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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844285
Report Date: 08/17/2021
Date Signed: 08/17/2021 12:37:41 PM

Document Has Been Signed on 08/17/2021 12:37 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:KIDCARE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364844285
ADMINISTRATOR:CARMEN RODRIGUEZFACILITY TYPE:
830
ADDRESS:15025 GRAVILLA RDTELEPHONE:
(760) 955-6466
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
08/17/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Carmen RodriguezTIME COMPLETED:
10:51 AM
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Licensing Program Analyst (LPA), Justin Dorsey met with Director Carmen Rodriguez today for the purpose of conducting a required - 1 year inspection of the infant center. Present today were 4 infants and 1 teacher. There is also preschool and school age licenses at this facility.

Furniture and equipment were inspected for age appropriateness, cleanliness and good repair. Telephone service was verified as well as heating, lighting, and ventilation. LPA observed age appropriate toys and materials. The infant component is separate from the preschool and school age components. Furniture and equipment were observed in good condition, free of sharp, loose, or pointed parts. While observing the infant napping area LPA Dorsey observed Infant #3 napping on their back with a blanket. LPA Dorsey went over the Safe Sleep guidelines with Director. There is a refrigerator is in the infant's eating area, bottles are labeled with the infant's name and current date. The changing table is located in the infants classroom. The Changing table, is within arms reach of sink. Disinfectants, cleaning solutions, medication and other items that are dangerous to children were observed to be inaccessible.

LPA Dorsey observed the outdoor play area for the infants. The play area includes a concrete slab with areas of padding for the children to play. LPA Dorsey observed all outdoor toys and equipment were in good repair. LPA Dorsey did not observe any hazardous items in the infant play area.

The facility has a kitchen located next to the school-age component. The Kitchen is made inaccessible by a gate with a latch. Chemicals and cleaning solutions are not kept in the kitchen. Cleaning solutions and disinfectants are kept in a closet near the Directors office. Per director no children in care take any medications. Any medications will be stored in the emergency kit which is mounted on the wall and locked in the infant classroom. LPA observed kitchen food prep and storage areas to be clean and free of litter. Storage containers for solid waste, including moveable bins were observed to have tight-fitting covers that are kept on and in good repair.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2021
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 08/17/2021 12:37 PM - It Cannot Be Edited


Created By: Justin Dorsey On 08/17/2021 at 11:37 AM
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: KIDCARE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 364844285

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/24/2021
Section Cited
CCR
101174(d)

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101174 Disaster and Mass Casualty Plan (d) Disaster drills shall be conducted at least every six months. This requirement is not as evidenced by:
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Per Director she will conduct disaster drills and send proof to LPA Dorsey by POC due date 08/24/21.
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Based on observation and interview the facility has not conducted disaster drill since 06/20/20, which poses a potential Health, Safety or Personal Rights risk to children in care.
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Type B
08/24/2021
Section Cited
CCR101439.1(f)

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101439 Infant Care Center Sleeping Equipment (f) Cribs shall be free from all loose articles and objects, including blankets and pillows. This requirement is not met as evidenced by:
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Per Director she will not allow infants to sleep with blankets and return infant blankets to parents by POC due date 08/24/21.
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Based on observation Child #3 was sleeping in a crib with a blanket, which poses a potential Health, Safety or Personal Rights risk to children 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:Claretta Yates
LICENSING EVALUATOR NAME:Justin Dorsey
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2021


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDCARE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 364844285
VISIT DATE: 08/17/2021
NARRATIVE
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Teacher/child ratio was observed to be within regulations. LPA Dorsey observed the Fire/earthquake drills were not current, the last drill was conducted 06/20/20. LPA Dorsey observed Mandated Reporter training for Staff #1 expired 07/11/21. The parent board was reviewed and has all of the required forms posted. Sign in/out binder was observed. Sign in/sign out sheets are located in the lobby.

Director Carmen Rodriguez First Aid/CPR certificate was observed and found current (Expires: 03/2022). LPA observed carbon monoxide detectors were in operable condition. LPA Dorsey observed the fire extinguisher next to the infant classroom to be last serviced 02/2020 but was still fully charged. Per Director all fire extinguishers were serviced at the the same time on 02/2020. First Aid kit is located in the infant classroom. Children's allergy lists are located in the infant classroom and the kitchen.

LPA Dorsey observed staff and children files. LPA Dorsey observed Staff #1's mandated training certificate expired 07/11/21. Children files were observed to be complete.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800)514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childquanda.htm
The administrator was reminded to access the Licensing website at ccld.ca.gov to obtain information about the most recent regulatory changes, and for the Quarterly Updates. Licensee advised to regularly review Quarterly Updates. Facility was evaluated in accordance with licensing laws and regulations to ensure the health and safety of children.

LIC 9213- Notice of Site Visit was given. Notice of Site Visit must remain posted for 30 consecutive days. Failure to do so will result in an immediate civil penalty assessment of $100.

Exit Interview conducted and a copy of the report was read and provided to Director Rodriguez..
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
LIC809 (FAS) - (06/04)
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