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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 263808341
Report Date: 06/29/2023
Date Signed: 06/29/2023 05:38:24 PM

Document Has Been Signed on 06/29/2023 05:38 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:MAMMOTH KIDS CORNERFACILITY NUMBER:
263808341
ADMINISTRATOR:TELLER, DEBBIEFACILITY TYPE:
850
ADDRESS:77 FOREST TRAILTELEPHONE:
(760) 934-4700
CITY:MAMMOTH LAKESSTATE: CAZIP CODE:
93546
CAPACITY: 34TOTAL ENROLLED CHILDREN: 22CENSUS: 12DATE:
06/29/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Facility Staff Brittany MachadoTIME COMPLETED:
05:50 PM
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On June 29, 2023 at 01:00 p.m. Licensing Program Analyst (LPA) Kendal Zirbes met with Facility Staff Brittany Machado. The purpose of the inspection was to conduct a required one year inspection at the licensed facility. LPA disclosed the purpose of the inspection to the facility staff member. Present during today’s inspection were twelve preschool age children, three teachers and one additional staff member.
The preschool area consists of two classrooms (Bumblebees (toddler classroom) and Caterpillars) and an outdoor place space. The center also operates a infant program (263808720). The infant program is separate from the preschool program. Common spaces for the programs consist of the facility kitchen, staff restrooms and staff office. The center operates year round Monday - Friday 7:30 a.m. - 5:15 p.m. The center has a toddler component.
Indoor/Children's Area: At the time of this inspection the Bumblebees classroom was under construction and was not being utilized. The classroom was inaccessible via doors and child safety gates.
Child care center is clean, safe, sanitary and in good repair; all outdoor and indoor passageways, stair ways, incline, ramps, open porches and other areas of potential hazard are kept free of obstruction; floors of all rooms have a surface that is safe and clean, cleaning compounds were inaccessible via high inaccessible shelf and or cabinets equipped with child safety latches. Zero poisons were stored within the preschool center. The furniture/equipment was good condition. The Center was free of flies, other insects, or rodents. Classrooms was equipped with tables and chairs to meet children’s needs. All play equipment and materials used by children are age-appropriate, children have individual cubbies labelled with their name for their clothing, personal belongings and or bedding. Trash cans for solid waste have tight fitting lids. All materials and surfaces are toxic free. No fireplaces were present in the preschool classrooms. Carbon monoxide detectors, smoke detector and fire extinguishers were located in the Center. The Center had working telephone service on the premises.
Report Continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: MAMMOTH KIDS CORNER
FACILITY NUMBER: 263808341
VISIT DATE: 06/29/2023
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There is an isolation area for children who become ill while in care. The facility maintains a comfortable temperature at all times. Electronic sign in/out sheets were available and are completed each day. Smoking prohibited on the premises. Staff complete daily inspections for illness. LPA did not observe prohibited child care items at this time. All electrical outlets were inaccessible. Firearms/weapons are not allowed or stored on premises. There are no bodies of water on the premises. The Center has the menu posted. Children have access to water while in the classrooms via personal water bottles.
Napping: Cots are utilized by the children. Sheets are washed weekly by the parents.
Restrooms: There are two children's bathrooms, one in each classroom. At the time of this inspection only the bathroom in the Caterpillar room was being utilized. The bathroom had two toilets and three sinks. At the time of this inspection all restroom areas were in safe and in sanitary operating condition. The children's restrooms deliver warm and cold water. LPA observed paper towel and soap dispensers available for the children. Additional restrooms available for the staff.
Kitchen: At the time of this inspection the kitchen was under construction and was inaccessible via doors and child safety gates. Parents provide snacks and lunches for the children. The Center provides two snacks a day.
Teacher child ratios were observed, and found to met the requirements. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate.
Outdoor: The outdoor play space is enclosed. The outdoor space, has a climbing structure place on sand, slides, a cement bike path, basketball hoop, sand box and additional age appropriate materials. The geometric dome climber placed was on sand. LPA advised the facility to ensure the manufactures fall zone requirement is met for the geometric dome climber. LPA also advised the center to ensure the sand is of a depth that is absorbs falls. LPA observed the cement bike path which goes around the play space had at least four areas were the cement was uneven and holes were present. Due to the uneven surface of the cement bike path this outdoor activity had a potential of being unsafe by posing a tripping or crashing hazard. Therefore a type B citation was issued. When the children are engaged in outdoor play they have access to drinking water via a personal water bottles that are brought out with the children.
Staff/Personnel Records
LPA reviewed five child records and five staff files during this inspection. Records were complete and contained the required documentation. A staff member was on site who had current CPR/First Aid.

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SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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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: MAMMOTH KIDS CORNER
FACILITY NUMBER: 263808341
VISIT DATE: 06/29/2023
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Health Related Services
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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
Facility Records
LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility. LPA asked for documentation related to the required Lead testing. Facility representative stated the required testing has not been completed yet however the facility is in the process of scheduling the Lead inspection. Per facility staff the building was constructed prior to 1/1/2010. Based on interviews, the center did not have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023. Therefore a type B citation was issued, refer to LIC 809D.
Postings:
The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 393L), car seat law (PUB 269), emergency disaster plan.
Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The Director shall permit the Department to inspect the center, and to privately interview children or staff, to determine compliance with or to prevent violations of laws or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.
Facility representative was advised of the requirement to report Unusual Incidents. Facility representative informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The On-Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.
Report continued on page four
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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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: MAMMOTH KIDS CORNER
FACILITY NUMBER: 263808341
VISIT DATE: 06/29/2023
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Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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 platform. To receive important license related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to insectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Based on LPA observations, and record review, two type B citations were issued along with two advisory notices.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Brittany Machado.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/29/2023 05:38 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 06/29/2023 at 04:42 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: MAMMOTH KIDS CORNER
FACILITY NUMBER: 263808341

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.2(d)(1)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above when the cement bike/tricycle path encircling the outdoor play space has pot holes and an uneven surface which makes riding the bike/tricycle on the uneven surface a hazard for tripping or crashing. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/28/2023
Plan of Correction
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Per facility representative, the bikes/tricycles will be removed from the outdoor playspace. The pot holes and uneven surfaces will be repaved. Pictures of the corrections will be submitted to the Department.
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above when the child care center was not tested for lead contamination between 1/1/2020 and 1/1/2023, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/12/2023
Plan of Correction
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Per facility representative, the required lead testing will be scheduled by 7.12.23. A email will be submitted to the Department verifying the lead testing inspection has been scheduled.
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:Lady King
LICENSING EVALUATOR NAME:Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


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