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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157750009
Report Date: 02/15/2023
Date Signed: 02/22/2023 10:36:46 AM

Document Has Been Signed on 02/22/2023 10:36 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:HERITAGE MONTESSORI SCHOOLFACILITY NUMBER:
157750009
ADMINISTRATOR:DENISE CAMPOSFACILITY TYPE:
840
ADDRESS:1435 N. DOWNS STREETTELEPHONE:
(562) 298-7801
CITY:RIDGECRESTSTATE: CAZIP CODE:
93555
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
02/15/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:33 PM
MET WITH:Denise Camps, Director TIME COMPLETED:
03:12 PM
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Licensing Program Analyst (LPA) Maddox conducted an announced visit today and met with Denise Camps, Director for the purpose of conducting a Pre-Licensing inspection for a School-age component for TK through 12 yrs of age. The hours of operation will be: Mon through Friday from 6:30 am to 6:00 pm. Director is requesting to be licensed for 30 School age children. There is one classroom designated for School age children, Measurements were as follows:

INDOORS:

52 X 29 = 1508/35 = 43

OUTDOORS:

117 X 50 = 5850/75 = 78

Bathrooms:

The children's bathrooms are located in the hallway. There's a Boys and Girls bathroom, the Boys bathroom has 1 sink 1 toilet and 1 urinal; the Girls bathroom has 2 stalls and 2 sinks (1 portable sink). - capacity of 45. The staff restroom is in the hallway as well. LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and paper towels readily available. Toilets and sinks are functioning properly and age appropriate.


INDOORS: LPA noted age appropriate furniture, equipment, toys and materials. Classroom was observed to be clean, safe and free of any Health or Safety hazards. Telephone service was verified as well as adequate heating, lighting, and ventilation. Children's belongings are kept in cubbies in the hallway. Drinking water is available inside the classroom in the form of water fountains.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2023
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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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: HERITAGE MONTESSORI SCHOOL
FACILITY NUMBER: 157750009
VISIT DATE: 02/15/2023
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INDOORS cont'd:
Floors of all rooms have a surface that is safe and clean (wood flooring)
· A comfortable temperature for children shall always be maintained.
· Furniture and equipment are maintained in good condition, free of sharp, lose or pointed parts. There are a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities.
· Tables and chairs were present to meet the needs of the children.
  • LPA observed operable carbon monoxide detectors and smoke detectors(hard wired). Fire extinguishers are located throughout the facility and fully charged.
  • There is a log of emergency fire/disaster drills

OUTDOORS: Equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes sand under climbing structures for cushioning material and there is a metal canopy and trees for outside shade. There are 2 separate swing sets on the play yard, one swing set has a rubber coating on the chains, the second swing set does not, both swings set were securely anchored. Outside Drinking water is available in the form of water fountains. The entire yard is fenced.

FOOD PREPARATION AREA: Kitchen was inspected for safety, cleanliness, proper equipment & protection against contamination and storage, menus observed and posted. Center will provides snacks.



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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm - Director states there are no children present whom require IMS, but there is a plan in place.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: HERITAGE MONTESSORI SCHOOL
FACILITY NUMBER: 157750009
VISIT DATE: 02/15/2023
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SUPERVISION:

Director shall ensure no child is left without the supervision of a teacher at any time, Supervision shall include visual observation.

TRANSPORTATION:

Director will purchase a passenger van to provide transportation. Staff shall ensure each child is transported in child passenger restraint systems pursuant to Health and Safety Code section 1596.95(g) and Vehicle Code sections 27360 and 27360.5 Staff shall ensure all children are transported in child safety seats and have the appropriate seat belts according to the CHP guidelines

CHILDREN’S RECORDS:


LPA explained all children's records shall be available to the Department to inspect, audit, and copy upon demand during normal business hours.

Director is reminded of the requirement to report and unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC 624B.

HEALTH RELATED SERVICES:

Medications shall be kept in a safe place inaccessible to children.

A refrigerator shall be used to store any medication that requires refrigeration.

Director/Licensee has implemented a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: HERITAGE MONTESSORI SCHOOL
FACILITY NUMBER: 157750009
VISIT DATE: 02/15/2023
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POSTINGS:

Director was informed of the required forms that shall be posted after licensure including the telephone number of the local health department. and information on

Fire Clearance has been received for the requested capacity of 30 children.



Needed prior to licensure: Director may forward a picture of child latches on the cabinet in the girls bathroom cabinet that contain cleaning solutions.

Exit interview conducted, copy of report was reviewed and signed, copy of report left with Director.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
LIC809 (FAS) - (06/04)
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