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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750046
Report Date: 11/13/2024
Date Signed: 11/13/2024 03:37:38 PM

Document Has Been Signed on 11/13/2024 03:37 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:AZY'S PLACE CHILDRENS CENTERFACILITY NUMBER:
367750046
ADMINISTRATOR/
DIRECTOR:		SALEENA SMITHFACILITY TYPE:
840
ADDRESS:58967 BUSINESS CENTER DR STE GTELEPHONE:
(760) 228-9068
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY: 15TOTAL ENROLLED CHILDREN: 5CENSUS: 1DATE:
11/13/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:36 AM
MET WITH:Facility Representaitve Liliana Velasquez TIME VISIT/
INSPECTION COMPLETED:
03:50 PM
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On November 13, 2024 at 11:36 am., Licensing Program Analyst (LPA) Zirbes met with the Facility Representative Liliana Velasquez. The purpose of the inspection was to conduct an unannounced required one year inspection. LPA disclosed the purpose of the inspection to facility representative. Present during today’s inspection were one school age child. The school age program consists of three classrooms (Game Room, Learning Center and Gym/Playroom) and one restroom. This Center also operates a preschool center with a toddler component (367750074). The Center has a kitchen, one staff restroom, and two staff offices, which are utilized by both components. The Center is located in a business center. An approved waiver is on file for the outdoor space. The program operates Monday to Friday. Mornings - 7:00am to 8:30am; Afternoons - 2:00pm - 6:00pm. The program operates a full day program 7:00am-6:00 pm when school is not in session.
Indoor/Children's Area: LPA toured and inspected the facility in accordance with the facility sketch. Child care center was observed to be clean and sanitary. LPA observed the light fixture located on the ceiling of school age restroom, and two ceiling light fixtures in the game room had exposed bulbs. During the inspection, the light fixture covers were located and will be installed after hours. Per facility representative, the light covers were removed to change the bulbs and were not replaced. A technical advisory notice was issued. LPA observed all outdoor and indoor passageways, stair ways, incline, ramps, open porches and other areas of potential hazard are kept free of obstruction; floors of all rooms have a surface that is safe and clean. Cleaning compounds were stored in a cabinet within the kitchen. The door leading to the kitchen was locked therefore the cleaning products in this area were inaccessible. Per facility representative there are zero poisons stored within the center. LPA observed the indoor furniture/equipment was in good condition. Classroom was free of flies, other insects and rodents. The classrooms had tables and chairs to meet the children's needs. LPA observed the Center had a variety of art supplies, games, and puzzles for the school age children. Children's belongings are stored in their personal backpacks. Trash cans for solid waste have tight fitting lids. Drinking water is readily available indoors via children water bottles. Report continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2024
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: AZY'S PLACE CHILDRENS CENTER
FACILITY NUMBER: 367750046
VISIT DATE: 11/13/2024
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Report continued from page two

All materials and surfaces are toxic free, window screens in good repair and free of debris. LPA observed a carbon monoxide detector, smoke detectors and fire extinguishers located throughout the Center.
Restrooms: The school age component has one child's restroom and one staff restroom. The children's restroom has one toilet and one sink. Toilets and sinks were functioning properly and are age appropriate. Paper towels, soap and other supplies were available. At approximately 12:10pm, LPA conducted a safety inspection of the staff restroom. LPA observed the staff restroom door open approximately an inch. LPA walked into the restroom and observed Lysol, disinfectant wipes, and Fabreeze stored in a lower cabinet drawer. Per LPA review, all items were labeled, Keep out of reach of children. Due to the staff restroom door being open at the time of the inspection, these products were a potential risk to the children in care. Although school age children were not present during this inspection, six preschool children were present and walked down the hallway near the staff restroom. During the previous annual inspection completed on September 2023, an advisory notice was issued regarding the storage of disinfectants and cleaning solutions. On November 5, 2024, LPA observed a bottle of Drano on the floor od the staff restroom and provided the Center with a verbal advisory regarding the storage of cleaning products. Per facility representative the staff were advised of the requirements regarding the storage of cleaning supplies and a child safety door knob cover was added, however the child safety door knob cover was removed. During this inspection, facility representative removed all cleaning supplies and items labeled, keep out of reach from the restroom. A type B citation was issued.
Meals: The Center provides two meals and one snack a day depending on the schedule for the school age children. Menus were posted in the front entranceway and in the kitchen.
Napping: School age children do not nap at the Center, however quite activities are provided when needed.
Outdoor: Currently there is zero outdoor space for the children. The school age program has an approved waiver on file for the outdoor play space. The Gym/Play room is utilizes for gross motor activities. LPA observed a padded floor with gymnastic mats, octagon climber, slide and a rock climber. Children have access to water while in the gym via personal water bottles.
Facility Records
LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility.
Report continued on page three
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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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: AZY'S PLACE CHILDRENS CENTER
FACILITY NUMBER: 367750046
VISIT DATE: 11/13/2024
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Report continued from page two
Child/Personnel Records
LPA reviewed five child records and two personnel files and a volunteer file during this inspection. Child records were compete and contained all required information. Per LPA review of the personnel records, staff 1 (S1) file did not contain documentation of the completed health screening and CPR/First aid training certificate. Per facility representative, S1 has completed these items however the paperwork was not added to S1 file at the Center. Furthermore, per LPA record review S1s mandated reported training expired 6.25.24. Per information obtained from staff interviews S1 started the two year renewal of the mandated reporter training however has not finished the course. Facility representative stated S1 will complete the training today 11/13/24. Two advisory notices were issued regarding the personnel files. LPA observed staff 2 (S2) on site and assisting in the meal preparation. LPA requested a copy of S2 file. Per facility representative Velasquez, S2 does not have a file on site with the required documents. Per information obtained from facility representative S2 has been volunteering at the Center for the past month. A type B citation was issued for regulation 101217 (b) Personnel Records. Refer to LIC 809D.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.


For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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.
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/. Report continued on page four
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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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: AZY'S PLACE CHILDRENS CENTER
FACILITY NUMBER: 367750046
VISIT DATE: 11/13/2024
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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.

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, two type B citations and four technical violations 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 Liliana Velasquez. Appeal rights were provided
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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Document Has Been Signed on 11/13/2024 03:37 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 11/13/2024 at 12:31 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: AZY'S PLACE CHILDRENS CENTER
FACILITY NUMBER: 367750046

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in when Lysol, disinfectant wipes and fabreeze were observed in accessible drawer within the staff restroom, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/14/2024
Plan of Correction
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Per facility representative, the items were removed and relocated to a cabinet within the locked kitchen. A staff training will occur reminding staff the importance of keeping the items away from the reach of the children and putting them properly away at all times.
Type B
Section Cited
CCR
101217(b)

101217 (b) Personnel Records: Personnel records shall be maintained for all volunteers and shall contain the following:
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 one of one volunteers did not have a personnel record containing the required information, which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/20/2024
Plan of Correction
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Per facility representative, a file will be created for the volunteer.
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: 11/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/13/2024


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