364806901-10-18-2023-12-CC-BIBE-CWQQN4-20231018121831

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364806901
Report Date: 10/18/2023
Date Signed: 10/18/2023 12:18:41 PM

Document Has Been Signed on 10/18/2023 12:18 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:	SBCUSD-MUSCOY ELEMENTARY SCHOOL		FACILITY NUMBER:	364806901
ADMINISTRATOR:	DELIA CASTANEDA		FACILITY TYPE:	850
ADDRESS:	2119 W. BLAKE		TELEPHONE:	(909) 730-3674
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92407
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 30	CENSUS: 8	DATE:	10/18/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Patricia Ayala		TIME COMPLETED:	12:55 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	Licensing Program Analyst (LPA) Ibitoye met with Lead Teacher, Patricia Ayala today for the purpose of conducting a Required 1 year Annual inspection. Present today were 8 children and 2 staff persons. This Preschool program is held on the grounds of Muscoy Elementary School and occupies 1 classroom, there are 2 half day sessions. The hours of operation: MONDAY THROUGH FRIDAY 8:15 A.M.- 11:15 A.M. AND 12:15 P.M.TO 3:15 P.M. This preschool closes for the summer months and commences in July 31 LPA observed age appropriate furniture, equipment, toys and materials. The classroom was observed to be clean and safe and free of any Health or safety hazards. Telephone service was verified as well as adequate heating, lighting, and ventilation. Children's belongings are kept in cubbies along the wall as you enter classrooms. Drinking water is available inside the classroom in the form of a water dispenser. The children's bathrooms are located within the classroom, there are 2 bathrooms with 1 toilet and 1 sink in each. The staff rest-room is located in the classroom as well. 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.All flooring and carpets were inspected for cleanliness, and good repair. Children do not nap, center serves meals (menus posted). Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes rubber matting under climbing structures for cushioning material. Equipment and climbing structures are securely anchored. The area was observed to be free of debris. Outside Drinking water is available in the form of a water dispenser. There are no bodies of water observed on the premises. The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area. The Parent Board located within the classrooms has contains required licensing forms. Staff are certified in Pediatric CPR and First Aid (exp 4/2025).Mandated Certificate Completed 09/2023.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SBCUSD-MUSCOY ELEMENTARY SCHOOL	FACILITY NUMBER: 364806901
	VISIT DATE: 10/18/2023

NARRATIVE

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*Center utilizes an electronic sign in and out system, a hard copy can be printed out by District Office. LPA observed a fully stocked first aid kit; fully charged fire extinguishers; and carbon monoxide detectors. Fire Drill/Earthquake log is posted .The last drill completed 8/2/23 Trash cans for solid waste have tight-fitting lids.

Advisory/Other: First aid supplies (thermometer, bandages, ) are readily available in the office. There is an isolation area for children who become ill as needed. The facility maintains a comfortable temperature at all times. Smoking is prohibited on the premises, and daily inspection for illness is conducted. Firearms/weapons are not allowed or stored on the premises. Electrical outlets are inaccessible, there are no recalled or prohibited toys or sleep/play equipment were observed on the premises. There are no window cords accessible to children.

Health-Related Services: Lead teacher has been advised all prescription and non-prescription medications must have the child’s name and are dated, written consent and instruction from the child’s representative, and a plan to document and report to the child’s representative when medication is administered to a child; Medication will be properly labeled and stored in its original container. The IMS plan was discussed and Lead teacher understands when IMS is necessary

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

Meals are provided through the school cafeteria, LPA observed menu's posted in the classroom.

LPA reviewed 4 children file , all files were complete and contained required documentation, staff files are kept at the District office. Staff are fingerprinted through the San Bernardino School District, Teachers credentials are verified (Teacher's and Site Supervisor permits posted).

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SBCUSD-MUSCOY ELEMENTARY SCHOOL	FACILITY NUMBER: 364806901
	VISIT DATE: 10/18/2023

NARRATIVE

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Lead Teacher advised of the requirement to report Unusual Incidents. Lead Teacer was 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 daycare 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 8 am-5 pm.

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 family child care home 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.

A survey will be sent to the email address provided to improve the quality and value of the new inspection process. 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

There were no violations noted as a result of this inspection, Center is operating in accordance to Title 22 Regulations. Exit interview conducted and a copy of this report was left at the facility. A copy of this report must be made available to the public for 3 years

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

LIC809 (FAS) - (06/04)

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