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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750014
Report Date: 06/28/2024
Date Signed: 06/28/2024 03:53:48 PM

Document Has Been Signed on 06/28/2024 03:53 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:JUST 4 KIDSFACILITY NUMBER:
367750014
ADMINISTRATOR/
DIRECTOR:		MORRIS, JENNIFERFACILITY TYPE:
840
ADDRESS:15420 RANCHERO ROADTELEPHONE:
(760) 244-8280
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 24DATE:
06/28/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:23 PM
MET WITH:MORRIS JENNIFERTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst's (LPA) Ibitoye met with the facility Director, Jennifer Morris and conducted a Annual/Random Inspection for School-Age children in care. LPA toured and inspected the facility in accordance with the facility sketch. LPA observed 24 children upon arrival and two Teachers along with the Director. There is two classroom for school age program(A3 and A4). The facility also is licensed for a Preschool program (#367750013). The facility operates Monday through Friday from 6:00 am to 6:30 pm. Incidental Medical Services (IMS) were discussed.

Physical Plant: Main care is in the School Age classroom. Furniture and equipment were inspected for age appropriateness and good repair. Room is clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings. LPAs observed age appropriate toys and materials. Drinking water is available inside the classroom in the form of water water fountain and cups (name on cup). LPA observed teacher interaction with children. Trash can has a lid (kitchen, food emptied in the kitchen trash container). The center is clean, safe, sanitary and in good repair, there are no potential hazardous areas observed (passageways), floors are clean and safe, cleaning compounds are inaccessible, poisons locked, furniture and equipment in good condition, no insects or flies observed, play equipment are age appropriate. Each child has own cubby, trash cans have tight fitting lids, drinking water is available, no toxic materials observed, no fireplace, window screens in good repair. LPA observed the carbon monoxide, Fire Extinguisher and smoke detector in working condition. Age appropriate toilets and sinks in working condition. There is a working telephone on the premises, isolation area for ill children at the office area, room temperature is comfortable, First Aid Kit observed, sign in/out observed (electronic), no smoking on the premises, no prohibited play equipment on the premises.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2024
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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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: JUST 4 KIDS
FACILITY NUMBER: 367750014
VISIT DATE: 06/28/2024
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Restrooms: Toilets and sink are safe and sanitary, no hot water in restroom, paper towels (no touch paper towels/soap dispenser) observed for children use. LPA inspected and observed 2 clean bathrooms. Toilets (2) and sinks (2) are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Water temperature is appropriate.

Outdoor: Center has a shaded area, play ground free from hazards and debris, play structure has cushioning material, sandbox inspected daily. Outdoor play equipment slide set, octagon apparatus, tricycles, in good repair. There is a shed (gated and locked-off limits).The area was observed to be free of debris. There is an area for shade and rest. Drinking water is available in the form of a pitcher (Igloo) and Dixie cups and water fountain. School Aged play area (left side) sand and concrete for play was equipped with Basketball court, slide set, octagon apparatus, shade area for rest and is completely fenced. There is a storage shed (gated, locked) off limits. There were no bodies of water on either play area. Children's records and staff records were reviewed. Staff are certified in Pediatric CPR and First Aid. Mandated Reporter training

Food Service: Food prepared and served in a safe manner, food preparation is completed in the kitchen, cleaning compounds are kept in the supply room (off limits), silverware are cleaned and sanitized after each use, refrigerator temperature in regulation, menu posted in kitchen and classroom, breakfast, snack and lunch are provided. There is a clean fully equipped kitchen (off limits) with refrigerator, freezer (2), stove and microwave oven. The facility provides breakfast, lunch, snacks (morning, afternoon). Allergy lists are posted kitchen, classroom, Brightwheel. LPAs observed an appropriate amount of food and snacks. The chemicals are kept separate from the food (kitchen locked cabinet).

Health-Related Services: The Director has been advised all prescription and non-prescription medications must have the child’s name and are dated, written consent and instruction from the child’s representative, and a plan to document and report to the child’s representative when medication is administered to a child; Medication will be properly labeled and stored in its original container. The IMS plan was discussed, and the Director understands when IMS is necessary
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024
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: JUST 4 KIDS
FACILITY NUMBER: 367750014
VISIT DATE: 06/28/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA are available at:https://www.ada.gov/resources/child-care-centers/.

The facility representative was informed of the MyChildCarePlan.org website, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California

The facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.



All staff are required to take 3-hour Child Care Provider Mandated Reporter training (AB1207) every 2 years. Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors, and employees to complete training as specified in their mandated reporter duties and to renew their training every two years. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from the date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com. The director is aware self and all staff are mandated child abuse reporters and have the responsibility of reporting any suspected child abuse to the Child Abuse Hotline at (800) 540-4000.

For additional information and forms visit our website at: www.cdss.ca.gov

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024
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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: JUST 4 KIDS
FACILITY NUMBER: 367750014
VISIT DATE: 06/28/2024
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters, and other important information communication platforms. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. For updates on Community Care Licensing, please visit the following website at: Childcareadvocatesprogram@dss.ca.gov

The director advised of the requirement to report Unusual Incidents. The licensee was informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of the daycare center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. An On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8 am-5 pm.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The director shall permit the Department to inspect the family child care home and to privately interview children or staff, to determine compliance with or to prevent violations of child care center or regulations, also enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.

Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. One deficiency was cited today. See LIC 809D. A copy of this report must be made available to the public for 3 years.

An exit interview was conducted and the report was reviewed with the licensee Jennifer Morris

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/28/2024 03:53 PM - It Cannot Be Edited


Created By: Babatunde Ibitoye On 06/28/2024 at 03:03 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: JUST 4 KIDS
FACILITY NUMBER: 367750014

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above S#1 and S#2 Immunization of measles,pertussis are not on file in which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/08/2024
Plan of Correction
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Director will submit proof of Immunization of measles/pertussis for S#1 and S#2 by due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:
DATE: 06/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/28/2024


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