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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401205
Report Date: 06/07/2022
Date Signed: 06/07/2022 01:03:45 PM

Document Has Been Signed on 06/07/2022 01:03 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:COLLEGE OF THE CANYONS INFANT DEVELOPMENT CENTERFACILITY NUMBER:
197401205
ADMINISTRATOR:KELLER, JULIEFACILITY TYPE:
830
ADDRESS:26455 N. ROCKWELL CANYON ROADTELEPHONE:
(661) 362-3501
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
06/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Julie Keller, DirectorTIME COMPLETED:
12:11 PM
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On 06/07/22, Licensing Program Analyst (LPA) Liana Stepanyan, met with the Director Julie Keller, to conduct an unannounced annual random inspection for the infant program. Upon arrival, LPA did not observe any infants due to summer break. The facility is on the grounds of College of the Canyons, Early Child Development Center. This is an Infant/Toddler component. The infant program is from 8:45am to 12:45pm.

The facility roster was up to date and all staff have been fingerprinted and association to the designated license number. Director and teachers are currently certified in Pediatric CPR/First Aid valid through 02/23.

The facility maintains a sign in/out sheet to verify the current census of children. The parent board was reviewed and has all the required forms posted accessible to parents.

Physical Plant: Indoor and Outdoor activity space is physically separate from space used by children in the preschool/school age component; surface of outdoor activity space is maintained in safe condition free of hazards; solid waste storage containers have tight fitting covers; no baby walker observed (prohibited item), there is appropriate furniture and equipment (cots, changing table, feeding chairs); furniture is maintained in good repair and safe condition; toys are safe, have no sharp points or edges or splinters, no small parts that can be pulled off or swallowed observed.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022
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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Document Has Been Signed on 06/07/2022 01:03 PM - It Cannot Be Edited


Created By: Liana Stepanyan On 06/07/2022 at 11:42 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: COLLEGE OF THE CANYONS INFANT DEVELOPMENT CENTER
FACILITY NUMBER: 197401205

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the Director did not comply with the section cited above. LPA did not observe a drill log documenting disaster drill conducted at least once every 6 months which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/30/2022
Plan of Correction
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Facility is out of summer break once school is in session Director will conduct a diaster drill and document date, time and duration of the drill and send proof to LPA via email by the POC date.
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:Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2022


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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: COLLEGE OF THE CANYONS INFANT DEVELOPMENT CENTER
FACILITY NUMBER: 197401205
VISIT DATE: 06/07/2022
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Equipment and toys are cleaned with detergent/disinfectant after each use. There is one sink to every 15 infants and one potty chair to every 5 infants being toilet trained. Infant is not left without supervision or unattended. Facility is in compliance with staff-infant ratio (one teacher for every four infants).
Changing table – padding no less than one-inch thick and covered with washable vinyl or plastic, in good repair, within arm’s reach of the sink.

Facility food is safe, stored, prepared and served in a safe manner in the kitchen, food preparation and storage areas are clean; dishes and utensils are clean and sanitized; menu posted one week or more in advance. Facility serves breakfast and lunch. Food preparation area is not being used for play activities or napping; food and beverages stored in covered containers at 45 degrees or less, no food damaged containers were observed.

The outdoor play areas were inspected and observed to be free of hazards, loose, or sharp objects. Equipment was inspected for safety, cushioning material, good repair and age appropriateness. Climbing structures other large play equipment were found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. Children are also provided their own individual labeled water bottles. There is adequate shade area for rest. The playground is well fenced all around, and no bodies of water observed in the outdoor play area. Children have access to water fountains and have their water bottles (labeled) during outdoor play.

Medications inaccessible to children; all prescription and nonprescription medications have child’s name and are dated; written consent and instruction from child’s representative; a plan to document and report to child’s representative when medication is administered to a child; IMS plan on file (if applicable).
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: COLLEGE OF THE CANYONS INFANT DEVELOPMENT CENTER
FACILITY NUMBER: 197401205
VISIT DATE: 06/07/2022
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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/childquanda.htm

Director advised of the requirement to report Unusual Incidents. Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624B 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 family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.



There was an found in non-compliance per CCR, Title 22, Division 12, Chapter 3; see deficiency cited on LIC809D. Discussed appeal rights with Director.

A copy of this report must be made available to the public for 3 years.

A notice of site visit was given and must remain posted for 30 day.



Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview conducted, copy of this report was reviewed and provided to Director.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2022
LIC809 (FAS) - (06/04)
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