263808720-6-28-2023-12-CC-KZIS-CT8QK7-20230628121352

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 263808720
Report Date: 06/28/2023
Date Signed: 06/28/2023 12:14:05 PM

Document Has Been Signed on 06/28/2023 12:14 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		FACILITY NUMBER:	263808720
ADMINISTRATOR:	TELLER, DEBBIE		FACILITY TYPE:	850
ADDRESS:	100 CANYON BLVD. STE. 233		TELEPHONE:	(760) 934-0646
CITY:	MAMMOTH LAKES	STATE: CA	ZIP CODE:	93546
CAPACITY: 36	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	06/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:10 AM
MET WITH:	Facility Staff Kristen Connelly		TIME COMPLETED:	12:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On June 28, 2023 at 08:10 a.m. Licensing Program Analyst (LPA) Kendal Zirbes met with Facility Staff Kristen Connelly. 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 zero preschool age children, two teachers and two additional staff members. The preschool area consists of one classroom, one children's bathrooms, kitchen, staff break room, staff bathroom, an office areas and an outdoor activity space. An approved waiver is on file allowing a separate outdoor space which requires a gondola ride. The center operates seasonally from 08:00 a.m to 4:00 PM, 7 days a week. Typically Mid November thru end of April. The Center also had a licensed infant center (263808765). Indoor/Children's Area: 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 cabinets equipped with child safety latches. LPA observed cleaning products on a approximately four foot shelf in the staff restroom, the door leading to the cleaning products was closed. Due to the ages of the children in care on this day, the cleaning products were inaccessible. However, LPA advised the facility representative move the cleaning products to a higher shelf, a cabinet equipped with a child safety lock or attached a child safety latch or lock to the door. The Center license allows or the center to care for children up to age 6 therefore the products may be accessible to a child who is 6 years old. Zero poisons were stored within the preschool center. The furniture/equipment was good condition. During the inspection. LPA observed the vinyl padding on four of the soft climbing equipment had areas less than a half inch in length where the vinyl material was tearing. LPA advised the Center that the items were starting to show signs of wear and that all items had to be maintained in good condition. Facility staff expressed they have already started the process for replacing the equipment. The Center was free of flies, other insects, or rodents. Classroom was equipped with tables and chairs to meet children’s needs. Report Continued on page two

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

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: MAMMOTH KIDS	FACILITY NUMBER: 263808720
	VISIT DATE: 06/28/2023

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Report continued from page one
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. There is an isolation area for children who become ill while in care. The facility maintains a comfortable temperature at all times. 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 drinking fountain.
Napping: Mats are utilized by the children. Each day the mats are sanitized and sheets are cleaned.
Restrooms: There is one children's restroom with three toilets and three sinks. A changing table was observed in the classroom. At the time of this inspection all restroom areas were in safe and in sanitary operating condition. The children's restrooms deliver hot and cold water. LPA observed paper towel and soap dispensers available for the children. Additional restrooms available for the staff.
Kitchen: The facility has a self contained kitchen with a half-wall and half-door with a latch to keep children from entering this area of the facility. Kitchen has a sink, refrigerator, and a stove. Medications and first aid supplies are located in this area.
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 Center has an approved waiver to utilize a separate outdoor play space. The outdoor play space is accessed via a gondola ride. LPA did not observe the outdoor play space during this inspection as the center was closed for the season. When the children are engaged in outdoor play they have access to drinking water via a water jug and cups brought by the staff member.
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.

Report continued on page three

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

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: MAMMOTH KIDS	FACILITY NUMBER: 263808720
	VISIT DATE: 06/28/2023

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Report continued from page two
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: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

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: MAMMOTH KIDS	FACILITY NUMBER: 263808720
	VISIT DATE: 06/28/2023

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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, one type B citation was issued along with three 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 Kristen Connelly.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/28/2023 12:14 PM - It Cannot Be Edited

Created By: Kendal Zirbes On 06/28/2023 at 10:58 AM

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	FACILITY NUMBER: 263808720
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/28/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

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
1 2 3 4	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
1 2 3 4	Per facility representative, the lead 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.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

LIC809 (FAS) - (06/04)

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