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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750040
Report Date: 02/13/2024
Date Signed: 02/13/2024 04:37:02 PM

Document Has Been Signed on 02/13/2024 04:37 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:BEYOND THE BELLFACILITY NUMBER:
367750040
ADMINISTRATOR:DOLORES TONERFACILITY TYPE:
840
ADDRESS:44500 BALDWIN LANETELEPHONE:
(909) 584-0320
CITY:SUGARLOAFSTATE: CAZIP CODE:
92386
CAPACITY: 46TOTAL ENROLLED CHILDREN: 40CENSUS: 29DATE:
02/13/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Administrator Dolores TonerTIME COMPLETED:
04:45 PM
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On February 17, 2023, at 1:10 p.m., Licensing Program Analyst (LPA) Zirbes met with the Administrator Delores Toner for the purpose of conducting an unannounced required one year inspection. LPA toured and inspected the facility in accordance with the facility sketch. There were zero school age children when LPA arrived to the Center. However during the inspection, 29 school age children arrived. Two teachers and one aide were present providing supervision. Based on LPA observation the Center was meeting the staff/child ratio requirements. The school age program is located on the grounds of Baldwin Lane Elementary School and is operated out of two modulars (B-10, B-11). The program operates from 7:00am-8:30am and 2:30pm-6:00pm Monday thru Friday, Thursday the program opens an 1:00pm. This program operates during the school year and follows the school calendar.

Indoor/Children's Area: School age center is equipped with age appropriate furniture and equipment. LPA observed a dramatic play area, board games, books, movies, sports equipment and tables/benches for school work and activities. All materials were observed to be in good repair and safe condition. The classroom had storage areas for the children to place their personal items and backpacks. Drinking water is available inside classroom B-10 via individual cups and a water cooler. In B-11 water is readily available via a drinking fountain. Chemicals and cleaning materials are stored in a locked cabinet within the kitchen area in B-10. The building has heating and air conditioning. The Center was a comfortable temperature at the time of this inspection. LPA observed a carbon monoxide detectors, fire extinguishers in each of the classrooms. The Center has a working telephone on the premises. There is an isolation area for ill children. The classroom had a first aid kit. Smoking is prohibited on the premises. Teachers conduct daily inspection for illnesses. LPA did not observe prohibited childcare items during this inspection. Firearms/weapons are not allowed or stored on premises. LPA did not observe bodies of water on the premises.

Report continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: BEYOND THE BELL
FACILITY NUMBER: 367750040
VISIT DATE: 02/13/2024
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Report continued from page one
Restrooms: The program utilizes the elementary schools restrooms. The Boys restroom had three toilets, two urinals and two sinks. The girls restroom had five toilets and two sinks. The bathroom utilized by the school age children was in safe and sanitary operating condition at the time of this inspection.
Meals: The Center provides one morning snack and one afternoon snack. The Center has a kitchen in B-10 equipped with a refrigerator, microwave and a oven. Menus were posted in the classrooms.
Napping: The school age children do not nap at the Center. Quite activities are provided.
Outdoor: LPA inspected the outdoor play space for health, safety, cushioning material, good repair and age appropriateness. The School age program utilizes the outdoor play equipment on the elementary campus. The outdoor space was fully enclosed by a chain link fence. LPA observed a variety of outdoor materials such as balls and sports equipment. LPA observed climbing equipment on the playground. At the time of this inspection, the climbing equipment was not being utilized and was covered in snow. When the children are engaged in outdoor play, water is readily accessible via a drinking fountain.
Transportation: The Center does not provide transportation.
Child/Personnel Records
LPA reviewed five child records and three personnel files during this inspection. Per LPAs review the consent for emergency medical paperwork (LIC 627) was for a different program type. LPA advised the Center to have the parents complete the LIC 627 form for Child Care Centers (CCC). A technical advisory notice was issued. Per LPAs review, one of three staff files reviewed was missing documentation of the required immunizations and did not complete the mandated reporter training. Two technical advisories notices were issued.
Facility Records
LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility. LPA observed the disaster drill log (last drill completed in January 2024, and sign in/out records.
CCC did not complete testing prior to their deadline, LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Per conversation with Administrator, the required Lead testing has not occurred in accordance with the written directives of the Department. Per Administrator the school district tests the lead levels within the school. The Center was unable to provide LPA with the required licensing documents during this inspection certifying the required Lead testing was completed. One type B citation was issued, refer to LIC 809D.
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SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
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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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: BEYOND THE BELL
FACILITY NUMBER: 367750040
VISIT DATE: 02/13/2024
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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 publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

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

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.

During this inspection LPA and Administrator discussed the reporting of unusual incidents. LPA reminded the Administrator that unusual incidents may be reported via email to UusualIncidentReport@dss.ca.gov.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

As a result of this inspection one type B citation and three advisory notices were issued.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the facility representative Dolores Toner.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
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Document Has Been Signed on 02/13/2024 04:37 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 02/13/2024 at 03:26 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: BEYOND THE BELL

FACILITY NUMBER: 367750040

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/13/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above when the CCC did not complete the testing prior to their deadline of January 1, 2023, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/13/2024
Plan of Correction
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Per Administrator, the required Lead testing will be completed as required. The CCC will submit an email to the Department informing the Department of the testing date. After the test is completed the required documents will be submitted to the Department.
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:Lady King
LICENSING EVALUATOR NAME:Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:
DATE: 02/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/13/2024


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