364810043-2-24-2025-12-CC-KZIS-DE7SLH-20250224125822

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364810043
Report Date: 02/24/2025
Date Signed: 02/24/2025 12:58:36 PM

Document Has Been Signed on 02/24/2025 12:58 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-DAVIDSON PRESCHOOL		FACILITY NUMBER:	364810043
ADMINISTRATOR/ DIRECTOR:	LATASHIA KELLY		FACILITY TYPE:	850
ADDRESS:	2844 DAVIDSON AVENUE		TELEPHONE:	(909) 881-8153
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92405
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 18	DATE:	02/24/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:45 AM
MET WITH:	Facility Representative Lubna Kakish		TIME VISIT/ INSPECTION COMPLETED:	01:05 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	On February 24, 2025, at 08:45am, Licensing Program Analysts (LPA) Zirbes and Cha met with the facility representative Lubna Kakish for the purpose of conducting an unannounced Annual/Random inspection. LPAs toured and inspected the facility in accordance with the facility sketch. There were 18 preschool age children, one teacher and two aides on the premises when LPAs arrived. Based on LPAs observation the facility was meeting the capacity/ratio requirements during this inspection. The preschool program is operated out of a bungalow (PS 15) located on the Davidson Elementary School campus. The facility operates two session each day an AM session, 8:30AM - 11:30AM and a PM session 12:30 PM - 3:30 PM. Indoor/Children's Area: 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 stored in a cabinet equipped with a key lock. Therefore the cleaning products were inaccessible to the children in care. Zero poisons are stored in the classroom. LPA observed the furniture/equipment is in good condition. Classroom was 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, science 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 drinking fountain, 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 located in the classroom. There are two restrooms located within the classroom. One restroom was for the children and one restroom was designated for the staff. The children's restroom was equipped with two toilets and one sink. An additional sink was located in the classroom. Restrooms were observed to be in safe and sanitary operating condition. Report continued on page two

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025

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-DAVIDSON PRESCHOOL	FACILITY NUMBER: 364810043
	VISIT DATE: 02/24/2025

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Report continued from page one
Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. There was working telephone service within the classroom. There is an isolation area for children who become ill located within the classroom. The facility maintains a comfortable temperature at all times. LPA observed the centers electronic sign in/out sheets, which are completed daily. Smoking is prohibited on the premises. LPA did not observe prohibited childcare items during this inspection.
Firearms/weapons are not allowed or stored on premises. LPA did not observe bodies of water on the premises. Facility Representative stated there are zero bodies of water on the property. Meals are provided through the schools food program.
Napping
The preschool program only offers a half day program. Therefore, the children do not nap at the facility. The classroom has a designated areas for relaxation and quite play.
Outdoor
LPA inspected the outdoor play space for health, safety, cushioning material, good repair and age appropriateness. LPA observed, the area had one large play structure, a basketball hoop, a large grass area for gross motor activities, and benches/tables. The cushioning material under the play structure was rubber matting and the play structure was securely anchored to the ground. The area was observed to be free of debris at the time of this inspection.

Child /Personnel Records
LPA reviewed ten child records and three personnel files during this inspection. Based on LPA review, all child files contained the required information. Per record review and staff interviews, staff 1 (S1) and staff 2 (S2) did not complete the mandated reporter training as required. When LPA asked S1 and S2 about the mandated reporter training, S1 and S2 confirmed the training was not completed. Per information received the staff members are newly hired and have not completed the training. A type B citation was issued, refer to LIC 809D. In addition, based on LPA record review and staff interviews at least one staff member was not on site who is trained in pediatric first aid/CPR. When asked about the CPR/First Aid training, LPA was informed a school nurse is on site who meets this requirement. LPA advised the Center that the school nurse does not meet the requirement. All three staff members confirmed they have not completed CPR/First Aid training. A type B citation was issued, refer to LIC 809D Report continued on page three

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025

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-DAVIDSON PRESCHOOL	FACILITY NUMBER: 364810043
	VISIT DATE: 02/24/2025

NARRATIVE

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Report continued from page two

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
Facility Records
LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility. LPA observed the disaster drill log (last drill completed in October 2024). Per facility representative the required lead testing was competed.

Posting Requirements
The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 393), menu, car seat law (PUB 269), emergency disaster plan, earthquake preparedness checklist.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a
maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Report continued on page four

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025

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-DAVIDSON PRESCHOOL	FACILITY NUMBER: 364810043
	VISIT DATE: 02/24/2025

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Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Based on LPA record review and information obtained through interviews, two type B citations were issued, refer to LIC 809D.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Lubna Kakish. Appeal Rights were also provided.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/24/2025 12:58 PM - It Cannot Be Edited

Created By: Kendal Zirbes On 02/24/2025 at 11:48 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SBCUSD-DAVIDSON PRESCHOOL	FACILITY NUMBER: 364810043
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above in two out of three staff files, S1 and S2, did not complete the mandated reporter training, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/10/2025
	Plan of Correction
1 2 3 4	Per facility representative, all staff will complete mandated reporter training as required. Documentation will be submitted to the Department confirming the training has been completed

Type B

Section Cited

CCR

101216(f)

Personnel Requirements

(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above when a zero of the staff members on site, (S1, S2, S3) had a current training in CPR/First Aid pursuant to Health and Safety Code Section 1596.866 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/10/2025
	Plan of Correction
1 2 3 4	Per facility representative, all district subs will complete CPR/First Aid pursuant to Health and Safety Code Section 1596.866. Documentation will be submitted to the Department confirming the training has been completed

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Lady King

LICENSING EVALUATOR NAME:

Kendal Zirbes

LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025

LIC809 (FAS) - (06/04)

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