364817725-8-27-2021-12-CC-JDOY-C6AQV7-20210827122952

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364817725
Report Date: 08/27/2021
Date Signed: 08/27/2021 12:30:02 PM

Document Has Been Signed on 08/27/2021 12:30 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 - RIO VISTA PRESCHOOL		FACILITY NUMBER:	364817725
ADMINISTRATOR:	CLEMENTINA BAXTER		FACILITY TYPE:	850
ADDRESS:	1451 CALIFORNIA STREET		TELEPHONE:	(909) 730-3674
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92407
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 0	CENSUS: 8	DATE:	08/27/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:43 AM
MET WITH:	Clementina Baxter		TIME COMPLETED:	12:44 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 Analysts (LPA's), Dorsey & Ibitoye met with Director Clementina Baxter today for the purpose of conducting a required - 1 year inspection of the preschool. Present today were 8 children and 2 teachers (which includes the Director). The preschool is connected to Rio Vista Elementary School. Furniture and equipment were inspected for age appropriateness, cleanliness and good repair. Telephone service was verified as well as heating, lighting, and ventilation. LPA's observed age appropriate toys and materials. The preschool component is separate from the elementary school. Furniture and equipment were observed in good condition, free of sharp, loose, or pointed parts. LPA Dorsey & Ibitoye observed the outdoor play area for the children. The play area includes a concrete area and a play structure for the children to play. LLPA's observed all outdoor toys and equipment were in good repair. LPA's observed there was adequate padding under the play structure. LPA's did not observe any hazardous items on the preschool play area. Per Director food is brought to the classroom to the children from the cafeteria. The Director states the preschool normally has two session, one in the morning and one in the afternoon. Per Director the school cafeteria provides snacks for both sessions. Per director no children in care take any medications. Any medications would be stored in the staff restroom in a cabinet that is locked with a key. The Director states some children medication would be also stored in the nurses office. Storage containers for solid waste, including moveable bins were observed to have tight-fitting covers that are kept on and in good repair. Teacher/child ratio was observed to be within regulations. LPA's observed the Fire/earthquake drills were current the last drill was conducted 08/09/21. LPA's observed Mandated Reporter training for Director expires 11/13/21. The parent board was reviewed and has all of the required forms posted. Sign in/out is documented electronically.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021

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 - RIO VISTA PRESCHOOL	FACILITY NUMBER: 364817725
	VISIT DATE: 08/27/2021

NARRATIVE

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Director Clementina Baxters First Aid/CPR certificate was observed and found current (Expires: 08/2023). LPA's observed carbon monoxide detectors were in operable condition. LPA's observed the fire extinguisher next to the parents board was serviced 07/2021. First Aid kit is located in the preschool classroom next to the parents board. Children's allergy lists is located on a refrigerator in the classroom.

LPA's observed staff and children files were to be complete.

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/childquanda.htm
The administrator was reminded to access the Licensing website at ccld.ca.gov to obtain information about the most recent regulatory changes, and for the Quarterly Updates. Licensee advised to regularly review Quarterly Updates. Facility was evaluated in accordance with licensing laws and regulations to ensure the health and safety of children.

LIC 9213- Notice of Site Visit was given. Notice of Site Visit must remain posted for 30 consecutive days. Failure to do so will result in an immediate civil penalty assessment of $100.

Exit Interview conducted and a copy of the report was read and provided to Director Baxter.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021

LIC809 (FAS) - (06/04)

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