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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750077
Report Date: 12/01/2023
Date Signed: 12/01/2023 02:04:25 PM

Document Has Been Signed on 12/01/2023 02:04 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:GUIDEPOST MONTESSORI AT COPPER HILLFACILITY NUMBER:
197750077
ADMINISTRATOR:GINA CASTELLO BRANCOFACILITY TYPE:
850
ADDRESS:25135 RYE CANYON LOOPTELEPHONE:
(747) 800-4150
CITY:SANTA CLARITASTATE: CAZIP CODE:
91355
CAPACITY: 126TOTAL ENROLLED CHILDREN: 126CENSUS: 18DATE:
12/01/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director Anglee OsterTIME COMPLETED:
02:45 PM
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On 12/01/2023, (LPA) Licensing Program Analyst Andrew Alemoh met with Director Angelee Oster for the purpose of following up on an unusual incident report submitted to the Department on 11/21/2023. During the visit, LPA toured the facility and took a census of the children present. LPA observed 18 children with 4 staff members providing supervision.

The incident report indicated that child #1 who is enrolled in the toddler program was on the playground when child #1 and child #2 were hugging each other and fell to the floor. Child #1 fell and hit his head on the ground in the playground area followed by child #2 landing on top of child #1. Lead Guide #1 statements indicated she was observing child #1 and #2 hugging, when she was about to separate the two children they tripped on each other resulting in both children falling and child #1 sustaining an mild concussion. Lead Guide #1 immediately attended child #1 and #2 by checking for symptoms of concussion. Child #2 did not receive any injuries from the fall. Lead Guide attended to child #1 by icing the bump. Child #1 cried due to the fall, however, the child was alert and conscious. Child #1 and #2 parents were contacted immediately and arrived to the facility shortly after. Parent took child #1 to doctor and was diagnosed with a mild concussion. Child #1 returned to the facility on 11/27/2023.

Staff handled the situation accordingly by providing first aid and immediately contacting child #1 , and #2 parents. Staff also provided parents with a written incident report.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 12/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/01/2023
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: GUIDEPOST MONTESSORI AT COPPER HILL
FACILITY NUMBER: 197750077
VISIT DATE: 12/01/2023
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Based on the information obtained during the interviews conducted with lead guide, it has been determined that child #1's incident was the result of an accident.

No citations are being issued on this date. Proper supervision was being taken in account on the day of the incident. The information obtained during the unusual incident follow up revealed no violations were found.
Facility is encouraged to continue to report incidents that occur in the facility.

An exit interview was conducted, a copy of this report was provided along with the notice of site visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2023
LIC809 (FAS) - (06/04)
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