197415187-12-6-2023-12-CC-AALH-CY9VAT-20231206151628

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197415187
Report Date: 12/06/2023
Date Signed: 12/06/2023 03:16:33 PM

Document Has Been Signed on 12/06/2023 03:16 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:	SUNSHINE LEARNING CENTER		FACILITY NUMBER:	197415187
ADMINISTRATOR:	JACQUELINE MAJOR		FACILITY TYPE:	840
ADDRESS:	27630 NEWHALL RANCH ROAD		TELEPHONE:	(661) 294-1970
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91355
CAPACITY: 144	TOTAL ENROLLED CHILDREN: 144	CENSUS: 37	DATE:	12/06/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:33 PM
MET WITH:	Director JACQUELINE MAJOR		TIME COMPLETED:	03:45 PM

NARRATIVE

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On December 6th at 2:30pm Licensing Program Analyst (LPA) Andrew met with Director Jacqueline to conduct an unannounced case management inspection. The purpose of the case management was to follow up on a self-reported unusual incident report (UIR) submitted to the Department on November 30th, 2023. The unusual incident report was regarding a supervision incident involving Child #1. Upon arrival, there were 37 children and 5 staff present at the facility.

The incident report indicated that Staff #1 was lining up the children outside to return to the classroom. Staff #1 did rollcall (name to face) and thought Child #1 went home, and marked the child absent on the rollcall sheet. Staff #1 proceeded to leave the outside playground area with the children accounted for and guide them back to the classroom. About a minute later Child #1 runs from the outside playground area back to the classroom. Child #1 was left unsupervised outside for 1 minute.

During this inspection, interviews were conducted with staff and children. In addition, LPA reviewed staff and children files including the facility video surveillance camera. In the video evidence it was observed that Staff #1 did bring the children back into the classroom. A few moments later Child #1 is seen observed to be outside unsupervised running from the play yard area back to the facility.

Based on interviews and records, it was determined that C1 was left unsupervised in the outside play yard area of the facility for approximately one minute. The incident occurred while Staff #1 was transitioning the other children from the outdoor play area to the classroom. A total of 36 children and 5 staff members were present when the incident occurred.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

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: SUNSHINE LEARNING CENTER	FACILITY NUMBER: 197415187
	VISIT DATE: 12/06/2023

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After approximately one minute, Child #1 runs from the play yard to the classroom where another staff member (Staff #3) returned child to the classroom. Although the Administration took appropriate action to address staff 1's conduct, the care and supervision violation did occur.

A deficiency is being cited based on interviews and record review, in accordance with California Code of Regulations, Title 22, see LIC 809D.

An exit interview was conducted, where the plan of correction was reviewed and developed with Director Jacqueline. A copy of this report and appeal rights were discussed with the Director

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/06/2023 03:16 PM - It Cannot Be Edited

Created By: Andrew Alemoh On 12/06/2023 at 02:58 PM

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: SUNSHINE LEARNING CENTER	FACILITY NUMBER: 197415187
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/06/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/06/2023 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision: No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	After school staff training was already issued. Preschool training will be happening on the December 7th and will provide LPA a copy of the training regime. Name and face procedures were reviewed and evaulated. As well as an updated name and face sheets shall be disussed in the trainings.
	8 9 10 11 12 13 14	Based on interviews and records, it was determined that C1 was left unsupervised in the outside play yard of the facility for an approximately one minute. This poses a potential risk to the health, safety or personal rights of the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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:

Andrew Alemoh

LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

LIC809 (FAS) - (06/04)

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