364840540-9-21-2023-12-CC-KZIS-CVVRVW-20230921132213

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364840540
Report Date: 09/21/2023
Date Signed: 09/21/2023 01:22:22 PM

Document Has Been Signed on 09/21/2023 01:22 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:	MC DONALD LEARNING CENTER		FACILITY NUMBER:	364840540
ADMINISTRATOR:	LILIA VOLLAIRE		FACILITY TYPE:	840
ADDRESS:	1017 HOLDEN AVENUE		TELEPHONE:	(909) 585-6848
CITY:	BIG BEAR CITY	STATE: CA	ZIP CODE:	92314
CAPACITY: 28	TOTAL ENROLLED CHILDREN: 15	CENSUS: 0	DATE:	09/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:31 AM
MET WITH:	Licensee Lisa Burtner		TIME COMPLETED:	01:45 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 September 21, 2023 at 09:31 a.m., Licensing Program Analyst (LPA) Zirbes met with the Licensee Lisa Burtner. The purpose of the inspection was to conduct an unannounced required one year inspection. During the inspection, LPA toured and inspected the school age program in accordance with the facility sketch. At the time of this inspection there were zero school age children at the facility. The school age area consists of two classrooms (Lion and Elephant), one bathroom, and an outdoor space. The center also operates a Infant Program (#364815208) and Preschool Program (#364815206). Common areas utilized by all three licensed components include the kitchen, administrative office, staff restroom. The center operates Monday through Friday 7:00am -6:00pm. Indoor/Children's Area: Indoor activity space for school age children is physically separate from space used by children in the preschool and infant center components. School age center is equipped with appropriate furniture and equipment. LPA observed tables and chairs, games, books and art supplies. Furniture is maintained in good repair and safe condition (age appropriate). Drinking water is available inside the classroom via individual cups and a pitchers of water. All chemicals and cleaning materials are located in Lion classroom in a high inaccessible cabinet and in a locked cabinet. Also cleaning products are located in the kitchen in a key locked cabinet. The Center does not have a fireplace. The building has central heating. The room temperature was comfortable at the time of this inspection. LPA observed combination carbon monoxide, and smoke detectors located throughout the Center. There is a working telephone on the premises. There is an isolation area for ill children. The Center has a first aid kit. LPA observed electronic sign in/out sheets. Per conversation with the facility representative, the facility staff sign the children in and out following pick up and drop off from school. No smoking is allowed on the premises. Restroom: The school age program utilizes one restroom. The restroom had one toilet and one sink. Restrooms were age appropriate and contained paper towels and soap dispensers. One additional restroom was available for the staff. Report continued on page two

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MC DONALD LEARNING CENTER	FACILITY NUMBER: 364840540
	VISIT DATE: 09/21/2023

NARRATIVE

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Kitchen: There is a kitchen area used by all three components The kitchen is inaccessible to the children via a child safety gate. Chemicals were located in a locked cabinet and were separate from the food cabinets. Based on LPA observation today, the food was prepared and served in a safe manner. Menus were posted in the lobby and kitchen. Allergy lists are posted in kitchen. LPA observed an appropriate amount of food and snacks for children during the inspection. Per conversation with Licensee, the facility provides the school age children with one morning snack and one afternoon snack. When the school age children are on site for the entire day, the lunch is provided by the family.

Outdoor: Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. A approved waiver is on file regarding the outdoor space. LPA observed a basketball hoop, multiple balls, climbing equipment and swings placed on sand. Trees provide shade in the outdoor area. The children have access to drinking water while outside via pitchers and cups are brought outside by the teachers.

Napping: At the time of this inspection, zero school age children nap at the center. Quite time is provided.

Child/Staff File Review: LPA reviewed a total of five school age files and four staff files. All staff files contained the required information

Facility Records: LPA observed the Roster to be complete and current. A staff member was on site whom had current CPR/First Aid. Per documentation, the emergency drill was conducted in September 2023. The Center completed the required Lead testing in 2023. .

Posting Requirements: Center has required posting posted (license, PUB 393, LIC610, car seat law information).
Transportation: The facility does not provide transportation.

Report continued on page three

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MC DONALD LEARNING CENTER	FACILITY NUMBER: 364840540
	VISIT DATE: 09/21/2023

NARRATIVE

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LPA reviewed with Administrator the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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
All medications are stored in a locked cabinet within the locked staff bathroom.

Licensee was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication

Report continued on page four

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MC DONALD LEARNING CENTER	FACILITY NUMBER: 364840540
	VISIT DATE: 09/21/2023

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Facility representative was advised of the requirement to report Unusual Incidents. Facility representative informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address: 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 center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The On-Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The licensee/Applicant shall permit the Department to inspect the center, and to privately interview children or staff, to determine compliance with or to prevent violations of family child care laws 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.

To improve the quality and value of the new inspection process, a survey will 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 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/inspection-process..

Based on LPA observations and file review, there were zero citations issued today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the licensee Lisa Burtner.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023

LIC809 (FAS) - (06/04)

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