197750201-1-15-2025-12-CC-DMAX-DCY2H6-20250115162413

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197750201
Report Date: 01/14/2025
Date Signed: 01/15/2025 04:24:23 PM

Document Has Been Signed on 01/15/2025 04:24 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	SUNSHINE DAY CAMP-VALENCIA VALLEY		FACILITY NUMBER:	197750201
ADMINISTRATOR/ DIRECTOR:	JAMIE POWELL		FACILITY TYPE:	860
ADDRESS:	23601 CARRIZO DRIVE		TELEPHONE:	6612542687
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91355
CAPACITY: 120	TOTAL ENROLLED CHILDREN: 120	CENSUS: 0	DATE:	01/14/2025
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:35 AM
MET WITH:	Chad Ottaviano, owner and Jamie Powell, Director		TIME VISIT/ INSPECTION COMPLETED:	01:15 PM

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Licensing Program Analyst (LPA) Maddox met with Chad Ottaviano, owner and Jamie Powell, Director today for the purpose of conducting an announced pre-licensing inspection. This inspection is conducted due to a change of ownership. During this inspection, LPA toured 4 classrooms including bathrooms. Owner is requesting licensure of 120 School-age children ages 5 - 12 yrs. This site is located on the grounds of Valencia Valley Elementary school. The days and hours of operation will be Mon - Fri from 6:30a - 6:00p.

INDOOR ACTIVITY SPACE:

· The child care center was toured and found to be clean, safe, sanitary, and in good repair to ensure the safety and well-being of children, employees and visitors

· Floors of all rooms have a surface that is safe and clean (carpet flooring)
· A comfortable temperature for children shall always be maintained.
· Furniture and equipment are maintained in good condition, free of sharp, lose or pointed parts. There are a variety of age-appropriate equipment, toys, and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities.
· Tables and chairs were present to meet the needs of the children.
· Drinking water is readily available - Igloo with disposable cups and children's individual water bottles.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025

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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SUNSHINE DAY CAMP-VALENCIA VALLEY	FACILITY NUMBER: 197750201
	VISIT DATE: 01/14/2025

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· Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children were stored and inaccessible to children ( Stored in locked cabinet in bathroom #1).
· There are fully stocked first-aid kit(s) in locations accessible to staff but inaccessible to children.
· The isolation area is located in the office for any child who becomes ill during the day.
· LPA observed operable carbon monoxide detectors and smoke detectors (hard wired), fire extinguishers are located throughout the facility and fully charged.
· The center has a working telephone
· Sign-in and out procedure: electronic Kangarootime

OUTDOOR

LPA observed a shaded rest area for the children (What type of shade- covered patio and shaded tarp over climbing equipment). Children have safe access to the play yard which is enclosed by a fence to protect children and to keep them in the outdoor activity area. There are no bodies of water present.

The play yard was free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls (Wood chips).

Outside Drinking Water - Individual water bottles and water fountains

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025

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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SUNSHINE DAY CAMP-VALENCIA VALLEY	FACILITY NUMBER: 197750201
	VISIT DATE: 01/14/2025

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RESTROOMS

There are 2 separate bathrooms within the building and additional bathrooms on the play yard. Each bathroom has 1 toilets and 1 sink. All toilets and hand washing facilities were maintained. safe, and sanitary operating condition.

Staff bathrooms are also located on the play yard.

Applicant has submitted a written verification from the public school administration that will exempt the facility from Licensing square footage requirement. A copy of the footage for the school age component is on file. The fire department has approved clearance for 120 children.

Room #1
820/35= 23
Room #2 889/35 = 25
Room #3
490/35 = 14
Room #4
490/35 = 14

SUPERVISION:

Applicant shall ensure no child is left without the supervision of a teacher at any time, Supervision shall include visual observation, particularity due to the additional bathrooms that are located on the play yard, children must be escorted to the additional bathrooms.

FOOD SERVICES

Snack Menu must be posted for parents’ review. Center will not serve snacks however, non-perishable food items are available.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025

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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SUNSHINE DAY CAMP-VALENCIA VALLEY	FACILITY NUMBER: 197750201
	VISIT DATE: 01/14/2025

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· Trashcans, including moveable bins, shall have a tight fitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof.
· A refrigerator is available and shall be used to store any medication that requires refrigeration.

CHILDREN’S RECORDS:

Applicant and Director are aware of the required forms for children's files.
TRANSPORTATION:

Not at this time

CRIMINAL RECORD REVIEW

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. Applicant states they are registered through Guardian.
NAPPING

·School age children do not nap, however, there is a quiet area available.

HEALTH RELATED SERVICES:

Medications shall be kept in a safe place inaccessible to children)locked box available in the office).

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

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025

LIC809 (FAS) - (06/04)

Page: 5 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SUNSHINE DAY CAMP-VALENCIA VALLEY	FACILITY NUMBER: 197750201
	VISIT DATE: 01/14/2025

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provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (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

LEAD TESTING

Lead testing was completed 11/2022.

POSTINGS:

Applicant was informed of the required forms that shall be posted after licensure including the telephone number of the local health department and information on child passenger restraint systems pursuant to Health and Safety Code section 1596.95(g) and Vehicle Code sections 27360 and 27360.5. LPA viewed parent board during this inspection, all required forms were posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication

Applicant is reminded of the requirement to report and unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC 624B.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025

LIC809 (FAS) - (06/04)

Page: 6 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SUNSHINE DAY CAMP-VALENCIA VALLEY	FACILITY NUMBER: 197750201
	VISIT DATE: 01/14/2025

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Fire Clearance has been received for the requested capacity of 120 children.

Needed Prior to Licensure:

Updated facility sketch to include additional bathrooms located on the play yard.

An exit interview was conducted with the above items discussed and a copy of this report was provided toApplicant, Chad Chad Ottaviano. Final license determination will be made upon review of the Licensing Program Manager.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025

LIC809 (FAS) - (06/04)

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