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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364806901
Report Date: 10/30/2024
Date Signed: 10/30/2024 03:33:32 PM

Document Has Been Signed on 10/30/2024 03:33 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:SBCUSD-MUSCOY ELEMENTARY SCHOOLFACILITY NUMBER:
364806901
ADMINISTRATOR/
DIRECTOR:		DELIA CASTANEDAFACILITY TYPE:
850
ADDRESS:2119 W. BLAKETELEPHONE:
(909) 730-3674
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 10DATE:
10/30/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Marcia Garibaldi TIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 10/30/2024 Licensing Program Analyst (LPA) Alemoh met with Instructor, Marcia Garibaldi today for the purpose of conducting a Required 1 year Annual inspection. Present today were 10 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 August.

**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, along with water gallons to be able to fill children water bottles. Storage cabinets were observed to be locked.

**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. Benches/tables along with umbrellas for shade and rest. 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. AC unit made inaccessible by an locked iron fence.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2024
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: SBCUSD-MUSCOY ELEMENTARY SCHOOL
FACILITY NUMBER: 364806901
VISIT DATE: 10/30/2024
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**The Parent Board located within the classrooms has contains required licensing forms. Staff are certified in Pediatric CPR and First Aid (exp 03/2026).Mandated Certificate Completed 09/05/2024.

*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 09/17/2024 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: Instructor 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. At the time of this visit there are no children on medications.



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.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
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: SBCUSD-MUSCOY ELEMENTARY SCHOOL
FACILITY NUMBER: 364806901
VISIT DATE: 10/30/2024
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LPA reviewed 5 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).

Lead Teacher advised of the requirement to report Unusual Incidents. Lead Teacher 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.

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: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
LIC809 (FAS) - (06/04)
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