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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750028
Report Date: 03/02/2023
Date Signed: 03/02/2023 03:34:56 PM

Document Has Been Signed on 03/02/2023 03:34 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:SBCUSD-KENDALL PRESCHOOLFACILITY NUMBER:
367750028
ADMINISTRATOR:ERIN JONESFACILITY TYPE:
850
ADDRESS:4951 N STATE ST.TELEPHONE:
(909) 730-3674
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 19DATE:
03/02/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:33 PM
MET WITH:Site Director, Erin JonesTIME COMPLETED:
03:49 PM
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Licensing Program Analyst (LPA), Donna Maddox met with Site Director, Erin Jones today for the purpose of conducting a Required 1 yr inspection. This center is located on the grounds of Kendall Elementary School and occupies 1 classroom (B1). The days and hours of Operation: 7:30 am to 4:30 pm Mon - Fri.

**LPA noted age appropriate furniture, equipment, toys and materials. Classrooms were observed to be clean, safe and free of any Health or Safety hazards. Telephone service was verified as well as adequate heating, lighting, and ventilation. Children's belongings are kept in cubbies along the wall as you enter classroom. Drinking water is available inside the classroom in the form of a water cooler with disposable cups.

**There 2 bathrooms in the classroom designated for children, each bathroom has 1 toilet and 1 sink. The staff bathroom is located in an adjacent building. LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and paper towels readily available. Toilets and sinks are functioning properly and age appropriate.

**Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes rubber matting under climbing structure for cushioning material, center utilizes "Easy-up" pop-up umbrellas and the shade from the building for outside shade. Large play structure is securely anchored. The area was observed to be free of debris.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2023
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SBCUSD-KENDALL PRESCHOOL
FACILITY NUMBER: 367750028
VISIT DATE: 03/02/2023
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**LPA observed working smoke detectors, fire extinguishers, and carbon monoxide detectors inside the classroom. There is a log of emergency fire/disaster drills; sign in and out sheets contain full legal signatures; License is posted along with other forms that require posting after licensure. Children's files reviewed were complete with required forms and documentation including required immunization's; Health Screenings. LPA verified Staff present have current CPR and First Aide training (exp 2/18/24) and required qualifications.


Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm - Director states there are no children present whom require IMS, but there is a plan in place.

Exit interview conducted, copy of report left with Director. There were no violations noted as a result of this unannounced inspection, center is operating within the guidelines of Title 22 Regulations.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023
LIC809 (FAS) - (06/04)
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