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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364840540
Report Date: 10/30/2024
Date Signed: 10/30/2024 06:27:56 PM

Document Has Been Signed on 10/30/2024 06:27 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:
364840540
ADMINISTRATOR/
DIRECTOR:		COURTNEY PINKERTONFACILITY TYPE:
840
ADDRESS:1017 HOLDEN AVENUETELEPHONE:
(909) 585-6848
CITY:BIG BEAR CITYSTATE: CAZIP CODE:
92314
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 14DATE:
10/30/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:30 PM
MET WITH:Facility Representative Casie Gilham and Lilia Ross VollaireTIME VISIT/
INSPECTION COMPLETED:
05:01 PM
NARRATIVE
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On October 30, 2024 at 04:30pm, Licensing Program Analyst (LPA) Kendal Zirbes conducted an unannounced Health and Safety inspection at the Center and met with facility representatives Casie Gilham and Lilia Vollaire. LPA disclosed the purpose of the inspection and was granted entry into the facility by the facility representative.
At 3:45 pm. LPA was on grounds for a different purpose and conducted a safety inspection. During the inspection, LPA observed child 1 (C1) a school age child in the Zebra preschool classroom. Staff 1 (S1) was providing supervision to C1 and five other preschool children. According to staff interviews, C1 was having a challenging day with behavior and interactions with other school age children. Therefore, the Center made the decision to moved C1 to a preschool classroom. Per staff interviews, the lead staff member was not on site therefore, the staff was unable to have C1 sit in the Administrators office. Staff expressed, C1 gets along well with the preschool age children. Staff expressed C1, was in the preschool classroom for approximately one hour. Per LPA review, the Center does not have a waiver to commingle children at 03:45pm.
Based on LPA observation, the Center commingled a school age child, C1 with the preschool children. The Center was issued a type A citation for California Code of Regulations, Title 22, Division 12 Chapter 1, 101538.3 Indoor Activity Space for School-Age Children. 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 06:27 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 10/30/2024 at 05:22 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: 364840540

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
101538.3(b)

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101538.3(b) Indoor Activity Space for School-Age Children: In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from space provided for infant care and child care center children. This requirement is not met as evidenced 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 provide separate spaces for the preschool and school age children.
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Based on LPA observation, the Licensee did not ensure the school age children were separate from the preschool children, when C1 was in a preschool classroom with 5 other preschool children at 3:45pm. 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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