Health Related Services: Facility is advised all prescription and non-prescription medications must have child’s name and are dated, written consent and instruction from child’s representative, and a plan to document and report to child’s representative when medication is administered to a child; IMS plan was discussed and Facility understands when IMS is necessary. No IMS at this time.

Sign in and out sheets are completed daily at pick up and drop off times. The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current. Roster current. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate.
NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Justeene Tamayo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS N COLORS DAYCARE INC
FACILITY NUMBER: 197750180
VISIT DATE: 04/16/2025
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Children are inspected for illnesses (wellness policy) as they arrive. LPA observed a food allergy list posted on the staff refrigerator. A review of medication policy indicated that prescription medication is administered only with parent's written permission (licensing medication form- LIC9221 - also used). Per Facility, they are children enrolled who require medication. LPA advised the facility must administer medication, and document the dosage, date and time onto a log. Medication can be brought and taken home by the parent daily. Medication will be properly labeled and stored in its original container. There is a separate area for isolation and care of ill children as needed.

Currently, Incidental Medical Services are not provided to children in care. LPA reviewed equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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/childquanda.html



Licensee 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 the 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. An On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. Licensee shall permit the Department to inspect the family childcare 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

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. No deficiency was cited today.

Exit interview conducted and report was reviewed with Licensee Israel Moreno. This report was read and provided to licensee, along with his appeal rights and Notice of Site Visit.
NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Justeene Tamayo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/16/2025 04:03 PM - It Cannot Be Edited


Created By: Justeene Tamayo On 04/16/2025 at 03:33 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: KIDS N COLORS DAYCARE INC
FACILITY NUMBER: 197750180

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(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.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above. Teachers #1 and #3 did not have proof of measles, pertussis, and influenza. Teacher #2 did not have proof of measles or flu, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/01/2025
Plan of Correction
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Licensee will send proof of immunizations to LPA Tamayo no later than 05/01/25.
Type B
Section Cited
CCR
101216.1(c)(1)
Teacher Qualifications and Duties
(c) To be a fully qualified teacher, a teacher shall have one of the following: (1) Twelve postsecondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above. Teachers #1-4 did not have proof of 12 units of ECE credits, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/01/2025
Plan of Correction
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Licensee will send proof of 12 ECE units to LPA Tamayo no later than 05/01/25.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Mariela Ramon
NAME OF LICENSING PROGRAM MANAGER:
Justeene Tamayo
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/16/2025


LIC809 (FAS) - (06/04)
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