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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750035
Report Date: 05/03/2021
Date Signed: 05/03/2021 03:18:21 PM

Document Has Been Signed on 05/03/2021 03:18 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:CHILDREN'S COURTYARD, INC., THEFACILITY NUMBER:
367750035
ADMINISTRATOR:JENNIFER ROSAFACILITY TYPE:
830
ADDRESS:12303 RIDGECREST RD #7477TELEPHONE:
(760) 245-8680
CITY:VICTORVILLESTATE: CAZIP CODE:
92395
CAPACITY: 12TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
05/03/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Tammi ReilfordTIME COMPLETED:
03:30 PM
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Licensing Program Analysts (LPA's), Maddox and Ayala met with Tammi Reilford today for the purpose of conducting Pre-licensing inspection for a change of ownership. The current name of this center is Lakeside Academy. There is a Parent Board in place to post required forms located in the entrance area. The hours of operation are Mon - Fri from 6:00 am to 6:30 pm.

During this inspection, LPA toured the entire center which consist of an Infant component, Preschool with a Toddler option, and a School age component. Center also has an office area, Reception area, Staff Lounge, Staff Bathroom, and storage rooms. There is an isolation area located in the office and the Staff bathroom will be utilized as the isolation bathroom.

A health check on staff and children will be conducted each day upon arrival. Staff will meet parents and children at the entrance where temperatures will be taken and a brief health questionnaire will be completed before children are signed in for the day and escorted to their perspective classrooms.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2021
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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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: CHILDREN'S COURTYARD, INC., THE
FACILITY NUMBER: 367750035
VISIT DATE: 05/03/2021
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If a child becomes ill during the day, they will rest in the isolation area and child’s authorized representative will be contacted immediately for pick up. The Department of Public Health will be contacted in regard to any COVID-19 illness. Applicants are reminded to ensure parents sign children in and out daily.

Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. Storage areas for poisons shall be locked. Medicines shall be centrally stored and kept locked.

Age appropriate furniture including tables and chairs are present in each of the rooms to meet the needs of children in care. LPA advised against using indoor water fountains at this time due to the COVID-19. There are cubbies available to store Infants belongings, Bedding shall not be shared by different children without first laundering. Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. Sheets shall be washed daily or when soiled or wet. Blankets shall be cleaned or changed when soiled.

Parents will be responsible for supplying formula, wipes and diapers. Applicants are reminded to ensure infant bottles are labeled with each Infants name and sent home at the end of the day.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021
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: CHILDREN'S COURTYARD, INC., THE
FACILITY NUMBER: 367750035
VISIT DATE: 05/03/2021
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The following measurements were taken for Room 6 & 7:
7.6 X 30 = 228
16.7 X 12 = 200.4
Total 428.4/35 = 12.24
Outside Play Space 1250/75 =17
Changing table is available with sink attached and the sides were 5 inches high. Crib space was not included in the total indoor space. There was nothing obstructing view of cribs.

The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies. Center shall ensure a thorough review of Provider Information Notices (PINS) located on the Departments web page www.ccld.ca.gov and shall adhere to Public Health guidelines and directives.

LPA informed applicants of the Departments Reporting Requirements. Upon the occurrence, during the operation of the child care center of any of the events specified in Section 101212 a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information shall be submitted to the Department within seven days following the occurrence of such event.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: CHILDREN'S COURTYARD, INC., THE
FACILITY NUMBER: 367750035
VISIT DATE: 05/03/2021
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Applicants were also informed the Department has full Inspection Authority and no child shall be left without Adult supervision at any time.

Applicant have originally requested a capacity of 12 infants. A fire clearance has been received for 12 infants. Center will be approved for the capacity of 12 infants.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021
LIC809 (FAS) - (06/04)
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