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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844264
Report Date: 08/24/2023
Date Signed: 08/24/2023 03:55:06 PM

Document Has Been Signed on 08/24/2023 03:55 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:READY SET GROW LEARNING SERVICESFACILITY NUMBER:
364844264
ADMINISTRATOR:LILAMANIE SENEWIRATNEFACILITY TYPE:
830
ADDRESS:1528 PUMALO STREETTELEPHONE:
(909) 883-6628
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY: 11TOTAL ENROLLED CHILDREN: 11CENSUS: 12DATE:
08/24/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
11:46 AM
MET WITH:Facility Representative Zaray OchoaTIME COMPLETED:
03:15 PM
NARRATIVE
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On August 24, 2023, at 11:46 a.m. Licensing Program Analyst (LPA) Kendal Zirbes met with Facility Representative Zaray Ochoa. The purpose of the inspection was to conduct a case management - annual continuation inspection at the licensed facility. LPA disclosed the purpose of the inspection to the Facility. Present during today’s inspection were 12 infant age children, one teacher, three teacher aides and additional staff members.

During the inspection, LPA reviewed six infant files. Based on LPA record review three of six infant files (C4, C5, C6) reviewed did not contain documentation that the infant needs and service plan was updated at least quarterly or as often as necessary to assure its accuracy. C4 needs and service plans were completed on, 1/18/2022 and 8/2/2023. C5 last quarterly report was last completed 6/20/2022. C6's quarterly reports occurred on 1/16/2023 and 7/23/2023. A type B citation was issued. Based on record review, two of six child files (C5, C2) were missing immunization paperwork. Five of five infant feeding plans reviewed were missing all required components. The plans were missing required topics such as, the plan for introducing new food, plan for introducing cups and utensils. A type B citation was issued. Refer to LIC 809D

LPA reviewed five staff files. LPA advised the Center to update the influenza paperwork for each staff member and add the paperwork to the files.

When LPA was at the Center for the initial inspection on 8/23/23, LPA reviewed the sign in and out records. Based on LPAs record review, two of twelve children (C6, C11) present on 8/23/23 were not signed in by the authorized representative or parent on the Center sign in sheets. Per sign in sheet, C6 and C11 had attended zero days in the month of August. However the infant classroom attendance records documented C6 and C11 had attended previous days in the month of August. A type B citation was issued.

Report continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2023
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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Document Has Been Signed on 08/24/2023 03:55 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 08/24/2023 at 02:37 PM
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: READY SET GROW LEARNING SERVICES
FACILITY NUMBER: 364844264

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101419.3(a)
Modifications to Infant Needs and Services Plan
(a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in three of six infant files reviewed did not contain documenation that the needs and service plan was updated at least quartrly, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Per facility representative, the Center will create a checklist to ensure the needs and services plans are being updated quarterly. A copy of the checklist will be submitted to the Department.
Type B
Section Cited
CCR
101220.1(g)
Immunizations
(g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in two of six infant files reviewed were missing immunization paperwork, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Per facility representative, the infant files will be reviewed to ensure all required documentation is included. The Center will send LPA documentation of the file reviews.
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: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/24/2023 03:55 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 08/24/2023 at 02:37 PM
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: READY SET GROW LEARNING SERVICES
FACILITY NUMBER: 364844264

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101229.1(a)(1)
Sign In and Sign Out
(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in two of twelve infants in attendance were not signed into the Center, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/28/2023
Plan of Correction
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Per facility representative, a memo will be posted for the parents by the above date. Parents will receive a verbal reminder. A copy of the attendance records for August will be submitted to the Department. The Facility will review the attendance records ever week to ensure completeness
Type B
Section Cited
CCR
101427(b)(3)
Infant Care Food Services
(b) There shall be an individual feeding plan for each infant. (3) The plan shall include the following items:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in six of six infant feeding plan records were missing the plan for introducing new food, plan for introducing cups and utensils, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Per facility representative, an updated feeding plan will be created, using the regulations as a guidance. A copy of the updated plan will be submitted to the Department for review. All infant files will be updated with the new feeding plan.
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: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023


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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: READY SET GROW LEARNING SERVICES
FACILITY NUMBER: 364844264
VISIT DATE: 08/24/2023
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Report continued from page one
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
At the time of this inspection zero infants were prescribed medications.

Facility representative 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.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

Report continued on page three

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
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: READY SET GROW LEARNING SERVICES
FACILITY NUMBER: 364844264
VISIT DATE: 08/24/2023
NARRATIVE
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Report continued from page two

Based on LPA observations, and record review, four type B citations were issued along with one advisory notice.

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 Zaray Ochoa.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC809 (FAS) - (06/04)
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