364809555-4-18-2024-12-CC-APIN-D4FTVW-20240418150437

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364809555
Report Date: 04/18/2024
Date Signed: 04/18/2024 03:04:48 PM

Document Has Been Signed on 04/18/2024 03:04 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:	SBCSS GENERAL COLIN L. POWELL STATE PRESCHOOL		FACILITY NUMBER:	364809555
ADMINISTRATOR/ DIRECTOR:	NANCY ALVARADO		FACILITY TYPE:	850
ADDRESS:	37041 RHINELAND DRIVE		TELEPHONE:	(760) 386-7940
CITY:	FT. IRWIN	STATE: CA	ZIP CODE:	92310
CAPACITY: 192	TOTAL ENROLLED CHILDREN: 192	CENSUS: 0	DATE:	04/18/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:10 AM
MET WITH:	Site Supervisor Janette Rivera		TIME VISIT/ INSPECTION COMPLETED:	03:30 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 4/18/2024 at 10:10am, Licensing Program Analyst (LPA) Andrea Pittman arrived at the facility to conduct an Annual Inspection. LPA was met by Facility Representative and permitted to enter the facility. The Site Supervisor Janette Rivera guided the LPA on a tour of the facility in accordance with the facility sketch. During the inspection, LPA observed 0 children and 5 staff providing care and supervision; children did arrive later for the afternoon session. Facility operates Monday through Friday from 7:00am to 3:00pm. Facility consists of a total of 13 rooms/areas: four classrooms, one office, one cafeteria, two staff restrooms, four children’s restrooms, and one outdoor play area. Indoor Activity Space: There are two half-day programs in the facility. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. LPA observed sign-in sheets completed by each parent/guardian per requirements. LPA observed individual storage for children's belongings. Children are provided filtered water from the water fountains. An isolation area was inspected and located near a separate restroom in the office. The calming area was inspected and located in the corners of the classrooms on the couches. Children are provided napping when needed for the half-day programs. Age-appropriate sinks and toilets were inspected for availability and good repair. Toilets flushed properly; toilet and sinks are reachable by the children. Each restroom has adequate toilet paper, hand soap, and paper towels available. Restrooms are cleaned, restocked with toiletries, and sanitized by on-site staff.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024

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: SBCSS GENERAL COLIN L. POWELL STATE PRESCHOOL	FACILITY NUMBER: 364809555
	VISIT DATE: 04/18/2024

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Smoke detectors, carbon monoxide detectors, and fire extinguishers were observed and in operable condition and are operating according to Fire Marshall standards. The facility has smoke and carbon monoxide detectors and were found operable according to Fire Marshall Standards at 10:59am and 11:00am, respectively. LPA observed the first aid kit and it was found to be complete with the following supplies including tweezers, scissors, gauze, adhesive tape, bandages, cleansing pad/solution, thermometer, and a first aid manual. Trash cans with tight lids were observed making solid wastes inaccessible to children in care; there are trash cans without lids but the Site Supervisor stated they are not used for solid waste. Cleaning supplies, hazardous materials, and/or poisons are found to be out of the reach of children and locked above the sink in each restroom. The facility does not provide transportation. There is no smoking on the premises. There are no weapons, firearms, and ammunition on site; LPA did not observe any of the above. The Site Supervisor states she is unaware of the name of the insurance provider of the facility.

Emergency Drills are conducted at least every six months and the last drills were conducted and documented on 4/4/2024 at 10:00am. The fire extinguisher (2A40BC) is reading in green and meets the Fire Marshal Codes and Standards (last serviced 7/13/2023). Menus are posted at least a week in advanced, dated, and in sight of parents to review. Daily activity schedules are posted showing meal/snack times and specific activities. The parent board was reviewed and has all the required forms posted and accessible to parents. There is no outside food permitted. The center provides meals: breakfast, lunch, and snacks upon request.

