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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801052
Report Date: 10/10/2024
Date Signed: 10/10/2024 12:12:37 PM

Document Has Been Signed on 10/10/2024 12:12 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:CALIFORNIA CITY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801052
ADMINISTRATOR/
DIRECTOR:		GONZALES, YOLANDAFACILITY TYPE:
850
ADDRESS:9124 CATALPA AVENUETELEPHONE:
(760) 373-7605
CITY:CALIFORNIA CITYSTATE: CAZIP CODE:
93505
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 16DATE:
10/10/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Program Manager,Janey Felsoci and Site Supervisor ,Anna NunezTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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On 10/10/2024, Licensing Program Analyst (LPA) Carol Heath met with Program Manager Janey Felsoci and Site Director Anna Nunez to conduct an unannounced annual/random inspection. LPA explained the purpose of the visit and was granted access to the facility. A tour was conducted according to the facility sketch. Upon arrival, LPA observed Classroom A in use with 16 children, 3 teachers, 1 family service staff, and a program manager present. The facility operates in one classroom located at an elementary school, which includes one classroom, one office, one teacher's lounge, one kitchen, one staff bathroom, one children’s bathroom, and an outdoor play area. Per the Lead Teacher, the facility operates Monday through Friday, with staff hours from 7:30 am to 4:00 pm and children's hours from 8:00 am to 1:45 pm. LPA observed that teacher-to-child ratios were compliant. Incidental Medical Services (IMS) were discussed, and the Lead Teacher confirmed that no children are currently in care for IMS needs.
Physical Plant: LPA inspected the preschool classroom, checking furniture and equipment for age appropriateness and ensuring they were in good repair. Filtered water is available for children in igloo containers with disposable cups. The isolation area for ill children is in the Site Supervisor’s office. While the facility does not provide nap time, it allows for quiet time as needed. The facility was inspected for safety, cleanliness, and ventilation, all of which were adequate. Cubby space is available for children’s belongings, and age-appropriate toys and materials were observed. Carbon monoxide detectors are installed throughout the center.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CALIFORNIA CITY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801052
VISIT DATE: 10/10/2024
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Health Services: The first aid kit was checked and contained all necessary items, including a manual, sterile dressings, bandages, adhesive tape, scissors, tweezers, a thermometer, and antiseptic solution. Children are screened for illness upon arrival using a no-touch thermometer. Medication is administered only with parental consent and is logged by the director or designated staff. Medication is securely stored, properly labeled, and kept in its original container, with expired medications sent home for disposal. No children currently require IMS. Solid waste containers have tight-fitting lids, and the fire drill and earthquake log are current. Cleaning supplies are stored out of children's reach in locked cabinets.
Restrooms: The children's bathroom was clean and well-maintained, with sufficient soap, toilet paper, and paper towels. The sinks and toilets were age-appropriate and in good working condition.
Outdoor Play Area: The outdoor play area was free of hazards, and the age-appropriate play equipment was securely anchored, with resilient cushioning in place. Filtered water is available during outdoor play, and adequate shade is provided. The play yard is fully fenced, with no bodies of water present. LPA observed that the playground structure had yellow tape around it, and the Site Supervisor confirmed that it is currently off-limits to the children and will be removed to create more space.
Parent Board: The parent board displayed all required documents, including fire and earthquake drill information, in accordance with Title 22 regulations.
Sign-In/Out Process: The facility uses a tablet-based system for sign-in/out. LPA observed that the teacher-to-child ratio was compliant, and staff supervision was adequate.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CALIFORNIA CITY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801052
VISIT DATE: 10/10/2024
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Staff and Children's Records: LPA reviewed staff and children's records, confirming that at least one staff member holds current CPR and First Aid certifications. All staff have completed Mandated Reporter training and are current on required vaccinations, including those for measles, pertussis, and influenza. Fingerprinting and background checks for staff were verified. LPA reviewed five children's files, all of which contained the required documentation.
Food Service: The facility’s kitchen was clean and equipped with a refrigerator, freezer, and microwave. Allergy lists were posted, and the facility provided breakfast and lunch. Menus are posted and available for parent review. Cleaning supplies are stored separately from food supplies, and drinking water is accessible via water pitchers and disposable cups.
Lead Testing: Lead testing for drinking water has been conducted, and the results are posted in the classroom.

The following general information was discussed during this inspection:

· 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, requiring 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: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CALIFORNIA CITY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801052
VISIT DATE: 10/10/2024
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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
· **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
· **Center Director advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation (call within 24 hours and submit a written report within 7 days) and on the form LIC624. The Center reminded to review updates/regulations as well as quarterly updates on the Department website. The "Notification of Parent's Rights" poster must be posted in an area of the center accessible to parents. The information regarding new legislation with regard to exemptions and parents' rights was also discussed.
· Criminal Record Clearance - Child Care Centers Licensee [or 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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
LIC809 (FAS) - (06/04)
Page: 4 of 6
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: 10/10/2024
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· Lead Testing – Child Care Centers (CCC) CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: 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.
· For the following scenarios use the below un-bolded language: • CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES, or • CCC COMPLETED SAMPLING BUT THE TEST RESULTS ARE NOT YET AVAILABLE, or • CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE, or • CCC TESTING DEADLINE HAS NOT PAST LPA referred licensee [or facility representative] to the Department website for lead: Lead Toxicity Prevention and Water Testing Information
· Incidental Medical Services (IMS) - IF THERE IS NO CHILD AT THE FACILITY THAT CURRENTLY NEEDS IMS, USE AS FOLLOWS: 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/.
· MyChildCarePlan.org – Centers and Family Child Care Homes Licensee [or 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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: 10/10/2024
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Notice of Site Visit - Centers and Family Childcare Homes A notice of site visit was given and must remain posted for 30 days.

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

An exit interview was conducted, and the report was reviewed with the Program Manager, Janey Felsoci and Site supervisor, Anna Nunez.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
LIC809 (FAS) - (06/04)
Page: 6 of 6