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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750048
Report Date: 07/27/2022
Date Signed: 07/28/2022 05:07:49 PM

Document Has Been Signed on 07/28/2022 05:07 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:SBCSS BIG BEAR STATE PRESCHOOLFACILITY NUMBER:
367750048
ADMINISTRATOR:NANCY ALVARADO/KIM WEBERFACILITY TYPE:
850
ADDRESS:44500 BALDWIN LANETELEPHONE:
(909) 585-7766
CITY:SUGAR LOAF/BIG BEARSTATE: CAZIP CODE:
92386
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
07/27/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Nancy AlvaradoTIME COMPLETED:
02:52 PM
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Licensing Program Analysts' (LPA's) Maddox conducted an announced inspection today and met with Nancy Alvarado, Operations Manager (OM). This Preschool program is located at Baldwin Lane Elementary School in Room #A5. This program relocated from Apple Valley. There will be 2 half day sessions: The AM session will operate Mon - Fri - 7:30 am to 10:30 am; the PM session will operate Mon - Fri - 11:15 am to 2:15 pm.

INDOOR ACTIVITY SPACE:

· The classroom was toured and found to be clean, safe, sanitary and in good repair to ensure the safety and well-being of children, employees and visitors


· The floors of the classroom were clean and in good repair.
· Furniture and equipment is maintained in good condition, free of sharp, lose or pointed parts. There are a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities.
· Tables and chairs are provided to meet the needs of the children.
· All play equipment and materials used by children were age appropriate.
· Drinking water is readily available in the classroom in the form of a drinking fountain, children will drink out of disposable cups for now due to the rise in COVID cases.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2022
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: SBCSS BIG BEAR STATE PRESCHOOL
FACILITY NUMBER: 367750048
VISIT DATE: 07/27/2022
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· Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children were stored in a high cabinet and inaccessible to children. Storage areas any hazardous items are kept locked.
· There are fully stocked first-aid kits in locations accessible to staff but inaccessible to children:
· The isolation are is located in the office for any child who becomes ill during the day.
· LPA observed carbon monoxide detectors and smoke detectors throughout the facility.
· The center has a working telephone on the premises.
· Sign-in and out procedure -parents (legal guardians) will sign children in and out manually/daily.
NAPPING:

Because this is a half day program, children will not nap at this site.

RESTROOMS

All toilets, hand washing and bathing facilities shall be maintained in safe and sanitary operating condition. LPA observed toilet paper and paper towels readily available.

OM was reminded of the requirement to report Unusual Incidents. A report shall be made to the department by telephone or fax during the department's normal business hours. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. OM was informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department.

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

DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022
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: SBCSS BIG BEAR STATE PRESCHOOL
FACILITY NUMBER: 367750048
VISIT DATE: 07/27/2022
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OUTDOOR

The outdoor play area is located next to the classroom, the area is totally fenced to provide a safe area for children to play. There are tables with umbrellas for outside shade.

The play yard was free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

LPA observed wood chips under climbing equipment, swings, and slides. Water will be brought out in igloos with disposable cups. There are no bodies of water on the premises .

After and inspection is conducted, the staff will be given the form "Notice of Site Visit" which must be posted for a period of 30 days. If a Type A deficiency is cited, a copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file.

FOOD SERVICES

The School District will provide meals for the children (breakfast for the AM class and lunch for the PM class

POSTINGS:

LPA observed a Parent Board in the classroom with all the required forms.

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

DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022
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: SBCSS BIG BEAR STATE PRESCHOOL
FACILITY NUMBER: 367750048
VISIT DATE: 07/27/2022
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HEALTH RELATED SERVICES:

The Lead teacher or 8 hr Associate will dispense medications if needed. Medications shall be kept in a safe place inaccessible to children.

A refrigerator shall be used to store any medication that requires refrigeration.

Licensee has implemented a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.

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 - Center will provide IMS if needed

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

DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022
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: SBCSS BIG BEAR STATE PRESCHOOL
FACILITY NUMBER: 367750048
VISIT DATE: 07/27/2022
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Measurements:

Indoor: 26 X 29 = 754/35=22

7 X 6 = 42/35 = 1

Total capacity with Indoor measurements - 23

Outdoor:

86 x 113 = 9,718/75 = 129

Bathrooms

The Girls bathroom has 4 stalls and 3 sinks which totals 45

The Boys bathroom has 3 toilets. 2 urinals, and 4 sinks which totals 60.

Both bathrooms are not exclusive for this program, they are also used by the Elementary school children. A waiver will be required to use the shared bathroom.

Lead Teacher, Kim Weber has current CPR and First Aid (exp 1/2024), required Mandated Reporter Training (exp 4/2024); and Lead Training. LPA has verified Lead Teacher has a valid Site Supervisor permit.

There is an approved Fire Clearance for the requested capacity of 24

Exit interview conducted, a copy of this report was read, signed, and a copy was provided to Nancy Alvarado, OM.

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

DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022
LIC809 (FAS) - (06/04)
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