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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750059
Report Date: 03/20/2023
Date Signed: 03/20/2023 03:17:16 PM

Document Has Been Signed on 03/20/2023 03:17 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 PRESCHOOLFACILITY NUMBER:
367750059
ADMINISTRATOR:APRIL DOGEROFACILITY TYPE:
830
ADDRESS:2915 LITTLE MOUNTAIN DRIVETELEPHONE:
(909) 882-1100
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92405
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: DATE:
03/20/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:April DogeroTIME COMPLETED:
03:30 PM
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Licensing Program Analysts (LPA's) Maddox and Mabika met with Director,April Dogero for the purpose of conducting a Change of Ownership inspection. Present today were 9 infants and 3 teachers, the infant room is located in the front area of the center where there is a open play area, separate area for non-crawling infants and separate sleeping area. This is a combination center that also has a Pre-School and School-age component. Center maintains a physical separation for each component. The hours of operation: The days and hours of operation: Monday- Friday from 6:30AM through 6:00PM.

Measurements taken today:
Indoors
29L X 21W = 609/35 = 17 Infants
Outdoors
35L X 39W = 1,365/75 = 18

**LPA observed age appropriate furniture, equipment, toys and materials. Telephone service was verified as well as adequate heating, lighting, and ventilation.

The diaper changing table is located within arms reach of a sink, and disinfected after each changing. LPA observed cubbies with each infants personal items labeled with their names.

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: 367750059
VISIT DATE: 03/20/2023
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Infants sleep in cribs and/or cots, linens are laundered and changed daily, toys that infants put into their mouths are sanitized daily as well.

The staff rest-room is located near the school-age room in the rear of the center. Sign in and out sheets were inspected and contain full legal signatures. LPA observed a fully stocked first aid kit; fully charged fire extinguishers; carbon monoxide detectors throughout the center. Center maintains a a current roster and Fire Drill/Earthquake log.

**The Outdoor play area was toured and inspected for health, safety, good repair and age appropriateness, there are no large climbing structures on the Infant Yard. The area was observed to be free of debris. Staff bring Infants sippy cups (labeled with each child's name) out side for drinking water. There are no bodies of water observed on the premises. The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area. The play yard has wrought iron fencing in place and at least 5 feet high.

**Food preparation area/Kitchen was inspected for safety, cleanliness, proper equipment & protection against contamination and storage. Center serves breakfast, lunch, and snacks, menus observed and posted. LPA observed infant bottles and food in the refrigerator labeled with each infants name. Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children were stored and inaccessible to children

**The Parent Board (located in the main entrance area) contained all documents that are required to be posted according to Title 22 Regulations. Staff are certified in Pediatric CPR and First Aid exp 11/19/2024.
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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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: 367750059
VISIT DATE: 03/20/2023
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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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm - Center does not provide IMS at this time.

Director is aware of the newly updated Safe sleep Regulations, LPA observed the 15 minute check sheet for each Infant under 12 mos.

With measurements taken today, indoor space can accommodate 17 Infants, outside measurements can accommodate 18, Toilet/Sink ratios can accommodate 30. center is requesting a capacity of 16, Fire clearance for 16 granted.

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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