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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801429
Report Date: 12/13/2023
Date Signed: 12/13/2023 01:53:36 PM

Document Has Been Signed on 12/13/2023 01:53 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:SAN DIEGO CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801429
ADMINISTRATOR:ZENAIDA PEREZ VELASQUEZFACILITY TYPE:
850
ADDRESS:10300 1/2 SAN DIEGO STREETTELEPHONE:
(661) 845-6833
CITY:LAMONTSTATE: CAZIP CODE:
93241
CAPACITY: 71TOTAL ENROLLED CHILDREN: 71CENSUS: DATE:
12/13/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Luz AdamsTIME COMPLETED:
02:00 PM
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On 12/13/2023 Program Analyst (LPA) Beneroso met with the acting Director Luz Adams and conducted an Annual Random inspection. LPA toured and inspected the Preschool program with Toddler Component in accordance with the facility sketch. LPA observed 13 children present in the toddler component. Per facility, there are no preschool age children currently attending. LPA Beneroso observed 4 infants (under the age of 18 months) in classroom #2. A Type B citation was issued for commingling infants under 18 months old with the children in the Toddler Component. LPA observed the 4 infants moved back to the infant classroom during visit. Nine teachers were observed providing care and supervision. The center also operates an Infant Program (#153801896). The hours of operation are 5:00 AM - 5:00 PM Monday -Friday for the Preschool program and Toddler Component. Teacher child ratios were observed, and staff names recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. All staff has background clearance.

Indoor/Children's Area: Indoor activity space has appropriate furniture and equipment. The equipment was inspected for age appropriateness and good repair. The Preschool Program and the Toddler Component center is equipped with age-appropriate furniture and equipment including mats, tables and chairs. Per Director equipment, toys and furnishings are sanitized daily.

Floors are clean and safe, cleaning compounds are inaccessible (locked in storage room) furniture and equipment in good condition. Each child has own cubby, trash cans have tight fitting lids. LPA observed the carbon monoxide, Fire Extinguisher and smoke detector in working condition. There is a working telephone on the premises, isolation area for ill children in the director’s office. Room temperature is comfortable, a fully stocked First Aid Kit was observed, sign in/out sheets were reviewed and contain legal signatures.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2023
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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Document Has Been Signed on 12/13/2023 01:53 PM - It Cannot Be Edited


Created By: Barbara Beneroso On 12/13/2023 at 11:53 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SAN DIEGO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801429

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101161(a)
Limitations on Capacity and Ambulatory Status
(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, the licensee did not comply with the section cited above. Four infants under the age of 18 months old were found to be comingling with toddlers in the toddler component room which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/13/2023
Plan of Correction
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LPA observed the four infants under the age of 18 months being moved back to the infant care room. Deficiency cleared during inspection.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mariela Ramon
LICENSING EVALUATOR NAME:Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:
DATE: 12/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2023


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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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SAN DIEGO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801429
VISIT DATE: 12/13/2023
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Napping: There are cots available for nap time. Each mat is used for one child at a time, bedding changed weekly or as needed. LPA observed the Sleep Logs for children under the age of 24 months.

Records: Children’s files have all the required forms; however, there were no sleep logs for the Toddler Program. Staff records were reviewed and were found to be complete.

Bathrooms: LPA observed three bathrooms complete with supplies. LPA observed toilets to be in operable conditions. Cleaning products for the bathroom are inaccessible to children in care.

Child Food Service: LPA observed appropriate chairs and tables for children in care and equipment in good repair. Per director, the facility currently has a food program. The kitchen was found to be fully stocked and equipped. Menus were available for review. Cleaning components were observed to be stored away from food items. Allergy list was observed in the kitchen as well as in the classrooms.

Outdoor: Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. The outdoor play area was observed to be free of debris. There is an area for shade and rest. Drinking water is available for children during outdoor and indoor playtime. Staff inspect outside play area prior to children exiting to the play area. Outside area is completely fenced. The outdoor space is maintained in a safe condition and is free of hazards, cushion material to absorb fall. LPA observed adequate outside shade, play ground free from hazards and debris.


SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
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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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SAN DIEGO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801429
VISIT DATE: 12/13/2023
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LPA observed Licensing and Parent boards to be incompliance including the required posting (menu, daily schedule, community activities, licensing required documents). Fire/earthquake drills current, last fire/emergency disaster drill was conducted on 11/02/2023. Roster current and maintained. Staff present have current CPR/First Aid, it expires on 11/24/2024. Mandated Reporter is maintained current, it expires 06/21/2024.
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important license related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

LPA discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled children devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register.

Site Supervisor was advised of the requirement to report Unusual Incidents. Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address on the website:  www.unusualincidentreport@dss.ca.gov).  A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of the Child Care Center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
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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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SAN DIEGO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801429
VISIT DATE: 12/13/2023
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Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links.  Put your email address and choose which program(s) you would like to subscribe to and click “subscribe. Applicant was advised that all LIC forms can be found at: https://www.cdss.ca.gov/inforesources/forms-brochures/forms-alphabetic-list/i-l

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. Site Supervisor shall permit the Department to inspect the Child Care Center, and to privately interview children or staff, to determine compliance with or to prevent violations of childcare center or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.


A Type B Deficiency was cited during today’s inspection. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with acting Director, Luz Adams.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
LIC809 (FAS) - (06/04)
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