Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750014
Report Date: 12/04/2018
Date Signed: 12/04/2018 04:06:05 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME:JUST 4 KIDSFACILITY NUMBER:
367750014
ADMINISTRATOR:MORRIS, JENNIFERFACILITY TYPE:
840
ADDRESS:15420 RANCHERO ROADTELEPHONE:
(760) 244-8280
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:30CENSUS: 28DATE:
12/04/2018
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:49 PM
MET WITH:Jennifer MorrisTIME COMPLETED:
04:20 PM
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Licensing Program Analyst (LPA) Thompson-Miller met with the facility Director, Jennifer Morris and conducted a Prelicensing inspection (change of ownership) for the School Age program with a capacity of 30 children . LPA toured and inspected the preschool in accordance with the facility sketch. LPA observed 28 children and 2 Teacher's. LPA observed children during inside play. School - Age consists of two classrooms (A3 & A4). Applicant/Licensee has asked for a waiver to share the following: share outside restroom (toilet) with preschool, the inside pod play area, also co-mingling one hour at opening and one hour at closing, and electronic sign-in/out. The facility operates from 6:00am to 6:30pm. Monday through Friday. Incidental Medical Services (IMS) policy was discussed.

Indoor activity area measurements:
Room A3 & A4: 248.22 sq. ft. (no encumbered space)
Inside Activity Area: 2060.-2 sq. ft.
Total indoor activity space:2308.24 sq. ft. divided by 35 = 65 children

Total children toilets and sinks:
3 toilets x 15 = 45 children (one shared outside toilet)
2 sinks x 15 = 30 children

School Age Outdoor activity area measurements:
Outdoor activity area measurements:
Total outdoor activity space : 3122.53 divided by 75 = 46 children
Capacity is limited to 30 children.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-MillerTELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2018
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
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: JUST 4 KIDS
FACILITY NUMBER: 367750014
VISIT DATE: 12/04/2018
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There is a clean, fully equipped kitchen with refrigerator and freezer (separate staff and center), microwave oven, stove, washer, dryer and storage of food (labelled with expiration date). The facility provides breakfast, AM snack, lunch, PM snack, and evening snack (provided by parent). Menu is posted in the kitchen and on each classroom parent board. Allergy list is posted in the kitchen and each classroom. LPA observed an appropriate amount of food and snacks. The chemicals are kept separate from the food (kitchen cabinet).

Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Staff were questioned to establish their familiarity of emergency reporting requirements, emergency disaster plans and other site operations. Personal rights of children were discussed. Children's records and staff records were reviewed.

Sign in and out sheets were reviewed. LPA observed Licensing and Parent boards to be incompliance including the required posting (menu, licensing required documents). Fire/earthquake drills current. First Aid Kit observed. CPR/First Aid expire 03/13/2020.

Facility informed to review updates/regulations for 2015-2018 on the department website which includes information on: Summer 2015 - Incidental Medical Services information.

--Director advised to visit www.shotsforschool.org for Immunization information.
--Director was informed of responsibility to report suspected Child Abuse, 1-800-827-8724/760-243-6640
--Child Care Centers (Disaster Planning information):https://cccld.childcarevideos.org/child-care-center-operators/disaster-planning-and-fire-safety/
--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov
--Director advised to visit the CCL website (www.ccld.ca.gov) to obtain updates of courses and updates/changes to the regulations.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-MillerTELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2018
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
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: JUST 4 KIDS
FACILITY NUMBER: 367750014
VISIT DATE: 12/04/2018
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

During the inspection LPA verified facility meets the requirements for providing IMS services by reviewing the following: storage of medication and equipment/supplies, checking records of individual children, interviewing and checking staff records for written verification of training, at least one trained staff member is available to provide IMS service. Center currently has 3 school age children requiring IMS services.

No deficiencies cited according to Title 22 Regulations. Consultation provided during the inspection.



Pending the following items for approval:
--Waiver for indoor play space
--Waiver for electronic sign-in/out
--Waiver for co-mingling one hour at opening and one hour at closing
--Waiver for sharing outside bathroom (toilet)

The On Duty Worker is available for questions at 661-789-6944 Monday through Friday 8am-5pm. LPA provided consultation during the inspection.

Exit Interview conducted and a copy of report read and provided to Director, Jennifer Morris.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-MillerTELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2018
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
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: JUST 4 KIDS
FACILITY NUMBER: 367750014
VISIT DATE: 12/04/2018
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Furniture and equipment were inspected for age appropriateness and good repair. Room are clean and safe. Telephone service (telephone in room) were verified. Heating, lighting, and ventilation are adequate. There are cubbies (labelled) for children's belongings in the classroom. LPA observed age appropriate toys and materials. Drinking water is available (water fountain in the POD area and Dixie cups). LPA observed a sufficient quantity of mats available for napping children if necessary and extra bedding is stored separately and properly. LPA observed center with smoke detector, carbon monoxide detector and fire extinguisher.

LPA inspected and observed 1 clean bathroom (3 toilets, 4 sinks). Toilets and sinks are functioning properly and are age appropriate. There is an outside toilet that is currently being shared with the preschool (waiver in file). LPA observed soap, toilet paper and paper towels readily available. Water temperature is appropriate.

The facility has 3 playground areas. The school age play in a gated area separated by a fence from the younger children play area (also a grassy area). Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. There is a shed (gated and locked). The area was observed to be free of debris. There is an area for shade and rest. Drinking water is available in the form of a pitcher (Igloo) and Dixie cups and water fountain. There are two drinking fountains outside. Play area was inspected and found inaccessibility to bodies of water.

Children are inspected (wellness check) for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director or Lead Teacher administers medication and documents the dosage, date and time onto a log (LPA observed log). Medication is brought and/or taken home by the parent daily (prescription medication). Medication is properly labeled and stored in its original container. There is a separate area for isolation and care of ill children at the front desk area.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-MillerTELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2018
LIC809 (FAS) - (06/04)
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