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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750127
Report Date: 02/09/2022
Date Signed: 02/09/2022 01:51:11 PM

Document Has Been Signed on 02/09/2022 01:51 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:GARDEN PATCH PLAY SCHOOL, THEFACILITY NUMBER:
197750127
ADMINISTRATOR:CHRISTIE COPLAYFACILITY TYPE:
830
ADDRESS:24436 VALLEY STREETTELEPHONE:
(661) 888-1198
CITY:NEWHALLSTATE: CAZIP CODE:
91321
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 0DATE:
02/09/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Christie Coplay, directorTIME COMPLETED:
02:10 PM
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LPA's Maddox and Ayala met with director for the purpose of conducting a Pre licensing inspection for an Infant component. The facility consist of 1 classroom, nap Room,and the outside play area. The Infant component will occupy Room C located in the rear area of the building and will have it's own outside play area. Days/hours of operation will be Monday through Friday from 7:30 am to 5:00 pm.

INDOOR ACTIVITY SPACE: Telephone service, heating, lighting and ventilation were evaluated. Indoor activity space for infants is physically separate from space used by the Preschool children.


The isolation area will be located in the front office area.

There is a separate staff bathroom which will be used as an isolation room.

Sign-in and Out Procedure: Center will utilize an electronic sign in and out procedure (Brightwheel) Center has the capability of producing hard copies if needed.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: GARDEN PATCH PLAY SCHOOL, THE
FACILITY NUMBER: 197750127
VISIT DATE: 02/09/2022
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NAPPING:

Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. Each infant's bedding shall be used for him/her only. Bedding shall be changed daily, or more often if required. Mattresses shall be wiped with a detergent/disinfectant daily or when soiled or wet; crib mattress shall be maintained in a safe condition with no exposed foam, batting or coils.



HEALTH RELATED SERVICES:

Applicant has a developed plan to implement and to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.

LPA observed smoke detectors and Carbon Monoxide detectors throughout the center.



Infant Room : 18 X 25= 450/35 = 13
Outdoor Space Infants = 38 X 15= 570/75 = 8

With measurements taken, the Infant Center can accommodate 13 Infants indoors; and 13 Infants outdoors, there is an approved Fire Clearance for 6 Infants. LPA has verified the Director Qualifications, Lead Poisoning training, Mandated Reporter, and required Orientations.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: GARDEN PATCH PLAY SCHOOL, THE
FACILITY NUMBER: 197750127
VISIT DATE: 02/09/2022
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Applicant was informed of the new Safe Sleep Regulations and the requirement to check on infants and the documentation

Facility is ready for liensure.

An exit interview was conducted and a copy of this report was provided to director.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
LIC809 (FAS) - (06/04)
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