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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750030
Report Date: 06/16/2021
Date Signed: 06/16/2021 02:48:36 PM

Document Has Been Signed on 06/16/2021 02:48 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:KIDS & CARE INC.FACILITY NUMBER:
367750030
ADMINISTRATOR:CLAUDIA V. GARCIAFACILITY TYPE:
840
ADDRESS:10522 MANHASSET ROADTELEPHONE:
(760) 956-5000
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92308
CAPACITY: 42TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
06/16/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Claudia GarciaTIME COMPLETED:
03:05 PM
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LPA's Maddox and Thompson-Miller met with Owner, Claudia Garcia for the purpose of conducting a Pre licensing inspection for an Infant component. This facility sits on the corner of Manhasset and Tussan Ranch Road. The center consist of 5 classrooms, Staff Room, Office space, 4 bathrooms. and the outside play area. Applicant is also seeking licensure of a Preschool component (X367750031) and an Infant Component (X367750029) on the same premises. The School age component will occupy the Right side of the center (when facing the center). Days/hours of operation will be Monday through Friday from 6:00 am to 6:30 pm.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service (telephone in room) were verified. Heating, lighting, and ventilation are adequate. There are lockers available for children's belongings. LPA observed age appropriate toys and materials. School age children will use water dispensers with disposable cups for drinking water. Classrooms were equipped with operable smoke detectors, and carbon monoxide detector, and fire extinguishers.

Sign in and Out: Center will utilize an electronic sign in and out system (Procair Connect)
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/16/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: KIDS & CARE INC.
FACILITY NUMBER: 367750030
VISIT DATE: 06/16/2021
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Owner will have a computer generated Parent Board, the board will contain the required postings (menu, daily schedule, community activities, licensing required documents). Fire/earthquake drills current shall be conducted at least quarterly.

There are 3 individual bathrooms, each with 1 toilet and 1 sink in each. Toilets and sinks are functioning properly and are age appropriate. LPA observed working toilets, soap, toilet paper and paper towels readily available.

Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. The play area has sand, dirt, grass, and concrete. There is also a cemented bike route area. The area was observed to be free of debris. There are trees present for shade and rest. Children's water bottles are brought outside during play time. Play area was inspected and found to be free of hazards and inaccessibility to bodies of water.

Children are inspected for illnesses (wellness policy) as they arrive. A review of medication policy indicated that only prescription medication is administered with parent's written permission (licensing medication form- LIC9221 - also used). The Director administers medication and documents the dosage, date and time onto a log. Medication is properly labeled and stored in its original container. There is a separate area for isolation and care of ill children at the entrance with the Director or Director office.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: KIDS & CARE INC.
FACILITY NUMBER: 367750030
VISIT DATE: 06/16/2021
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Measurements:
24 X 32 = 768/35 = (22)
4.5 X 15 = (2)
13.5 X 9 = 122/25 = (3)
Total indoor measurements: (39)
Total with bathrooms (45)
Total outdoor space: 102 X 90 = 9180/75 = 122

The School age rooms need to be set up to receive children (all items not related to child care need to be removed) prior to licensure. Fire Clearance received for a capacity of 45. Center will be licensed for a capacity of 39 with measurements taken.

The On Duty Worker is available for questions at 661-202-3318 Monday through Friday 8am-5pm.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
LIC809 (FAS) - (06/04)
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