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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360904908
Report Date: 03/29/2023
Date Signed: 03/29/2023 03:07:15 PM

Document Has Been Signed on 03/29/2023 03:07 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:DEL ROSA CHRISTIAN PRE-SCHOOLFACILITY NUMBER:
360904908
ADMINISTRATOR:CRUZ, SILVIAFACILITY TYPE:
850
ADDRESS:1333 EAST 39TH STREETTELEPHONE:
(909) 886-0802
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 11DATE:
03/29/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Facility Representative, Laura RiveraTIME COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA) Zirbes met with the Facility Representative Laura Rivera and Linda Serafin for the purpose of conducting an unannounced required one year inspection. LPA toured and inspected the entire center, which consists of five classrooms, two children's restrooms, teachers lounge, directors office, activity room, storage closets and outdoor play space. LPA observed a total of 11 preschool age children with three teachers and one intern providing supervision. The facility operates from 7:00am to 6:00pm Monday to Friday. This program offers full and half day programs for children ages two to Pre-K.
Indoor/Children’s Area:
Child care center is clean, 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 stored on high shelves in the classroom, and on top of cabinets. During LPAs walk through of the Center, LPA inspected the kitchen. The kitchen door is equipped with a child safety lever handle lock however was not engaged at the time of the walk through. LPA observed Clorox toilet cleaner, Comet, Bleach, and hand soap stored under the kitchen sink. LPA observed the children under constant supervision by the teachers and children were engaged in activities in the classroom areas which are approximately 25 feet away from the kitchen door. The safety lever handle was adjusted during this inspection the chemicals were made inaccessible during the inspection. Based on LPA's observation the chemicals were potentially accessible to the children in care. A Type B citation was issued as the chemicals and sharp items were a potential risk to the children in care. Furniture/equipment is good condition, free of flies, other insects, rodents; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate, each child has an individual permanent or portable storage space (cubby, located in each classroom) for his/her clothing, personal belongings and or bedding. During the safety walk inspection, LPA observed two holes in the wall of the Pre - K classroom. The holes were approximately less than 2 inches in diameter. According to the facility representative the holes had just appeared as a student was recently picking at the wall. Report continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/29/2023
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: DEL ROSA CHRISTIAN PRE-SCHOOL
FACILITY NUMBER: 360904908
VISIT DATE: 03/29/2023
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Report continued from page one
Facility representative stated there is a plan in place to fix the wall. LPA advised the Center to have the wall fix so peeling paint and chipping dry wall is not accessible to the children in care, an advisory notice was provided.
Trash cans for solid waste have tight fitting lids. Drinking water is readily available indoors and outdoors via bottled water provided by the Center and individual water bottles provided by the families. The water bottle is filed from a faucet that has been identified as safe per required water testing results. All materials and surfaces are toxic free. No fireplaces were present. The facility has a carbon monoxide detector located at the entrance. The Center had working telephone service on the premises. If child becomes ill during the course of the day, the child remains in the directors office. The facility maintains a comfortable temperature at all times. Sign in/out is completed via an electronic system each day. Smoking prohibited on the premises, daily inspection for illness is completed. LPA did not observe prohibited child care items at this time. Electrical outlets are inaccessible, there are no recalled and or prohibited toys or sleep/play equipment observed on the premises. Window cords were inaccessible to children. Firearms/weapons are not allowed or stored on premises. There are no bodies of water on the premises. The Center provides breakfast, lunch and afternoon snack is provided by the Center. Menus were posted.
Napping
Cots are utilized for the napping. Cots were in good condition.
Restrooms
There are two children's restrooms, one for the girls and one for the boys at the Center. The restrooms are located between the Director office and the teacher lounge. The girls restroom had two sinks and two toilets. The boys restroom, had one sink and two toilets. All restrooms areas were in safe and sanitary operating condition at the time of this inspection. The children's restrooms only deliver cold water. LPA observed paper towels and soap in the bathrooms.
Outdoor
The Center has a large outdoor play area. The outdoor play area, had a shaded rest area with five tables, dramatic play houses, three swings, and a climbing structure with one slide. The cushioning material under the play structure and swings was sand. The large play structure and swings were securely anchored to the ground. A fence surrounds the outdoor area that is at least four feet high. No bodies of water were observed. During the safety inspection, LPA observed two Little Tikes boats in the outdoor play space.
Report continued on page three
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
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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: DEL ROSA CHRISTIAN PRE-SCHOOL
FACILITY NUMBER: 360904908
VISIT DATE: 03/29/2023
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On the day of the inspection, it was a rainy day and LPA observed approximately one inch of water accumulating on the floor of the boats. LPA advised the facility representative to ensure the boats are emptied prior to outdoor play on or after rainy days. When the children are outside, they have access to their individual water cups, or bottles of water.

Health Related Services
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.
At the time of this inspection zero medication were being administered. When LPA observed where the medications are stored, LPA observed a prescription medication with an expiration date of March 2022. LPA advised the Center to review the medications and expirations dates. An advisory notice was issued.

Staff/Personnel Records
LPA reviewed 10 child records and six staff files during this inspection. Records were complete and contained the required documentation.

Facility Records


LPA observed a current roster, disaster drill log, current CPR/First Aid with expiration date of 03/19/2024 and current mandated reporter training.

Posting Requirements
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
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, earthquake preparedness checklist. LPA did not observe the phone number to the local health department posted. An advisory notice was issued. Report continued on page four
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
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: DEL ROSA CHRISTIAN PRE-SCHOOL
FACILITY NUMBER: 360904908
VISIT DATE: 03/29/2023
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Report continued from page three

Topics discussed with facility representative:

LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility.



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 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.



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.


Report continued on page five
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
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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: DEL ROSA CHRISTIAN PRE-SCHOOL
FACILITY NUMBER: 360904908
VISIT DATE: 03/29/2023
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Report continued from page four

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 inspectionprocess@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 one type B citation was issued and four advisory notices. Refer to LIC 809D.


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 Linda Serafin.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/29/2023 03:07 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 03/29/2023 at 02:05 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: DEL ROSA CHRISTIAN PRE-SCHOOL
FACILITY NUMBER: 360904908

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

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 Clorox toilet cleaner, Comet, Bleach, and hand soap stored under the kitchen sink were accessible to the children because the child safety lever handle lock was not working. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/12/2023
Plan of Correction
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At the time of the inspection, the child safety lever handle lock was reinstalled and adjusted, and all chemicals and cleaning products were made inaccessible to the children. A training will be completed with the staff. A copy of the training sign in sheet and agenda will be emailed to the Department.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: 03/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2023


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