367750059-9-19-2024-12-CC-KZIS-D99UU7-20240919155303

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367750059
Report Date: 09/19/2024
Date Signed: 09/19/2024 03:53:21 PM

Document Has Been Signed on 09/19/2024 03:53 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:	367750059
ADMINISTRATOR/ DIRECTOR:	APRIL DOGERO		FACILITY TYPE:	830
ADDRESS:	2915 LITTLE MOUNTAIN DRIVE		TELEPHONE:	(909) 882-1100
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92405
CAPACITY: 16	TOTAL ENROLLED CHILDREN: 16	CENSUS: 10	DATE:	09/19/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:40 AM
MET WITH:	Administrator April Dogero		TIME VISIT/ INSPECTION COMPLETED:	04:10 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 September 19, 2024 at 09:40am Licensing Program Analyst (LPA) Zirbes met with the Administrator April Dogero. The purpose of the inspection was to conduct an unannounced annual/random inspection. During the inspection, LPA toured and inspected the Infant program in accordance with the facility sketch. LPA observed a total of ten infants, with two teachers, and one aid providing supervision at the time of the inspection. The infant area consists of one room and an outdoor activity space. The center also operates an School Age Program (#367750058) and Preschool Program (#367750057). The center operates 6:30am -6:00pm, Monday through Friday. Indoor/Children's Area: Indoor activity space for infants is physically separate from space used by children in the preschool and school-age child care center components. Infant center is equipped with appropriate furniture and equipment, changing table and feeding table. Furniture is maintained in good repair and safe condition (age appropriate). LPA did not observe sharp points or edges, or small parts that could be swallowed. Per staff interviews equipment, toys and furniture are sanitized daily. There is one hand washing sink within arms length of the changing table. Per LPA observation and staff interviews no infant is left without supervision (visual), nor left unattended. At the time of this inspection, the facility was in compliance with the staff/infant ratio and is not exceeding the approved capacity for the facility. Furniture and equipment were inspected for age appropriateness and good repair. Based on LPAs observations the toys and equipment were in good repair at the time of this inspection. Used diapers are put in a diaper genie. Each infant has container labeled with their name for the storage of personal items. Report continued on page two

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

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: 09/19/2024

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LPA observed the cleaning compounds were stored on a high inaccessible shelf in the classroom. The infant center does not have a fire place. The building has central heating and mini split air conditioning units. The room temperature was comfortable at the time of this inspection. LPA observed a carbon monoxide detector, a fire sprinkler system and fire extinguishers. There is a working telephone on the premises. There is an isolation room for ill children. The facility maintains paper sign in and out records. Based on LPA review the sign in/out sheets were current and accurate.

No smoking is allowed on the premises. LPA did not observe baby walkers or other prohibited play equipment on the premises. Administrator stated there are zero firearms or weapons stored on the property.
Napping: LPA observed cribs and cots. LPA observed the crib mattresses were made of a cleanable vinyl material and were in good repair. The sleeping area is separated from the infant activity space. Sheets are cleaned and changed everyday or more often as necessary.

Other: Electrical outlets are inaccessible, there are no recalled and or prohibited toys or sleep/play equipment observed on the premises.

Restrooms: At this time all infants are in diapers however the classroom is equipped with one restroom with potty chars and one toilet. The diaper changing area was located in the infant activity area. The area was clean and sanitary during this inspection.

Outdoor: Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. The outdoor play area is enclosed by a wrought iron fence. LPA observed a cement walk way and grass/dirt. A dramatic play house was available along with push and pull toys. Per Administrator, the teachers take water and cups to the outdoor play space for the infants.

Report continued on page three .

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

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: 09/19/2024

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Report continued from page two
Infant File and Staff File Review: LPA reviewed a total of five infant files and four staff files. LPA reviewed two files for children under 12 months of age. On 9.16.24, the safe sleep log documented Child 1 (C1) fell asleep on their stomach and remained on their stomach from 11:45am-12:15am. On 9/17/24, C1s safe sleep log indicated C1 was fell asleep on their side from 9:10am to 9:40am and then 11:00am-11:30am. Per LPAs review of C1 individual infant safe sleep plan dated 8/14/24, section C has not been completed and signed by C1 authorized representative. LPA discussed the record with the staff 1 (S1) and Administrator. Administrator reported they have never observed C1 sleep on their side or stomach. S1 stated C1 is typically a side or back sleeper. During the inspection the Administrator shared that they talked to the staff who's initials were on the log 9.17.24, and they stated they may have made a mistake on the form. At 12:20 pm and 1:30pm, LPA completed a walk through of the infant safe sleep area and observed C1 and other infants sleeping on their back. LPA advised the staff that all children under 12-months of age must be placed on their backs for sleeping and if section C of the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] is not completed, then staff shall return the infant to their back. LPA provide technical assistance regarding safe sleep. Per Administrator and S1 a staff training will take place regarding the 15 minute safe sleep checks and infant safe sleep requirements.
LPA reviewed two child files for children under 12 months of age. Per LPA record review, child 2 (C2) authorized representatives signatures was not obtained on Section D as required. LPA provide technical assistance and requested that all individual infant sleeping plans be reviewed to ensure Section D is completely filled out.
Three technical advisory notices were issued regarding the infant file review. Per LPA review of the staff records, all required information was included.
Facility Records
LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility.
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. Report continued on page four

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

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: 09/19/2024

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Postings:
The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster, car seat law (PUB 269), emergency disaster plan.

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 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.

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.

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-andresources/
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.

Report continued on page five

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

LIC809 (FAS) - (06/04)

Page: 7 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: LITTLE MOUNTAIN PRESCHOOL	FACILITY NUMBER: 367750059
	VISIT DATE: 09/19/2024

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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/process

Based on LPA record review and observations, three technical violations were 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. Appeal rights were provided.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

LIC809 (FAS) - (06/04)

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