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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815208
Report Date: 10/30/2024
Date Signed: 10/30/2024 06:31:42 PM

Document Has Been Signed on 10/30/2024 06:31 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/
DIRECTOR:		COURTNEY PINKERTONFACILITY TYPE:
830
ADDRESS:1017 HOLDEN AVENUETELEPHONE:
(909) 585-6848
CITY:BIG BEAR CITYSTATE: CAZIP CODE:
92314
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
10/30/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:45 PM
MET WITH:Facility Representative Casie Gilham and Lilia Vollaire Ross TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On October 30, 2024 at 03:45pm, Licensing Program Analyst (LPA) Kendal Zirbes conducted an unannounced Health and Safety inspection at the Center and met with facility representative Casie Gilham and Lilia Ross. LPA disclosed the purpose of the inspection and was granted entry into the facility by the facility representative Casie Gilham.
At 3:45 pm. LPA was on grounds for a different purpose and conducted a safety inspection. During the inspection, LPA observed staff 1 (S1) supervising seven awake infants and staff 2 (S2) supervising one sleeping infant in the napping room. The door between the napping and infant activity room was closed.
LPA discussed the observation with S1, who confirmed S1 was with seven children while S2 was with the one sleeping infant. LPA observed an aide in the kitchen and suggested the aide be brought into the classroom to met ratios. Per conversation with S1, the Licensee Lisa Burtner was planning on coming to the Center after completing a task at another facility. In addition, the other normally schedule staff member was out due to a medical appointment therefore extra staffing was not available.
Based on LPAs observation, S1 was supervising seven infants, therefore the Center was out of ratio. The Center was issued a type A citation for California Code of Regulations, Title 22, Division 12 Chapter 1, 101416.5 (b) Staff-Infant Ratio. Refer to the attached LIC 809D.
LPA Zirbes informed facility representative Lilia Ross Vollaire that this report dated October 30, 2024, documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Zirbes informed the facility representative to provide a copy of this licensing report dated October 30, 2024, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days. An exit interview was conducted, and this report and appeal rights were reviewed with facility representative Lilia Ross Vollaire.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2024
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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Document Has Been Signed on 10/30/2024 06:31 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 10/30/2024 at 04:53 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: 10/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/31/2024
Section Cited
CCR
101416.5(b)

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101416.5 (b) Staff-Infant Ratio: There shall be a ratio of one teacher for every four infants in attendance. This requirements was not met as evidence by:
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Per facility representative, a plan will be submitted to the Department by the close of business on 10.31.24 to address how the Center will maintain the staff to infant ratios.
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Based on LPA observation, the Licensee did not ensure a ratio of one teacher to every four infant when S1 was alone and supervising seven awake infants. This poses an immediate 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: 10/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/30/2024


LIC809 (FAS) - (06/04)
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