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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360911568
Report Date: 10/10/2023
Date Signed: 10/10/2023 02:44:22 PM

Document Has Been Signed on 10/10/2023 02:44 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:PSD-TWENTY NINE PALMS HEAD STARTFACILITY NUMBER:
360911568
ADMINISTRATOR:WILSON, DEBORAHFACILITY TYPE:
850
ADDRESS:71409 29 PALMS HIGHWAYTELEPHONE:
(760) 367-5150
CITY:TWENTYNINE PALMSSTATE: CAZIP CODE:
92277
CAPACITY: 45TOTAL ENROLLED CHILDREN: 15CENSUS: 13DATE:
10/10/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Site Supervisor, Lugene SpringfieldTIME COMPLETED:
03:00 PM
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On October 10, 2023, at 10:40 a.m., Licensing Program Analyst (LPA) Zirbes met with facility representative, Lugene Springfield. The purpose of the inspection was to conduct an unannounced required one year inspection. LPA disclosed the purpose of the inspection to the facility representative. Present during today’s inspection were 13 preschool age children, one teacher, one aide, one college observer and four additional staff members. The preschool program consists of two classroom (1 and 2) two childrens restrooms, kitchen, food service office, outdoor play space and a separate administrative building with offices and staff restrooms, and community resources. The facility operates from 7:30am until 4:30pm Monday through Friday. Facility is closed the month of July.
Indoor/Children’s Area:
LPA and facility representative completed a tour at approximately 11:00 a.m. Child care center was observed to be clean, safe, sanitary and in good repair; all outdoor and indoor passageways, stair ways, incline, ramps, open porches 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 were located in the following areas: locked cabinet within the food service office, in a high inaccessible cabinet near the children restrooms and in classroom one in a locked cabinet. At the time of this inspection, all cleaning compounds were inaccessible.
Zero poisons are stored in the classroom. LPA observed the furniture/equipment is in good condition. Classrooms were free of flies, other insects, rodents. The classroom had tables and chairs to meet children’s needs. LPA observed the classroom had designated areas for dramatic play, art, writing, manipulates, library and a computer area. In addition, there was a carpet area for story/instructional time. Children's belongings are kept in cubbies labeled with the children's names. Trash cans for solid waste have tight fitting lids. Drinking water is readily available indoors via a water cooler and cups. All materials and surfaces are toxic free, window screens in good repair and free of debris. There is a carbon monoxide detector, smoke detector and Fire Extinguisher in the classrooms. Report continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 6
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: PSD-TWENTY NINE PALMS HEAD START
FACILITY NUMBER: 360911568
VISIT DATE: 10/10/2023
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Report continued from page one

There was working telephone service within the classroom. The facility has central heating and air conditioning and was a comfortable temperature at the time of this inspection. Smoking is prohibited on the premises. LPA did not observe prohibited childcare items during this inspection. Electrical outlets are inaccessible. Firearms/weapons are not allowed or stored on premises. There are zero bodies of water on the premises. Per conversation with the facility representative, staff conduct wellness checks each day on the students. An isolation area is located in the facility representatives office within the Administrator building.
Restrooms: There are two children's restrooms at the Center. One restroom consisted of two toilets and one sink. The other restroom consisted of two toilets, one urinal, and one sink. Restrooms were observed to be in safe and sanitary operating condition. Toilets and sinks are functioning properly and are age appropriate. The children's restrooms only deliver cold water. Paper towels and soap were available to the children.

Kitchen: The facility has a self contained kitchen. The kitchen area is inaccessible to the children via a locked half door. Kitchen has a sink, refrigerator, and oven. Two meals are provided to the children.

Napping: Cots used utilized and were observed to be in good condition.

Outdoor: The Center has a large shaded outdoor play area. The outdoor space consisted of a large climbing structure, a turf area, and cement track for the tricycles. In addition, the outdoor play area had two additional small climbers, blocks, and various learning materials which met the ages of the children enrolled. The climbing equipment was placed on cushioned rubber material which absorbs fails. The climbing equipment was securely anchored to the ground and was free from hazards, holes, broken items. A fence surrounds the outdoor area that is at least 5 feet high. No bodies of water were observed. There is a locked shed in the outdoor play space which holds additional outdoor play equipment, and custodial supplies. When the children are outside drinking water is provided via an igloo water container and cups.

Teacher child ratios were observed, and found to met the requirements. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Report continued on page three
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
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: PSD-TWENTY NINE PALMS HEAD START
FACILITY NUMBER: 360911568
VISIT DATE: 10/10/2023
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Report continued from page two

Health Related Services
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and 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/childqanda.htm

Child/Personnel Records
LPA reviewed five child records and four personnel files during this inspection. Per LPAs review child records were complete and contained all required information. One of four personnel records reviewed was missing documentation of the pertussis immunization, an advisory notice was issued.

Facility Records


LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility. LPA observed a current roster, disaster drill log (completed in September 2023), electronic sign in/out sheets, and water lead testing results. Water lead testing occurred in February 2023.

Posting Requirements
The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 393L), menu, car seat law (PUB 269), emergency disaster plan. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The Director shall permit the Department to inspect the center, and to privately interview children or staff, to determine compliance with or to prevent violations of laws 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.

Report continued on page four

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
LIC809 (FAS) - (06/04)
Page: 3 of 6
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: PSD-TWENTY NINE PALMS HEAD START
FACILITY NUMBER: 360911568
VISIT DATE: 10/10/2023
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Report continued from page three

Facility representative was advised of the requirement to report Unusual Incidents. Facility representative was informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address: 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 center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The On-Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.



Facility representative 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.

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.

Based on LPAs record review and observations, zero citations were issued. Two advisory notice was issued.

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. Exit interview conducted and report was reviewed with the facility representative Lugene Springfield.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
LIC809 (FAS) - (06/04)
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