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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815208
Report Date: 11/22/2022
Date Signed: 11/22/2022 04:14:24 PM

Document Has Been Signed on 11/22/2022 04:14 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:MC DONALD LEARNING CENTERFACILITY NUMBER:
364815208
ADMINISTRATOR:LILIA VOLLAIREFACILITY TYPE:
830
ADDRESS:1017 HOLDEN AVENUETELEPHONE:
(909) 585-6848
CITY:BIG BEAR CITYSTATE: CAZIP CODE:
92314
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
11/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:01 PM
MET WITH:Licensee Lisa Burtner TIME COMPLETED:
03:30 PM
NARRATIVE
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On November 22, 2022, at 03:01pm Licensing Program Analyst (LPA) Zirbes conducted an unannounced case management inspection to Mc Donald Learning Center. The purpose of the unannounced inspection was to follow up on a matter unrelated to this inspection. LPA announced the reason for the unannounced inspection and Assistant Director Courtney Pinkerton granted LPA access to the center.

LPA Zirbes conducted a walk through of Mc Donald Learning Center at approximately 9:20am. LPA observed a total of three infants with staff 1 (S1) in the infant classroom. At approximately 11:55am LPA conducted another walk through of the center. LPA observed S1 and staff 2 (S2) providing supervision to five infants. LPA conducted a file review of S1 and S2 files. Per S1s staff file review, S1 has nine Early Childhood Education (ECE) units, three of which are Infant/Toddler Development. S1 is currently enrolled in ECE classes. Per LPAs review of S2 file, S2 has zero ECE credits. In addition, LPA reviewed the Departments records and found that a exception had not been approved to allow S1 to temporarily act as a fully qualify teacher. LPA spoke with Licensee Lisa Burtner who confirmed S1 is not a fully qualified teacher as of this date. According to Licensee, S1 and S2 were in the infant room together for an hour while the fully qualified infant teacher went on lunch break.
Based on LPAs record review and observation since S1 is not a fully qualified teacher, S1 may not provide supervision of S2, a teacher Aide. S2 who was identified as a infant care aide can only work under the direct supervision of the director, the assistant director or a fully qualified teacher. Therefore, the Center was issued one type B citation for California Code of Regulations, Title 22, Division 12 Chapter 1, 101416.3(b) Infant Care Aide Qualifications and Duties. Refer to the attached 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, Lisa Burtner.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2022
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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Document Has Been Signed on 11/22/2022 04:14 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 11/22/2022 at 01:04 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: MC DONALD LEARNING CENTER
FACILITY NUMBER: 364815208

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/23/2022
Section Cited
CCR
101416.3(b)

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101416.3(b) Infant Care Aide Qualifications and Duties: An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1). This requirement was not met as evidenced by:
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Per facility representative, the Center will ensure that when the fully qualified teacher leaves the classroom, the director or assistant director will enter the classroom and provide supervision.
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Based on LPAs observation and record review on November 22, 2022, S2 was working as an infant aide in the infant room. S2 was working under S1, who is not a director, assistant director or a fully qualified teacher. This poses a potential risk to the health and safety of persons in care.
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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: 11/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/22/2022


LIC809 (FAS) - (06/04)
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