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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410439
Report Date: 10/09/2024
Date Signed: 10/09/2024 01:38:07 PM

Document Has Been Signed on 10/09/2024 01:38 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:LEAPS AND BOUNDSFACILITY NUMBER:
197410439
ADMINISTRATOR/
DIRECTOR:		JESSICA KIEFFERFACILITY TYPE:
830
ADDRESS:2026 E. AVENUE QTELEPHONE:
(661) 272-4611
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 8DATE:
10/09/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:34 AM
MET WITH:Jessica Kieffer, Director TIME VISIT/
INSPECTION COMPLETED:
02:03 PM
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On 10/09/2024, Licensing Program Analyst (LPA) Justeene Tamayo met Jessica Kieffer, Director, for the one Year Required inspection. A tour of the facility was conducted. Upon arrival LPA observed 1 classroom with 8 infants present and 2 Infant Teachers caring for them. Incidental Medical Services (IMS) were discussed.

Indoor/Children’s Area: Childcare center is clean, safe, sanitary and in good repair. Floor of the classroom has a surface that is safe and clean, cleaning compounds inaccessible, poisons locked, furniture/equipment is good condition, free of flies, other insects, rodents; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate, each child has an individual permanent or portable storage space (cubbies, individually labelled with name) for his/her clothing, and personal belongings.

Trash cans for solid waste have tight fitting lids and water is provided by the parents. All materials and surfaces are toxic free are inaccessible and there is no fireplace. There are working carbon monoxide detector and smoke detector on the premises and a Fire Extinguisher (2A10BC) the classroom.

Restrooms: There is a changing table located inside the classroom for infant's diapering needs. LPA observed the area to be clean and sanitary. LPA observed ample diapers, wipes, and cleaning supplies (located under the sink in the classroom with an operable safety latch).



Outdoor: Per director, at this time the outdoor area is not being utilized due to the grass is being fixed to prevent tripping hazards. Children use an outdoor playground for exercise and free play. The play equipment was inspected for health, safety, good repair and age appropriateness. The area was observed to be free of debris, free from hazard, holes, broken items, debris, No bodies of water were observed. There are areas for shade and rest. Grass and sand were observed under the playground structure and swing to cushion any falls. The play area is fully enclosed with a brick wall on all sides.

Continued on LIC 809-C

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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: LEAPS AND BOUNDS
FACILITY NUMBER: 197410439
VISIT DATE: 10/09/2024
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Staff/Personnel Records: Designation of Responsibility observed, immunization's, TB clearance, mandated reporter trainings, Director qualifications, health screening, criminal record statement, and statement acknowledging suspected child abuse were reviewed and maintained current.

Facility Records: Roster, fire/disaster drill log last completed on 09/13/24. CPR/First Aid and mandated reporter training were reviewed and maintained current. Directors First Aid/CPR expires on 03/2025. Directors Mandated Reporter Training expires on 08/29/2026.

Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty. The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 394L), emergency disaster plan, earthquake preparedness checklist.

Food Service: The center provides whole milk to infants. Formula and water are brought by parents and properly labeled with each child’s name. The classroom has a sink to wash bottles after each use. The kitchen area is off limits to children in care. Sharp utensils are inaccessible. The refrigerator and freezer is clean and fully stocked. Food served to children are breakfast, lunch, and snacks. Cleaning supplies are kept in underneath the kitchen sink and inaccessible to children in care by a safety latch on the cabinet.

Advisory/Other: First aid supplies (thermometer, bandages, scissors) readily available in each classroom. The facility maintains a comfortable temperature at all times, sign in/out sheets available and completed daily at pick up and drop off. Smoking is prohibited on the premises, and daily inspection for illness is conducted. Firearms/weapons are not allowed or stored on premises. There are no pools or bodies of water on the premises.

Infant Safe Sleep: LPA observed cribs in the infant room for sleeping. LPA observed the cribs to be free from bumper pads, pillows, toys, blankets, hanging above items. LPA observed the safe sleep chart for individual infants. LPA reminded Director Safe Sleep charts must be completed for infants aged 0-24 months.

Electrical outlets are inaccessible, recalled and or prohibited toys or play equipment were observed on the premises. There are no window cords accessible to children.

Continued on LIC 809-C
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
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: LEAPS AND BOUNDS
FACILITY NUMBER: 197410439
VISIT DATE: 10/09/2024
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Sign in and out sheets are completed daily at pick up and drop off times. The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current. Roster current. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate.

Health Related Services: Director is advised all prescription and non-prescription medications must have child’s name and are dated, written consent and instruction from child’s representative, and a plan to document and report to child’s representative when medication is administered to a child; IMS plan was discussed and Director understands when IMS is necessary.

Children are inspected for illnesses (wellness policy) as they arrive. A review of medication policy indicated that prescription medication is administered only with parent's written permission (licensing medication form- LIC9221 - also used). Per Director, she does have children enrolled who require medication. LPA advised the Director must administer medication, and document the dosage, date and time onto a log. Medication can be brought and taken home by the parent daily. Medication will be properly labeled and stored in its original container. There is a separate area for isolation and care of ill children in the director’s office.

Currently, Incidental Medical Services are not provided to children in care. LPA reviewed equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.html

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. LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Continued on LIC 809-C
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
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: LEAPS AND BOUNDS
FACILITY NUMBER: 197410439
VISIT DATE: 10/09/2024
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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 the day care center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. An On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. Director shall permit the Department to inspect the family childcare center, and to privately interview children or staff, to determine compliance with or to prevent violations of child care 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

No deficiencies were cited at this time. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



An exit interview was conducted, and a copy of this report was read and provided to the Director, along with a copy of her appeal rights and Notice of Site Visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC809 (FAS) - (06/04)
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