Outdoor Activity Space:
The outdoor play area was inspected and observed to be free of hazards, loose, or sharp objects. Equipment was inspected for safety, cushioning material, good repair, and age appropriateness. At 11:13am, LPA observed climbing structures and other play equipment were found to be securely anchored; however, the cushioning material underneath and around the perimeter had been displaced from the use of the children, the Site Supervisor had the cushioning material replaced around and under the climbing structure, technical assistance has been provided. At 11:15am, LPA observed a tricycle with a damaged handle bar cover, the Site Supervisor immediately placed the tricycle in an inaccessible area until the handle bar cover could be replaced. Children are provided filtered water via water fountains during outdoor play. There is adequate shaded area for rest. The playground is well-fenced, all around and no bodies of water were observed in the outdoor play area.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024

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: SBCSS GENERAL COLIN L. POWELL STATE PRESCHOOL	FACILITY NUMBER: 364809555
	VISIT DATE: 04/18/2024

NARRATIVE

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Facility maintains an adequate teacher-child ratio. Care and supervision were evaluated and determined basic needs of children are appropriate and are being met.

Records/Documentation:
Children's records were reviewed for completeness. LIC 702- Preadmission Health History, LIC 700- Identification & Emergency contact, LIC 627- Consent for Medical Treatment or similar form, LIC 613A- Personal rights, LIC 995- Parent’s Rights, and LIC 701- Physician Reports or similar documents used by the facility; Immunization Records and CDPH 286 are all in the children's file.

The facility roster was up to date and all staff have been fingerprinted and cleared through SBCSS. Personnel records were reviewed for completeness. Personnel records included immunizations, LIC 9052- Employee Rights, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse. Director and teachers are currently certified in Pediatric CPR/First Aid, expiring in 2024-2025. Child Care Providers (AB1207) Mandated Reporter training certificate has been completed by staff; however, Staff 1 completed the wrong training, this is a Type B violation, see the LIC 809D for the details. At 12:10pm, LPA observed that the LIC 503 Health Screening was not in the personnel files; however, the LPM has informed the LPA there is an MOU on file stating that the SBCSS uses their form documenting that they have had their personnel complete a health screening and other information relevant to licensing.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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 are available at: https://www.ada.gov/resources/child-care-centers/.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024

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: SBCSS GENERAL COLIN L. POWELL STATE PRESCHOOL	FACILITY NUMBER: 364809555
	VISIT DATE: 04/18/2024

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Facility representative was informed of the MyChildCarePlan.org website; a
consumer education website that helps families obtain child care by connecting them to child
care providers and Resource and Referral Agencies (R&Rs) throughout California.

All staff are required to take 3-hour Child Care Provider Mandated Reporter training (AB1207) every 2 years. Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com. Staff is aware that all staff are mandated child abuse reporters and have the responsibility of reporting any suspected child abuse to the Child Abuse Hot-line at (800) 540-4000.

For additional information and forms visit our website at: www.cdss.ca.gov

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 on the communication platform. To receive important licensed-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.

For updates on Community Care Licensing, please visit the following website at: Childcareadvocatesprogram@dss.ca.gov or call at (916) 654-1541.

A copy of this report must be made available to the public for 3 years.

Per Title 22 Regulations, this facility is not in compliance, a Type B Deficiency has been cited. Please, see the LIC 809D for the details.

Exit interview conducted and report was reviewed with the Site Supervisor Janette Rivera and a copy of this Report, a Notice of Site Visit, and Appeal Rights were provided on this day.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/18/2024 03:04 PM - It Cannot Be Edited

Created By: Andrea Pittman On 04/18/2024 at 02:41 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: SBCSS GENERAL COLIN L. POWELL STATE PRESCHOOL	FACILITY NUMBER: 364809555
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above by not having Staff 1 complete the correct Mandated Reporter Training which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/02/2024
	Plan of Correction
1 2 3 4	The Site Supervisor plans to e-mail a copy of the Mandated Reporter Certificate for Staff 1 no later than 5/2/2024.

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:

Mariela Ramon

LICENSING EVALUATOR NAME:

Andrea Pittman

LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024

LIC809 (FAS) - (06/04)

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