<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750017
Report Date: 01/09/2025
Date Signed: 01/09/2025 04:58:27 PM

Document Has Been Signed on 01/09/2025 04:58 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:CHAMPIONS@RALPH BAKER 21ST CENTURY LEARNING CENTERFACILITY NUMBER:
367750017
ADMINISTRATOR/
DIRECTOR:		VILLALOBOS, VALERIEFACILITY TYPE:
840
ADDRESS:15456 EL EVADO RDTELEPHONE:
(760) 338-9234
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 32DATE:
01/09/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:29 PM
MET WITH:Valerie VillalobosTIME VISIT/
INSPECTION COMPLETED:
05:00 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 January 9, 2025, Licensing Program Analyst (LPA) Calloway made an unannounced inspection to the above facility for the purpose of conducting an Annual/Random inspection. LPA met with the site supervisor and toured the facility. This is a school aged day care center program that is in the library of Ralph Baker at 21st Century Learning Center. The daily hours of operation are from 2:30 PM- 6:30 PM. The day care utilizes the library (Monday- Friday) and the STEM room next door to the library on Monday and Friday only. Teacher/Child ratios are met according to Title 5 of the California Code of Regulations and Title 22 Regulations. Children enter through the front entrance of the library. Upon arrival from 2:30-3:15 PM, LPA observed no children in care there was seating for at least fifty (50) children with tables, chairs, and books. Capacity is for sixty (60) day care children. Ages Kindergarten through Grade 6. There is a staff of five (5) teachers on the premises. Incidental Medical Services (IMS) were discussed. At 3:15 PM, ten children arrived inside the center and twenty-two (22) children were outside for census of thirty-two (32) school aged-day care children. There were three staff that were not criminally cleared or associated to the facility. Per supervisor, they did not get a chance to follow up on employee’s fingerprint clearance.
LPA toured with facility with the site supervisor and inspected STEM room and there was age-appropriate tables and chairs in good repair. The center has a curriculum learning program and provides activities and snacks. They use roll out carts and bring them to the rooms to provide activities.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 8
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: CHAMPIONS@RALPH BAKER 21ST CENTURY LEARNING CENTER
FACILITY NUMBER: 367750017
VISIT DATE: 01/09/2025
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
The telephone service was verified. Heating, lighting, and ventilation are adequate. There are individual baskets for children's belongings observed enough for all children. Drinking water is available via water fountain outside the west door supervision is provided or children bring their own water cup that is labeled with their name. There was a fire alarm pull switch observed in lobby area and carbon monoxide detectors located in the ceiling along with a sprinkler system. Fire extinguishers observed on the wall at the west door. Per site supervisor, the last fire inspection was conducted 11/2024 for the school. Transportation is not provided.
The facility provides one afternoon snack. The food kept inside a locked door in a cabinet in the cafeteria. LPA observed an adequate amount of food and snacks. Cleaning solutions and other chemicals are kept in back office of the library that is off limits.
Bathrooms: LPA inspected and observed clean bathrooms. For the boy’s bathroom there were three toilet stalls, two urinals, and four sinks. The girl’s bathroom there were five toilet stalls, and four sinks all were functioning properly. LPA observed soap, toilet paper, and paper towels readily available. Locked storage cabinet observed. The staff restroom is near the school office in the staff lounge.
LPA observed a stocked first aid kit in a fanny pack. The fire drill was conducted in 11/2024 and the Earthquake drill was 8/2024. Roster was available and observed incomplete with eight children that did not have physician’s information. Per supervisor, they did not have the doctor’s information but will look for it.
Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered only with the parent's written permission. The Director administers medication and documents the dosage, date, and time on a log. Medication is brought and taken home by the parent daily. Medication is properly labeled and stored in its original container. There are currently no children in care with IMS needs on this site.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
Page: 2 of 8
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: CHAMPIONS@RALPH BAKER 21ST CENTURY LEARNING CENTER
FACILITY NUMBER: 367750017
VISIT DATE: 01/09/2025
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
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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htmThere is a separate area for isolation and care of ill children in the library on a mat near the front of the room away from the other children.

Sign-in and out sheets were reviewed they are kept outside in a book on the parents’ table. The signature names were not legible. Teacher to child ratio was observed and staff names were recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. LPA observed a parent board consisting of licensing-required postings inside the facility. Per supervisor, the parents are not allowed inside the school grounds and due to the elements, the board is not placed outside for view.


