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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 06:28:32 PM

Document Has Been Signed on 10/30/2024 06:28 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: DATE:
10/30/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:46 PM
MET WITH:Facility Representaive Lilia Ross VollaireTIME VISIT/
INSPECTION COMPLETED:
06:40 PM
NARRATIVE
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On October 30, 2024, Licensing Program Analyst (LPA) Zirbes conducted a case management deficiencies inspection to address additional information regarding an incident that occurred at the facility on August 12, 2024. LPA met with facility representative, Lilia Ross Vollaire. Present during today's inspection were 14 school age children.

The Department discovered through confidential interviews that on August 12, 2024, at approximately 4:00p.m., staff 1 (S1) was alone and supervising 12 school age children. Confidential interviews confirmed S1 was performing housekeeping duties such as sweeping and cleaning the bathroom. S1 reported S1 was cleaning up crumbs from snack therefore an immediate safety hazard was not present. S1 reported S1 was cleaning up the classroom so the class would be able to go to the front of the facility. S1 and additional staff interviews reported the teacher is responsible for the cleaning of the classroom. Staff reported an aide is sometimes available to assist the teacher with cleaning. Interviewees reported difficulties in providing supervision and cleaning the classroom at the same time. S1 stated the broom and cleaning products are not stored in the school age classroom and were brought into the classroom by an aide or another staff member. Interviews confirmed an incident occurred between S1 and C1 involving the broom S1 was utilizing to clean the classroom. Based on confidential interviews, S1 was performing housekeeping duties rather than engaging in the care and supervision of the school age children. Therefore, a Type B citation for regulation 101216.3 (g) Teacher-Child Ratio is being issued as this was a potential risk to the children in care. Refer to LIC 809D.


Notice of Site Visit was given and must remain posted for 30 days. An exit interview was conducted with facility representative Lilia Ross Vollaire. Appeal rights and a copy of the report were provided to 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 06:28 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 10/30/2024 at 05:41 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: 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 B
11/06/2024
Section Cited
CCR
101216.3(g)

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101216.3 (g) Teacher-Child Ratio: A teacher shall not be required to perform housekeeping or maintenance duties that prevent him/her from performing duties related to providing care and supervision to children. This requirement was not met as evidenced by:
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Per facility representative a plan for how the citation will be corrected will be submitted to the Department by November 6, 2024,.
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Based on interviews, teachers are responsible for cleanliness of the classroom. On August 12, 2024, an incident occurred due to S1 performing housekeeping duties rather than providing care and supervision. This poses a potential Health, Safety, or Personal Rights risk to 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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