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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413421
Report Date: 03/27/2024
Date Signed: 03/27/2024 12:18:42 PM

Document Has Been Signed on 03/27/2024 12:18 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:CEDARCREEK STATE PRESCHOOLFACILITY NUMBER:
197413421
ADMINISTRATOR:DIANNA GONZALEZFACILITY TYPE:
850
ADDRESS:19409 CEDARCREEK STREETTELEPHONE:
(661) 294-5311
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 20DATE:
03/27/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Site Supervisor Jennifer RodriguezTIME COMPLETED:
12:45 PM
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On 03/27/2024 Licensing Program Analyst (LPA)Alemoh met with facility Site Supervisor, Jennifer Rodriguez and conducted an Annual Random inspection. LPA toured and inspected the facility in accordance with the facility sketch. During inspection LPA observed 20 children and 3 staff and with a site supervisors providing care and supervision. Facility Operates in one classroom referred to as Preschool classroom.
There is a total of one classroom, one play yard and sheds located on the main school campus(locked) and utilized for equipment storage and emergency supplies.
Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. LPA observed individual storage with children’s name labeled for children's belongings. Drinking water from a non contaminating fixture is readily available for children during indoors(filtered drinking fountain). An isolation area was inspected, which takes place in the classroom or the main office. A sick mat is also an option. Children have the option for rest time and quiet time if needed. Age appropriate sinks(4) and toilets(4) were inspected for availability and good repair.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CEDARCREEK STATE PRESCHOOL
FACILITY NUMBER: 197413421
VISIT DATE: 03/27/2024
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Toilets flush properly; toilet and sinks are reachable by the children. Each restroom has adequate toilet paper, hand soap and paper towels available. Restrooms are cleaned, restocked of toiletries and sanitized by school facility’s on-site custodian.
Facility operates Monday through Friday from 8:30a.m. to 12:00pm. Facility provides lunch for children enrolled.
Licensee had all the required posted documents: Facility License, Notice of Parent's Rights Poster, Emergency Disaster Plan, and Earthquake Preparedness Checklist.

First Aid supplies located in the kitchen area, smoke detectors, carbon monoxide and fire extinguishers were observed and in operable condition. Smoke and carbon monoxide tested operating according to fire marshal standards. Trash cans with tight lids were observed in the classroom and in the outside play yard. The center provides lunch for children enrolled. Food for the children is brought and prepared by the on site Elementary School. Food is properly labeled, stored, and within expiration date. Refrigerator is clean and operating at the proper temperature. There is hot running water in the kitchen, kitchen area is adequately equipped, clean, and free from hazards. Cleaning supplies are out of reach of children in the top kitchen cabinet. Emergency Drills are conducted every sixth month last drill was conducted and documented on 03/25/2024.The fire extinguisher x2 (2A10BC) is reading in green and meets the Fire Marshal codes and standards (last serviced 07/19/2023). Food allergies are noted and are posted in the food preparation area and in each classroom(confidential name list).

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CEDARCREEK STATE PRESCHOOL
FACILITY NUMBER: 197413421
VISIT DATE: 03/27/2024
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The outdoor play area was inspected and observed to be free of hazards, loose, or sharp objects. Equipment was inspected for safety, cushioning material, good repair and age appropriateness. There is a filtered water drinking fountain non contaminating fixture readily available and a refillable filtered water station in the outdoor play area. 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. There is an additional exit door that was observed to have a lock pad. Per director that exit is remained locked There is a passageway were the staff guide the children to the cafeteria area to eat lunch. The passageway was observed to be safe and barricaded.

Facility maintains adequate teacher child ratio. Care and supervision were evaluated and determine basic needs of children are appropriate and are being met. The parent board was reviewed and has all the required forms posted accessible to parents.

Children's records were reviewed for completeness. Health History, Emergency contact and Medical Exams; Immunization Records are all in the children's file. The facility roster was up to date and all staff have been fingerprinted and association to the designated license number.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CEDARCREEK STATE PRESCHOOL
FACILITY NUMBER: 197413421
VISIT DATE: 03/27/2024
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Directors and teachers are currently certified in Pediatric CPR/First Aid which expires until 01/2026. Child Care Provider Mandated Reporter (AB1207) expires dated 09/2025.

The following Incidental Medical Services (IMS) were discussed. Per director there are no children on IMS or medication.
This facility provides Incidental Medical Services – IMS. 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/childqanda.htm

Upon hired date all staff are required to be immunized and show proof of immunization records according to Title 22 regulations.

All staff are required to take 3-hour Child Care Provider Mandated Reporter(AB1207) training every 2 years. www.mandatedreporterca.com.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CEDARCREEK STATE PRESCHOOL
FACILITY NUMBER: 197413421
VISIT DATE: 03/27/2024
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Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

Director is aware self and all staff are mandated child abuse reporters and have the responsibility of reporting any suspected child abuse to the Child Abuse Hotline at (800) 540-4000.

For additional information and forms visit our website at: www.cdss.ca.gov
For updates on Community Care Licensing please visit the following website at: Childcareadvocatesprogram@dss.ca.gov
https://ccld.childcarevideos.org/

Per Title 22 Regulations facility is in compliance, no deficiency will be issued today. An exit Interview was conducted with facility Site Supervisor Jennifer Rodriguez.

A copy of this Report, a Notice of Site Visit and appeal rights were provided on this day. A copy of this report must be made available to the public for 3 years.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC809 (FAS) - (06/04)
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