Children's records and staff records were reviewed. LPA verified there is at least one (1) staff member present with current CPR and First Aid Training (exp.8/2026), and two staff members were observed without proper teaching credentials. Mandated Reporter was observed in all staff files. There was one staff without immunization records. Per supervisor, they were not collected from the employee.
The outdoor play equipment was inspected for health, safety, cushioning material, good repair, and is age appropriate. The play area has concrete. There is an area for rest with a canopy. Water is provided via the water fountain.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
Page: 3 of 8
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: CHAMPIONS@RALPH BAKER 21ST CENTURY LEARNING CENTER
FACILITY NUMBER: 367750017
VISIT DATE: 01/09/2025
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
The play area was inspected and found to be free of hazards and inaccessibility to bodies of water. Separate playground schedule for preschool and school aged children. The jungle gym is anchored. There is a basketball court for active play.

The following general information was discussed during this inspection:

The Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. The Center does not provide IMS at this time.
Mandated Reporter Training Requirements: §1596.8662 - As of January 1, 2018, childcare providers, administrators, or employees who work in a licensed facility shall complete the mandated reporter training provided according 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. Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis, mumps, rubella, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
Page: 5 of 8
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: CHAMPIONS@RALPH BAKER 21ST CENTURY LEARNING CENTER
FACILITY NUMBER: 367750017
VISIT DATE: 01/09/2025
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
*All Licensing reports are available for review online and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code, to require the Department to post certain licensing information for CCCs and FCCHs on its public internet website.
Fingerprint clearances and transfers: Before working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state-licensed facility to another using form LIC 9184
**Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). In addition, all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of the report documenting a Type A Citation and sign form LIC 9224 acknowledging receipt placed in child’s files. Staff is aware of the required forms for children's files and forms that shall be posted after licensure.
**Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed childcare facility are aware of situations that present the greatest danger to children. Parent Board contained all documents that are required to be posted according to Title 22 Regulations.
Per Title 22 Regulations, there are deficiencies being cited during this inspection. See 809-D pages.
Exit interview conducted with a copy of this report was read, a Notice of Site Visit and appeal rights were provided to Valerie Villalobos, Site Supervisor at the facility. A Notice of Site Visit must remain posted for thirty (30) consecutive days. Failure to maintain posting will result in a $100 Civil Penalty
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
Page: 4 of 8
Document Has Been Signed on 01/09/2025 04:58 PM - It Cannot Be Edited


Created By: Kuliema Calloway On 01/09/2025 at 04:43 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: CHAMPIONS@RALPH BAKER 21ST CENTURY LEARNING CENTER
FACILITY NUMBER: 367750017

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(j)
Criminal Record Clearance
(j) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of volunteers that require fingerprinting.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview, and record review, the licensee did not comply with the section cited above in S2, S3, and S4 were not criminally cleared and associated to the facility which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
1
2
3
4
Per Site Supervisor, I will call tomorrow and find out what happened to their fingerprints.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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:Claretta Yates
LICENSING EVALUATOR NAME:Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


LIC809 (FAS) - (06/04)
Page: 6 of 8
Document Has Been Signed on 01/09/2025 04:58 PM - It Cannot Be Edited


Created By: Kuliema Calloway On 01/09/2025 at 04:43 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: CHAMPIONS@RALPH BAKER 21ST CENTURY LEARNING CENTER
FACILITY NUMBER: 367750017

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview, and record review, the licensee did not comply with the section cited above in S3 did not have TDAP and S4 did not have any of the required immunizations in their file during inspection which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/17/2025
Plan of Correction
1
2
3
4
Per Site Supervisor I will follow up and get their shot records.
Type B
Section Cited
CCR
101216.1(c)(1)
Teacher Qualifications and Duties
(1) Twelve postsecondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview, record review, the licensee did not comply with the section cited above in S2 had 3 units for teaching qualification and S4 did not have transcripts to view during inspection which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/17/2025
Plan of Correction
1
2
3
4
Per Site Supervisor, I will get the transcripts that show all the units for the teachers.
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:Claretta Yates
LICENSING EVALUATOR NAME:Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


LIC809 (FAS) - (06/04)
Page: 7 of 8