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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360906559
Report Date: 01/25/2023
Date Signed: 01/25/2023 01:20:17 PM


Document Has Been Signed on 01/25/2023 01:20 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:CSUSB CHILDREN'S CENTERFACILITY NUMBER:
360906559
ADMINISTRATOR:DEANNA HERNDONFACILITY TYPE:
850
ADDRESS:5500 UNIVERSITY PARKWAYTELEPHONE:
(909) 537-5928
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY:40CENSUS: 28DATE:
01/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:11 AM
MET WITH:Deanna BrownTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Maddox met with Director, Deanna Brown today for the purpose of conducting an unannounced Required 1 year inspection. LPA toured and inspected all areas according to the facility sketch (2 classrooms and outside play area). This Pre-School program is held on the campus of Cal State University San Bernardino in the Children's Center. There's also a School-age Component (360909152, which operates in the Summer months only) and an Infant/Toddler component located in a separate building (364815293 also inspected today). The hours of operation are MONDAY - FRIDAY 7:00 AM - 5:30 pm cpr 3/2024

**LPA noted age appropriate furniture, equipment, toys and materials. Classrooms were observed to be clean, safe and free of any Health or Safety hazards. Telephone service was verified as well as adequate heating, lighting, and ventilation. Drinking water is available inside the classroom in the form of water coolers, children have their own individual cups.

**The children's bathrooms are located within each classroom. The front bathroom contains 3 toilets and an open sink with 3 faucets; the rear bathroom has 2 toilets and another open sink with 3 faucets - 1 single sink inside the bathroom. Children's belongings are kept in hampers located in the children's bathrooms, LPA observed plastic bags labeled with each child's name to ensure no bedding or linens encounter other bedding or linens from other children. There are also cubbies in the bathroom available to store children's belongings.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
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: CSUSB CHILDREN'S CENTER
FACILITY NUMBER: 360906559
VISIT DATE: 01/25/2023
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The staff restroom is in the rear classroom. LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and paper towels readily available. Toilets and sinks are functioning properly and age appropriate.

**Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes sand under climbing structures for cushioning material and there is enough and adequate shade available. Large play equipment and structures are securely anchored. The area was observed to be free of debris. Outside Drinking water is available in the form of water fountains.

**LPA observed working smoke detectors, fire extinguishers, and carbon monoxide detectors throughout center. There is a log of emergency fire/disaster drills; sign in and out sheets contain full legal signatures; License is posted along with other forms that require posting after licensure. Names recorded of Staff and children files reviewed during this inspection. Files reviewed were complete with required forms and documentation including required immunization's; Health Screenings; current CPR and First Aide training; fingerprint clearances, emergency contact information; copies of transcripts with required ECE units.

**Center provides full lunches (enrolled with Food Program). Food preparation area/Kitchen was inspected for safety, cleanliness, proper equipment & protection against contamination and storage, menus observed and posted.



Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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 - Director states there are no children present whom require IMS, but there is a plan in place.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: CSUSB CHILDREN'S CENTER
FACILITY NUMBER: 360906559
VISIT DATE: 01/25/2023
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**Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). In addition; all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report documenting a Type A Citation and sign form LIC 9224 acknowledging receipt. Staff are aware of required forms for children's files and forms that shall be posted after licensure.

Exit interview conducted, copy of report left with Director. There were no violations noted as a result of this unannounced inspection, center is operating within the guidelines of Title 22 Regulations.

SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4