367750058-5-28-2025-12-CC-KZIS-DH4T3K-20250528142227

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367750058
Report Date: 05/28/2025
Date Signed: 05/28/2025 02:22:50 PM

Document Has Been Signed on 05/28/2025 02:22 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:	LITTLE MOUNTAIN PRESCHOOL		FACILITY NUMBER:	367750058
ADMINISTRATOR/ DIRECTOR:	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: 0	DATE:	05/28/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:20 AM
MET WITH:	Facility Representative April Dogero		TIME VISIT/ INSPECTION COMPLETED:	11:00 AM

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 May 28, 2025, at 08:20am., Licensing Program Analysts (LPA) Zirbes and Cha met with the Facility Representative April Dogero. The purpose of the inspection was to conduct an unannounced Annual/Random 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. Physical Plant: The school age area consists of two adjacent classrooms (6, 11), one bathroom, and a outdoor space. The center also operates a Infant Center (#367750059) and Preschool Program (#367750057). All three licensed components utilize the kitchen, staff restroom, staff offices, laundry space, storage space and entrance. The center operates 6:30am-6:00pm, Monday through Friday. 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 a dramatic play area, with dress up clothes, board games, books, movies and tables/benches for school work and activities. Furniture is maintained in good repair and safe condition (age appropriate). Toys and materials were observed to be in good condition. LPA and Administrator discussed the staff/child ratio and based on the conversation the Center is meeting the capacity requirements and ratio requirements. The classroom had storage areas for the children to place their personal items and backpacks. Drinking water is available inside the classroom via individual cups and a pitcher of water. Families also provide individual water bottles for their child. Per Administrator all chemicals and cleaning materials are stored in a locked closet within classroom 6, in the locked laundry room and under the kitchen sink. At the time of this inspection, LPA observed the chemicals were stored behind locked doors and were inaccessible. Report continued on page two

NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: 05/28/2025

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Report continued from page one
Indoor/Children's Area continued: The building has heating and air conditioning. The Center was a comfortable temperature at the time of this inspection. The carbon monoxide detector was tested during the inspection and found to be in working order. The Center has a working telephone on the premises. There is an isolation room for ill children. The classroom had first aid kit. Smoking is prohibited on the premises. Teachers conduct daily inspection for illnesses. LPA did not observe prohibited childcare items during this inspection. Firearms/weapons are not allowed or stored on premises. LPA did not observe bodies of water on the premises. Facility representative confirmed there were zero bodies of water on the premises.
Restrooms: The School age program has one restroom equipped with one toilet and one sink. The restroom provided the school age children with privacy. Restrooms were observed to be in safe and sanitary operating condition. Toilets and sinks are functioning properly and are age appropriate. Paper towels and soap were available to the children.
Meals: The Center provides breakfast and one afternoon snack when school is in session. Breakfast, lunch and one afternoon snack is provided when school is not in session. The Center has a kitchen on grounds where all meals are prepared. The kitchen was inaccessible via a locked door. All cleaning products were stored in areas separate from the food. Sharp items and cleaning products were inaccessible via the locked door. Menus were posted in the classrooms, kitchen and parent board.
Napping: The school age children do not nap at the Center however the children are provided with a mat to rest if requested by the child. Quiet activities are provided.
Outdoor
LPA inspected the outdoor play space for health, safety, and age appropriateness. The School Age component has a separate fenced outdoor activity space from the preschool and infant components. The school age program has a large grass area with swings, tetherball, various balls, teeter totter, and dramatic play equipment is available. The swings secured to the ground and were placed on rubber matting. The teeter totter was placed on the grass and was secured to the ground. At the highest point the teeter totter was off the ground approximately three feet. Due to the maximum height the teeter totter was not considered high climbing, therefore was not required to be placed on cushioning material. LPA advised the Center to consider placing the teeter totter on cushioning material as a safety precaution. A Technical assistance notice was provided. When engaged in outdoor play, water is accessible to the children via a pitcher of water and cups.
Report continued on page three

NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

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: 05/28/2025

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Report continued from page two
Transportation: The facility provides transportation to and from school. LPA inspected the facility vehicle, a seven passenger van. LPA observed booster seats were available.
Child/Personnel Records
LPA reviewed ten child records and three personnel files during this inspection. Per LPAs review child and personnel records were complete and contained all required information.
Facility Records
LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility. LPA observed the disaster drill log (last drill completed in October 2024), and sign in/out records. Per disaster log, the last drill was completed on October 17, 2024 therefore the disaster drills were not completed every six months as required. The Director confirmed the last drill was conducted in October 2024. Director expressed due to a change in the Center staffing, the disaster drill not completed within the six month time frame. Director stated a disaster drill will be completed today. An advisory notice was issued.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at:https://www.ada.gov/resources/child-care-centers/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. Report continued on page four

NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

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: 05/28/2025

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Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a
maximum of 30 days per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

As a result of this inspection one technical advisory was issued.

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 April Dogero.

NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

LIC809 (FAS) - (06/04)

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