153810036-2-3-2022-04-CC-JMOA-CBAT5R-20220203132559

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153810036
Report Date: 02/03/2022
Date Signed: 02/03/2022 01:26:11 PM

Document Has Been Signed on 02/03/2022 01:26 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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	WONDERFUL PRESCHOOL: LOST HILLS		FACILITY NUMBER:	153810036
ADMINISTRATOR:	HIXON, ALESHA		FACILITY TYPE:	850
ADDRESS:	14848 LAMBERSON AVE		TELEPHONE:	(661) 706-7689
CITY:	LOST HILLS	STATE: CA	ZIP CODE:	93249
CAPACITY: 264	TOTAL ENROLLED CHILDREN: 58	CENSUS: 32	DATE:	02/03/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Donna Ward		TIME COMPLETED:	01:40 PM

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On 02/03/2022, Licensing Program Analysts (LPAs) Juvenal Moctezuma & Araceli Gibson conducted an unannounced case management inspection and met with Site Supervisor, Donna Ward. LPAs explained the reason of the inspection and a tour of the center was conducted both inside and outside. The center is located on the campus of Wonderful College Prep Academy - 14848 Lamberson Ave in Lost Hills, CA. Licensee is requesting a decrease of capacity - 96 preschool children. This program operates on a traditional school year schedule from from 5:30 AM to 5:00 PM Monday through Friday. This program operates in Classroom 101-104.

Breakfast, lunch, & a PM snack is provided by the school. Food is prepped in the cafeteria and brought over to each classroom where it gets disbursed to each child. The cleaning supplies will be stored in a cupboard that is at the entrance of each classroom. It has a latch in place to make it inaccessible to children. Staff will utilize the staff bathroom located outside classroom 102. Ill children will be isolated in the nurses office and will use the bathroom located there.

The classrooms were observed to be clean and free of toxins. LPAs observed that the furniture and equipment appeared to be safe and in good condition. LPA reminded applicant to not store anything on top of the children's cubbies or tall bookcases that could potentially fall on the children. Donna understood. Donna will submit proof of a working carbon monoxide inside the center. She also stated that there is a sanitation station at the front entrance where staff will do wellness checks every morning during drop off and take the children's and staffs temperatures every morning. Masks are worn by staff and children while indoors which are provided by the licensee.

Room measurements were taken and reviewed with Donna. The total inside preschool area measured to an approximate 3,694 square feet which will accommodate 96 preschool children. There is adequate storage space available for children's belongings in each classroom. There are enough tables, chairs, & cots for the newly requested capacity. The cots will be stored in the classroom. Donna stated that quiet play time will be available for non-sleepers. Donna understand that additional staff will be required.

Report Continued Onto LIC 809-C

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2022

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: WONDERFUL PRESCHOOL: LOST HILLS	FACILITY NUMBER: 153810036
	VISIT DATE: 02/03/2022

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 26 27 28 29 30 31 32	Exit interview conducted and report was reviewed with the Donna Ward. No deficiencies cited during today's visit. A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW. THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2022

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: WONDERFUL PRESCHOOL: LOST HILLS	FACILITY NUMBER: 153810036
	VISIT DATE: 02/03/2022

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LPA also informed Donna 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.

The following items must be completed prior to issuing a license by 02/17/2022.

Preschool

Remove or fix partition in classroom 104.
Get working carbon monoxide.
Submit missing LIC Forms to complete decrease request.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 96 preschool children.

LPA reviewed with Donna the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

The following documents should be posted at the facility:

* PUB 269- Child passenger restraint systems poster 101225(f) Transportation

* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)
* Activity Schedule
* Lead Poisoning brochure

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 licensed-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.

Report Continued Onto LIC 809-C

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2022

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: WONDERFUL PRESCHOOL: LOST HILLS	FACILITY NUMBER: 153810036
	VISIT DATE: 02/03/2022

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Toys and equipment appear to be age appropriate. Donna stated that bedding/sheets get washed at the center every week on Friday or whenever necessary. There are a total of 2 toilets and 4 sinks/hand washing fixtures in each classroom - total 8 toilets & 16 sinks which will accommodate the newly requested capacity of 96 preschool children. There are water dispensers in each classroom so children can have water readily available to them at all times. There are water fountains outside in the play area along with a water jug.

The approximate outside square footage for the preschool area is 10,050 which will accommodate the 96 preschool children. The preschool play area is gated, has artificial grass, bike path, and a flower bed for gardening, and an age appropriate play structure. There are 3 awnings that provide enough shade for the children. LPA observed plenty of toys that children can play with. LPA reminded Donna to provide adequate supervision at all times since the play area is big.

A fire clearance for 96 preschool children was received and granted by the Kern County Fire Department on 12/10/2021.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Donna was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

LPA discussed the safe sleep regulations with Donna 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.

Report Continued Onto LIC 809-C

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2022

LIC809 (FAS) - (06/04)

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