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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815208
Report Date: 09/13/2023
Date Signed: 09/13/2023 03:48:25 PM

Document Has Been Signed on 09/13/2023 03:48 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: 6DATE:
09/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:46 PM
MET WITH:License, Lisa Burtner TIME COMPLETED:
03:55 PM
NARRATIVE
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On September 13, 2023 at 2:46 p.m., Licensing Program Analyst (LPA) Kendal Zirbes conducted an unannounced Health and Safety inspection at the Center and met with Licensee Lisa Burtner. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee.

At 2:15 pm. LPA was on grounds for a different purpose and conducted a safety inspection. During the inspection, LPA observed staff 1 (S1) and staff 2 (S2) supervising six infants. LPA completed a file review of S2's file. Per LPA file review, S2 has a total of 9 Early Childhood Education (ECE) units, zero of the units are related to the care of infants. Based on LPA conversation with S1, S1 has zero ECE units. LPA discussed S1 and S2 qualifications with the Licensee, Licensee confirmed that neither S1 nor S2 have infant units. Per Licensee, fully qualified infant teachers were on site however were supervising the preschool children. LPA reviewed the Departments records and found that a exception had not been approved to allow S1 or S2 to temporarily act as a fully qualify teacher.

Based on LPAs record review and observation S1 and S2 are not fully qualified infant teachers. S1 and S2 qualify as infant teacher aides. Therefore, S1 and S2 can only work under the direct supervision of the director, the assistant director or a fully qualified teacher. The Center was issued a 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. This Center was previously cited under regulation 101416.3(b) on November 22, 2022, therefore this is a repeat citation, and civil penalties were assessed.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Lisa Burtner.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2023
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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Document Has Been Signed on 09/13/2023 03:48 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 09/13/2023 at 03:23 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: 09/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/20/2023
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 Licensee, the center will ensure that a fully qualified infant teacher is in the classroom at all times.
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Based on LPAs observation, record review, interviews, S1 and S2 were working as infant aides in the infant room. S1 and S2 were not being supervised by director, assistant director or 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: 09/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2023


LIC809 (FAS) - (06/04)
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