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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801052
Report Date: 11/15/2023
Date Signed: 11/15/2023 11:01:44 AM

Document Has Been Signed on 11/15/2023 11:01 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:CALIFORNIA CITY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801052
ADMINISTRATOR:GONZALES, YOLANDAFACILITY TYPE:
850
ADDRESS:9124 CATALPA AVENUETELEPHONE:
(760) 373-7605
CITY:CALIFORNIA CITYSTATE: CAZIP CODE:
93505
CAPACITY: 20TOTAL ENROLLED CHILDREN: 19CENSUS: 16DATE:
11/15/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:07 AM
MET WITH:Mazmin De La Cruz DuarteTIME COMPLETED:
11:30 AM
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On 11/15/2023, Licensing Program Analyst (LPA) Carol Heath met with the facility Lead Teacher, Jazmin De La Cruz, to conduct an unannounced Annual/Random inspection. LPA toured and inspected the facility in accordance with the facility sketch. Today, 16 children, 4 teachers, and 2 Family service staff were present. The facility Operates in one room, referred to as Classroom A. The Facility is located in an Elementary school; Room #1 is the classroom, one office, one teacher lounge, one kitchen, one staff bathroom, one children’s bathroom, and one play yard utilized for outdoor play. Teacher/Child Ratios were observed for each classroom. Incidental Medical Services (IMS) were discussed. According to the Lead Teacher, no children are in care with IMS needs.
Physical Plant
LPA toured and inspected the preschool classrooms. Furniture and equipment were inspected for age appropriateness and good repair. The classroom consists of filtered water stored in igloo containers with individual one-time-use disposable cups for children. An isolation area was inspected, which takes place in the Site Supervisor’s Office. Children are not provided with napping time but quiet time if needed.
The telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings in each classroom. LPA observed age-appropriate toys and materials. LPA observed a first aid kit. The fully charged fire extinguishers and carbon monoxide detectors throughout the center.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CALIFORNIA CITY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801052
VISIT DATE: 11/15/2023
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A Fire Drill/Earthquake log is posted in the office, and a current Roster is available. Trash cans with tight lids were observed. Cleaning supplies are out of reach of children and locked under the sink and staff bathroom.
LPA inspected and observed one clean bathroom. Age-appropriate sinks and toilets were inspected for availability and good repair. Toilets are flushed properly; toilets and sinks are reachable by the children. The restroom has adequate toilet paper, hand soap, and paper towels. Restrooms are cleaned, restocked with toiletries, and sanitized by on-site staff. LPA observed that soap, toilet paper, and towels were readily available.
The outdoor play equipment was inspected for health, safety, cushioning material, good repair, and age appropriateness. The outdoor play area was inspected and observed as free of hazards loose or sharp objects. Equipment was inspected for safety, cushioning material, good repair, and age appropriateness. Climbing structures and other play equipment were found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. During outdoor play, children are given filtered water via an igloo container and disposable, one-time-use cups. There is an adequate shade area for rest. The playground is well-fenced, and no bodies of water are observed in the outdoor play area.
The parent board was reviewed and has all the required forms posted for fire/earthquake drills current. The Parent Board contained all documents required to be posted according to Title 22 Regulations. Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered only with the parent's written permission. The Director administers medication and documents the dosage, date, and time on a log. Medication is brought and taken home by the parents daily. Medication is properly labeled and stored in its original container. The director's office has a separate area for isolating and caring for ill children. There is a mat available for ill children. An isolated toilet and sink are available in the staff restroom for ill children.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CALIFORNIA CITY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801052
VISIT DATE: 11/15/2023
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The sign-in and out process was reviewed. The facility uses tablets to sign-in sheets. The Teacher-to-child ratio was observed, and staff names were recorded. Care and supervision were evaluated to determine if children's basic needs were met and appropriate. LPA observed a parent board consisting of licensing-required postings—fire/earthquake drills current.
Staff Records/ Children Records: Children's records and staff records were reviewed. LPA verified there is at least 1 staff person present with current CPR and First Aid Training. All staff complete the Mandated Reporter training every 2 years or 1 year with the agency. All staff receives Measles, Pertussis, and Influenza vaccination. All staff have required fingerprinting associated with the facility.
LPA observed 5 children's files contained all required licensing documents.
Food Service: There is a clean, fully equipped kitchen (off-limits) with a refrigerator, freezer (1), and microwave oven. Allergy lists are posted in the classroom. The facility provides breakfast and lunch. Menus are posted in the office in each classroom. LPA observed an appropriate amount of food and snacks. Cleaning solutions and other chemicals are kept in a cabinet under the sink with the lock-in classroom and kitchen. Soaps, detergents, cleaning compounds, or similar substances are stored separately from food supplies. Menus are posted at least one week in advance and made available for review by the parents.
Drinking water is available inside the classrooms in the form of water pitchers and disposable cups.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023
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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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CALIFORNIA CITY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801052
VISIT DATE: 11/15/2023
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The following general information was discussed during this inspection:

The 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. The Center does not provide IMS at this time.
Mandated Reporter Training Requirements: §1596.8662 - As of January 1, 2018, childcare providers, administrators, or employees who work in a licensed facility shall complete the mandated reporter training provided according to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. Staff was informed that they need to take mandated reporter training.
Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
*All Licensing reports are available for review online and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code, to require the Department to post certain licensing information for CCCs and FCCHs on its public internet website.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CALIFORNIA CITY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801052
VISIT DATE: 11/15/2023
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Fingerprint clearances and transfers: Before working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state-licensed facility to another using form LIC 9184
**Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). In addition; all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of the report documenting a Type A Citation and sign form LIC 9224 acknowledging receipt. Staff is aware of the required forms for children's files and forms that shall be posted after licensure.
**Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed childcare facility are aware of situations that present the greatest danger to children.

No deficiencies are being cited at this time, the facility complies with Title 22

Exit interview conducted with Director. A copy of this report is discussed and left with the teacher Jazmin De La Cruz.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023
LIC809 (FAS) - (06/04)
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