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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364810043
Report Date: 06/02/2022
Date Signed: 06/02/2022 12:11:47 PM

Document Has Been Signed on 06/02/2022 12:11 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-DAVIDSON PRESCHOOLFACILITY NUMBER:
364810043
ADMINISTRATOR:LATASHIA KELLYFACILITY TYPE:
850
ADDRESS:2844 DAVIDSON AVENUETELEPHONE:
9098818153
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92405
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 8DATE:
06/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:43 AM
MET WITH:MARYANN TORRESTIME COMPLETED:
12:25 PM
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(5) A random annual visit is being conducted as part of a compliance review. Licensing Program Analyst (LPA), Babatunde Ibitoye met with Lead Teacher Maryann Torres, toured the center, inside and out. The following was observed:
· A review of staff records (those present during this visit) and a review of a sampling of children's records was conducted as part of this evaluation. See Names List (LIC 859,857)
· The record review shows the following documents are updated as needed
1. LIC 500 Personnel Report
2. LIC 610 Emergency & Disaster Plan
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization (only if changes have been made)
5. LIC 308 Designation of Administrative Responsibility (only if changes have been made)
· The following items have been posted and are updated where necessary:
- License
- Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148)
- Parent’s Rights Poster (PUB393)
- Personal Rights (LIC613A)
- Child Car Seat Law
- Menu
· There were 8 children in care, under the supervision of three staff members. The facility is operating within the terms of the license, ratios were met during this visit, appropriate supervision was provided during the visit.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2022
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-DAVIDSON PRESCHOOL
FACILITY NUMBER: 364810043
VISIT DATE: 06/02/2022
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Classroom is equipped with age appropriate furniture and equipment in good condition, classrooms are clean and free of hazards, and all floors appeared to be clean and safe.

· No weapons stored at the facility

· There are no accessible bodies of water present. Facility representative advised; all wading pools or similar product must be emptied immediately after use and stored in an upright position when not in use.

· No Medications are being stored in the classroom.

· Bathroom was observed to be safe, sanitary and in operating condition

· Playground is enclosed by appropriate fences and free of hazards, outdoor activity areas are supplied with age and size appropriate equipment in good condition.

· Food preparation area is clean, free of litter, rubbish and free of rodents and other vermin, food is stored appropriately and protected from contamination, all storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair.

· Uncontaminated drinking water is readily available both indoors and out

· The areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall

· Menus are posted at least one week in advance and kept on file for 30 days

· There is a properly rated Fire extinguisher, smoke detector and carbon monoxide detector in good working order.

· Sign in/Sign out record was reviewed and meets regulation requirements.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
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-DAVIDSON PRESCHOOL
FACILITY NUMBER: 364810043
VISIT DATE: 06/02/2022
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·A Staff member is present with current Pediatric CPR/First Aid which expires on 06/07/23

· The director completed Health and Safety Training

· Children’s records contained a signed copy of the admission agreement

· Staff files contain documentation of the appropriate educational credits

· A review of staff records on May 1, 201 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

· Facility is providing IMS 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.

· For more information on SIDS and Safe Sleep Environments, please visit:
California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx
AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html
AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Rick-of-SIDS-in-Early-Education-and-Child-Care
And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
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-DAVIDSON PRESCHOOL
FACILITY NUMBER: 364810043
VISIT DATE: 06/02/2022
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The following was also reviewed and discussed:

v AB 2084 - Nutritious Beverages in Child Care Facilities effective January 1, 2012 - was explained that only low-fat or non-fat milk is to be served to children 2 years of age or older; and limit juice to one serving of 100% juice per day; serve no beverages with added sweeteners; and water must be available and accessible to children throughout the day
v AB 2621 – Public Information effective January 1, 2015 – The Department shall post licensing information for Child Care Facilities on it’s internet Web site to include:
· The name
· The address for each Child Care Center only
· The status of the license
· The capacity of the license for each Child Care Center only
· The number of site visits, including:
o Non-complaint inspections
o Substantiated and inconclusive complaint inspections
· The number of citations
This information is to be updated at least monthly on the website and will span the preceding five-
year period.
v AB 2236 – Civil Penalties, effective July 1, 2015 – Enacts new civil penalties in cases where the Department determines that a violation of licensing standards resulted in the death or serious injury, or constitutes physical abuse of a child in care. The bill establishes an appeal procedure specific to these civil penalties. The bill also expands the scope of the Child Health and Safety Fund in order to assist parents in securing alternative child care when a Child Care Center license has been suspended or revoked. These civil penalty amounts are scaled in relation to the total capacity of all of the licensee’s facilities and not just the specific facility cited or limited to that facility type.
v AB 2386 – Carbon Monoxide Detector Regulations, effective January 1, 2015 – In accordance with California Health and Safety Code Section 1975.543 - Every child care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
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-DAVIDSON PRESCHOOL
FACILITY NUMBER: 364810043
VISIT DATE: 06/02/2022
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v- SB 277 – Immunizations, Personal Beliefs Exemption, effective January 1, 2016 - it eliminates the exemption from existing specified immunization requirements based upon personal beliefs, and only allows an exemption from future immunization requirements deemed appropriate by the State Department of Public Health or a medical professional for medical reasons.
v - AB290 – Child Nutrition, effective January 1, 2016 - In accordance with California Health and Safety Code Section 1596.866 - each child care center shall have at least one person employed who was completed one hour of childhood nutrition training as part of the preventive health practices course or courses.
v - SB792 – Immunization requirements for staff, volunteers, effective September 1, 2016 – In accordance with California Health and Safety Code Section 1597.622 - a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination or they may provide a statement declining the vaccination. If employees/volunteers are receiving the influenza vaccination they must do so between August 1 and December 1 of each year.
Access to forms & Regulations for Family Child Care online at www.ccld.ca.gov. Please subscribe to My CCL http://www.myccl.ca.gov/idms.asp Department updates will be sent directly to your e-mail account once you have set up an account.
v The Duty Officer is available to answer questions Monday – Friday at 1-844-LET-US-NO and (661-202-3318).

An exit interview was conducted, No deficiencies cited. A copy of the Appeal Rights (LIC 9058) were given and explained. Site supervisor signature on this form acknowledges receipt of these rights.
Notice of Site Visit was issued and is to be posted in a prominent location at the facility for the next 30 days.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC809 (FAS) - (06/04)
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