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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809555
Report Date: 04/28/2023
Date Signed: 05/01/2023 06:54:50 AM

Document Has Been Signed on 05/01/2023 06:54 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:SBCSS GENERAL COLIN L. POWELL STATE PRESCHOOLFACILITY NUMBER:
364809555
ADMINISTRATOR:NANCY ALVARADOFACILITY TYPE:
850
ADDRESS:37041 RHINELAND DRIVETELEPHONE:
(760) 386-7940
CITY:FT. IRWINSTATE: CAZIP CODE:
92310
CAPACITY: 192TOTAL ENROLLED CHILDREN: 192CENSUS: 58DATE:
04/28/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:23 AM
MET WITH:Janette Rivera, Site Supervisor TIME COMPLETED:
02:14 PM
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On 04/28/23 at 11:20 a.m. Licensing Program Analysts (LPA) Esequiel Rodriguez conducted an unannounced Annual Required inspection at the SBCSS General Colin L. Powell State Preschool Center Facility to assess the Center's operation of their Program and current physical plant status. Also, to evaluate the Center's continuing ability to meet compliance with California Code of Regulations (CCR) Title 22, Health and Safety requirements, and other applicable State and Licensing Statutory requirements. The LPA met with the Facility Site Supervisor, Janette Rivera stated the purpose for the inspection and provided a copy of the Entrance Checklist form, LIC 125.

The Site Supervisor provided copy of the Child Care Center children roster and Personnel Report (LIC 500). The Center maintains on file a current Designation of Facility Responsibility (LIC 308), Sign in and Sign Out Rosters, the Center has a current Parent Handbook. At 12:25 p.m. LPA Rodriguez along with Site Supervisor, Janette Rivera conducted a walk trough of the inside and outside of the Facility along with the entire operation of the facility/center program.

The facility license is posted on a prominent place of the Center. During the walk through/inspection of the Facility the LPA discussed observations of Title 22 requirements. The Center is clean, safe, sanitary and well maintain. All utilities are operational and in good order. There is plenty parking space. First aid kits are available and complete (inaccessible to children/infants.) The fire extinguishers, smoke alarms and carbon monoxide monitors are in compliance and fully operational. The Center conducts and records emergency disaster drills.

Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible to children. Furniture and equipment were inspected for age appropriate and observed to be in good repair and defects free.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2023
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SBCSS GENERAL COLIN L. POWELL STATE PRESCHOOL
FACILITY NUMBER: 364809555
VISIT DATE: 04/28/2023
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Sign in/out rosters, telephone service, heating, lighting and ventilation were evaluated and no defects were noted. There are clean safe and sanitary individual space/cubbies with children's names. The facility utilizes a designated isolated area to isolate ill children.

The toys and material use for instructions meet regulatory requirements. The trash cans contain tight lids. All toilets, hand washing, and bathing facilities are in safe and sanitary operating condition..

The outdoor play areas were noted free of hazards. Playground items are properly secure and free of loose or sharp objects. Equipment was inspected for safety, cushioning material, good repair and age appropriateness. Climbing structures are age appropriate, play equipment is properly securely and anchored with adequate resilient. There is cushioning material underneath and around the inside and outside play areas. On the outside play area, there is adequate shade area for rest. The playground is well fenced all around, and no bodies of water observed.

LPA observed staff providing care and supervision children. The Staff monitors food intake and/or special diets; provides toileting and dressing assistance if needed, and assist in other personal hygiene needs; etc. At no time the LPA observed no child being unsupervised. LPA observed all children in care being properly supervised and treated with dignity and respect. The LPA advise the Site Supervisor to ensure every one working at the center is current in all required training and properly qualified to provide quality care and safe supervision to children in care.

The LPA advise Site Supervisor to continue to become very familiar with the Guardian Background Check Program and with the Regulatory Enforcement (CARE) Tools processes, to visit the Departments Website at www.ccl.ca.gov at least on a weekly basis to obtain the most current Child Care information. Per Director, the Facility Administrative file contains all documents and forms listed on LIC 311A, Records to be Maintain at the Facility(Child Care Centers, Infant Centers, School-Age Centers and Child Care Centers for Mildly Ill Children) which is required under sections of Title 22, California Code of Regulations and/or Statute, as applicable.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SBCSS GENERAL COLIN L. POWELL STATE PRESCHOOL
FACILITY NUMBER: 364809555
VISIT DATE: 04/28/2023
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During today's inspection the LPA observed no deficiencies that may hinder the health and safety of the children in care. Therefore, no deficiencies were cited. Overall, the physical plant of the Center is in compliance per Title 22 regulations.

An exit Interview was conducted and a copy of this Report as well Notice of Site Visit (LIC9213) was provided to Site Supervisor, Janette Rivera.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023
LIC809 (FAS) - (06/04)
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