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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750205
Report Date: 01/15/2025
Date Signed: 01/17/2025 03:12:21 PM

Document Has Been Signed on 01/17/2025 03:12 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 - PICO CANYONFACILITY NUMBER:
197750205
ADMINISTRATOR/
DIRECTOR:		ARIELLE GUILLENFACILITY TYPE:
860
ADDRESS:25255 PICO CANYON RDTELEPHONE:
(661) 310-6063
CITY:STEVENSON RANCHSTATE: CAZIP CODE:
91381
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 0DATE:
01/15/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:32 AM
MET WITH: Chad Ottaviano, Owner/Applicant and Ariel Guillen, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:43 PM
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Licensing Program Analyst (LPA) Maddox met with Chad Ottaviano, Owner/Applicant and Ariel Guillen, Director for the purpose of conducting an announced pre-licensing inspection for a change of ownership. Director qualifications have been verified. Applicant is requesting licensure of 120 School-age children ages TK - 12 yrs. The days and hours of operation will be: Mon through Friday from 6:30am - 6:00pm. This center is located on the grounds of Pico Canyon Elementary school, child care will be conducted in a Modular that contains 4 classrooms.

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 individual water bottles and Igloo with disposable cups.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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 - PICO CANYON
FACILITY NUMBER: 197750205
VISIT DATE: 01/15/2025
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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 (locked in cabinet in bathroom #2)
· There are fully stocked first-aid kit(s) in locations accessible to staff but inaccessible to children. Kept in locked cabinet
· 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 -Kangarootime
· Staff shall conduct a wellness check to ensure that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.
OUTDOOR

LPA observed a shaded rest area for the children (tarp). 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. The outdoor play yard is a little distance from the classrooms, children must be be escorted to the play yard. 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 (woodchips).

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
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 - PICO CANYON
FACILITY NUMBER: 197750205
VISIT DATE: 01/15/2025
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RESTROOMS

There are 2 separate bathrooms located in classroom #2, each has 1 toilet and 1 sink. Additional bathrooms are located inside the main building with additional bathrooms on the play yard as well as the staff bathroom. All toilets and hand washing facilities were maintained. safe, and sanitary operating condition. Children must be escorted to the bathrooms located in the main building. Staff bathroom- will also be utilized as the isolation bathroom.

Measurements taken were as follows:


Room #1
1049/35 = 30
Room #2
1075/35 = 30
Room #3
570/35 = 16
Room #4
618/35 = 17

Total Indoor Space 94
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 90 children.
SUPERVISION:

Staff shall ensure no child is left without the supervision of a teacher at any time.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
LIC809 (FAS) - (06/04)
Page: 3 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 - PICO CANYON
FACILITY NUMBER: 197750205
VISIT DATE: 01/15/2025
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FOOD SERVICES: Center does not serve snacks, however, non-perishable food items are available. Snack Menu must be posted for parents’ review.A refrigerator is available and shall be used to store any medication that requires refrigeration.

· 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.

CHILDREN’S RECORDS:


Applicant and Director are aware of the required forms for children's records.

TRANSPORTATION:

Transportation will not be provided at this time.

CRIMINAL RECORD REVIEW


Applicant/Owner was reminded that all adults 18 and over responsible for administration or direct supervision of children must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center.
NAPPING

School-age children do not nap, however, there is a quiet space available in the office.

HEALTH RELATED SERVICES:

Medications shall be kept in a safe place inaccessible to children.

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.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
LIC809 (FAS) - (06/04)
Page: 4 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 - PICO CANYON
FACILITY NUMBER: 197750205
VISIT DATE: 01/15/2025
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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 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

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). Conducted 11/22, center operating below ppb level.

POSTINGS:

LPA observed required forms posted on the parent board.

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

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
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 - PICO CANYON
FACILITY NUMBER: 197750205
VISIT DATE: 01/15/2025
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Staff are 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.

Each licensee shall have a disaster and mass casualty plan of action. The plan shall be in writing and shall be readily available.

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



Needed Prior to Licensure:

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

An exit interview was conducted with the above items discussed and a copy of this report was provided to Chad Ottaviano, Applicant/Owner. Final license determination will be made upon review of the Licensing Program Manager. Center currently operating under EAO.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
LIC809 (FAS) - (06/04)
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