367750048-12-7-2023-12-CC-KZIS-CYAUVK-20231207145517

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367750048
Report Date: 12/07/2023
Date Signed: 12/07/2023 02:55:25 PM

Document Has Been Signed on 12/07/2023 02:55 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:	SBCSS BIG BEAR STATE PRESCHOOL		FACILITY NUMBER:	367750048
ADMINISTRATOR:	NANCY ALVARADO/KIM WEBER		FACILITY TYPE:	850
ADDRESS:	44500 BALDWIN LANE		TELEPHONE:	(909) 585-7766
CITY:	SUGAR LOAF/BIG BEAR	STATE: CA	ZIP CODE:	92386
CAPACITY: 23	TOTAL ENROLLED CHILDREN: 19	CENSUS: 11	DATE:	12/07/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Facility Representative Alyssa Luna		TIME COMPLETED:	03:05 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On December 7, 2023 at 10:20 a.m., Licensing Program Analyst (LPA) Kendal Zirbes conducted an unannounced Required - 3 year inspection and met with Facility Representative Alyssa Luna. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Facility Representative. During the inspection, 11 children, and two (2) staff members were present. The preschool program consists of one classroom (A-5), bathrooms, and an outdoor play space. The classroom is located on the campus of Baldwin Lane Elementary school. The preschool program offers two half day sessions. The AM session operates Mon - Fri - 7:30 am to 10:30 am; the PM session will operate Mon - Fri - 11:15am to 2:15pm. The Program has a Department approved waiver allowing the program to share the outdoor play space, bathrooms and the cafeteria. Indoor/Children's Area: Child care center was observed to be clean, safe, sanitary and in good repair; 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 key locked cabinet and were therefore inaccessible. The classroom furniture/equipment was in good condition. Classroom was free of flies, other insects, rodents. The classroom had tables and chairs to meet children’s needs. LPA observed the classroom had a dramatic play area, science area, library and additional areas for instruction. The classroom had diverse play equipment, along with multiple blocks, puzzles and age appropriate materials. Children's belongings are kept in cubbies along the wall as you enter classroom. Trash cans for solid waste have tight fitting lids, drinking water is readily available indoors via a drinking fountain. All materials and surfaces are toxic free, window screens in good repair and free of debris. The classroom was equipped with a carbon monoxide detector and smoke detectors. There was working telephone service within the classroom. The facility has central heating and air conditioning and was a comfortable temperature at the time of this inspection. Smoking is prohibited on the premises. LPA did not observe prohibited childcare items during this inspection. Electrical outlets were inaccessible. Report continued on page two

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SBCSS BIG BEAR STATE PRESCHOOL	FACILITY NUMBER: 367750048
	VISIT DATE: 12/07/2023

NARRATIVE

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Firearms/weapons are not allowed or stored on premises. LPA did not observe bodies of water on the premises.

Restrooms: The program utilizes the elementary school restrooms located in the hallway outside of the classroom. Restrooms were observed to be in safe and sanitary operating condition. Toilets and sinks are functioning properly and are age appropriate. Paper towels and soap were available to the children.

Food Service: Food is delivered to the classrooms from the school cafeteria. The AM and PM classes are each served one meal.

Napping: This program offers half day programs therefore the children do not nap. The classroom has an area for quite play.

Outdoor: The outdoor play area was fully enclosed by a fence. LPA observed age appropriate tables and chairs, a climbing structure, balance bar, slide and tricycles. The climbing equipment was placed on wood chips and was securely anchored to the ground. LPA observed four of the six swing seats had cracks less than three inches long and were starting to show signs of not being in good repair. LPA advised the facility representative to monitor the swing seats and start developing a plan for replacement. Facility Representative stated this is currently being addressed with the elementary school. The swings will be made off limits until replaced. Drinking water was accessible via a igloo and disposable cups.
Health Related Services
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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
At the time of this inspection zero medications were on site.

Report continued on page three

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SBCSS BIG BEAR STATE PRESCHOOL	FACILITY NUMBER: 367750048
	VISIT DATE: 12/07/2023

NARRATIVE

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Child/Personnel Records
LPA reviewed five child records and two personnel records during this inspection. Child files were complete. During LPAs record review, neither staff files contained documentation that at least one staff member had pediatric first aid training issued by the American Red Cross or the American Heart Association, or by a training program that has been approved by the Emergency Medical Services Authority pursuant to Section 1797.191. LPA advised the Center to ensure all required training documents are in the staff file. During the inspection LPA was able to verify at least one staff member was on site with the required training.

Facility Records

LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility. LPA observed the current disaster drill log and documentation showing the required lead testing occurred in October 2022.
Posting
The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 393L), menu, car seat law (PUB 269), emergency disaster plan, earthquake preparedness checklist.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The Director shall permit the Department to inspect the family child care center, and to privately interview children or staff, to determine compliance with or to prevent violations of child care laws or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.

Facility representative was advised of the requirement to report Unusual Incidents. Facility representative informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address unusualincidentreport@dss.ca.gov. A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of child care center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The On-Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm

Report continued on page four

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SBCSS BIG BEAR STATE PRESCHOOL	FACILITY NUMBER: 367750048
	VISIT DATE: 12/07/2023

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Facility representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important license related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process

One advisory notice was issued today regarding staff records.

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 Alyssa Luna.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

LIC809 (FAS) - (06/04)

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