367750058-3-20-2023-12-CC-DMAX-CQ4U5E-20230320151636

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367750058
Report Date: 03/20/2023
Date Signed: 03/20/2023 03:16:42 PM

Document Has Been Signed on 03/20/2023 03:16 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:	LITTLE MOUNTAIN PRESCHOOL		FACILITY NUMBER:	367750058
ADMINISTRATOR:	APRIL DOGERO		FACILITY TYPE:	840
ADDRESS:	2915 LITTLE MOUNTAIN DRIVE		TELEPHONE:	(909) 882-1100
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92405
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS:	DATE:	03/20/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	12:37 PM
MET WITH:	April Dogero, Director		TIME COMPLETED:	01:59 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) A Mabika conducted an announced site visit to the facility. The purpose of the inspection was to conduct a Pre-Licensing Inspection. LPA and met with the applicant, Maria April Dogero. The applicant is also going to assume the duties of the facility director. LPA was guided on a tour of the facility inside and outside. The facility is located within the confines of the gated Day Care complex. It is comprised of two adjacent classrooms, the first (activities room) and second room. There that block access to the rest of the components. The First School age room was measured to be: (22 X 14) +(10 X 8) = 308+80 = 388/32 = 11 The Second SA Room measured: (12 X 20 = 240) + (8 X 14 = 112) 112 + 240 = 352/35 = 10 Total indoor space allows for 21 children. There is a bathroom to be used for children only. The bathroom was equipped with 1 toilet and 1 sink (small size) that will accommodate 1 x 15 = 15 SA The outdoor area will be was observed to have swing set and a basketball hoops. It is completely fenced in and there are no bodies of water observed.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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: LITTLE MOUNTAIN PRESCHOOL	FACILITY NUMBER: 367750058
	VISIT DATE: 03/20/2023

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The area was measured to be:
(70 x 61)) = 4,270 / 75 = 57 children.
Based on the availability of toilets, sinks, indoor and outdoors spaces, the facility can accommodate 15 preschoolers. The applicant has requested a capacity of 14 for which the fire inspector has approved.
Drinking water will be made available for children both indoors and outdoors through water pitchers with disposable cups.

There is a staff/adult bathroom in the hallway that will be used by sick children as well.
The indoor areas were set up with sufficient age appropriate toys and equipment in good repair. The required posted information was posted in the classrooms and allergies are posted with confidentiality.
The following was discussed during this visit:
1. The applicant will also be the facility director. She has the educational and work related qualifications of a preschool director, based on the Director's File review. Staff are certified in Pediatric CPR and First Aid exp 11/19/2024.
2. The applicant was advised to access the Licensing website at ccld.ca.gov to obtain information about the most recent regulatory changes, and especially the PIN's (Provider Information Notices).
3. Per applicant and her parent handbook, the facility will not administer medication in general and will not provide Incidental Medical Services.

The facility will be licensed for the capacity of 14 children requested

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

LIC809 (FAS) - (06/04)

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