364840755-2-8-2024-12-CC-BIBE-D29VVM-20240208154633

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364840755
Report Date: 02/08/2024
Date Signed: 02/08/2024 03:46:41 PM

Document Has Been Signed on 02/08/2024 03:46 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:	FUNDAMENTALS PRESCHOOL ACADEMY, THE		FACILITY NUMBER:	364840755
ADMINISTRATOR:	EVELYN CHINCHILLA		FACILITY TYPE:	840
ADDRESS:	2424 KENDALL DRIVE		TELEPHONE:	(909) 887-1150
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92407
CAPACITY: 61	TOTAL ENROLLED CHILDREN: 61	CENSUS: 0	DATE:	02/08/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	02:03 PM
MET WITH:	Evelyn Chinchilla		TIME COMPLETED:	04:04 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 Analyst (LPA) Babatunde Ibitoye met with Center Director, Evelyn Chinchilla, today for the purpose of conducting a Required unannounced Annual inspection for the School age program. There were no SA children present during this inspection. Center utilized 1 classroom in the main building and there are additional modulars in the rear of the center designated for SA children. There's a waiver on file for an alternative schedule for the school age children to share the playground with preschool children. This center also has a Preschool component (364817412). Each component maintains a physical separation. The hours of operation: Monday through Friday 7:00AM - 6:00PM.LPA reviewed a sampling of staff and children files as part of this inspection (Names recorded on LIC 859 ). LPA toured and inspected the classroom designated for the SA program. LPA observed age appropriate furniture, equipment, toys and materials. 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 and along the far wall. Drinking water is available inside the classroom in the form of pitchers and disposable cups. *The children's bathrooms (2 separate bathrooms, each with 1 toilet and 1 sink) are located in the classroom area. The staff rest-room located in the hallway area near the entrance of the center, bathroom is marked as Staff Bathroom and also designated as the isolation bathroom. 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 LPA verified there is at least 1 staff person present with current CPR and First Aid training (exp. 01/13/2026).

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: FUNDAMENTALS PRESCHOOL ACADEMY, THE	FACILITY NUMBER: 364840755
	VISIT DATE: 02/08/2024

NARRATIVE

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*Snack/lunch menus, Allergy list were reviewed and posted. Food and snacks were reviewed for availability, quantity, proper storage, and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. (1 freezer 1 refrigerator, sink, stove/oven).
*Disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were inaccessible to children and stored in bathroom in a high cabinet.
*All flooring was found to be clean and safe (Director states carpets and floors were cleaned everyday by a contracted cleaning company. Parent board has all the required forms and fire/disaster drills are current.(9/29/23)
*LPA observed fully charged Fire extinguishers throughout the center and hard wired smoke detectors and carbon monoxide were operable.Trash cans/storage containers for solid waste had tight-fitting covers that are kept on, and in good repair.
*First Aid supplies were inventoried, a review of medication policy, including administering, labeling, and storage.

Health Related Services

Medications inaccessible to children; all prescription and non prescription medications have child’s name and are dated; written consent and instruction from child’s representative; a plan to document and report to child’s representative when medication is administered to a child; IMS plan on file (if applicable).

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 Centers and ADA, available at: http://www.ada.gov/childqanda.htm

A review of medication policy indicated that prescription medication is administered only with parent's written permission and or doctor prescription. The Director and other administration staff administers medication and documents the dosage, date and time onto a log. Medication is brought and locked at the center (unless parent request daily return). Medication is properly labeled and stored in its original container. Medication is kept at the center until expiration date (given to parent or discarded).

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: FUNDAMENTALS PRESCHOOL ACADEMY, THE	FACILITY NUMBER: 364840755
	VISIT DATE: 02/08/2024

NARRATIVE

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Outdoor
Facility has a shaded rest area; free from hazard, holes, broken items, debris, dry grass; cushioning material underneath (sand) and around high climbing play equipment, swings and slide to absorb falls; sandboxes inspected daily, free of hazardous items; six feet fence surrounding outdoor area, air conditioning equipment, water heaters, fuse boxes inaccessible. No bodies of water were observed.

Director advised of the requirement to report Unusual Incidents. Licensee 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 family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.

Director 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.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. 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.

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/process.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: FUNDAMENTALS PRESCHOOL ACADEMY, THE	FACILITY NUMBER: 364840755
	VISIT DATE: 02/08/2024

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 26 27 28 29 30 31 32	A notice of site visit was given .The notice shall be posted for 30 consecutive days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. No deficiency. The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm. Exit interview conducted and report was reviewed with Director Evelyn Chinchilla.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

LIC809 (FAS) - (06/04)

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