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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750072
Report Date: 12/11/2024
Date Signed: 12/11/2024 05:58:10 PM

Document Has Been Signed on 12/11/2024 05:58 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 BELL-NORTHSHOREFACILITY NUMBER:
367750072
ADMINISTRATOR/
DIRECTOR:		LUZ TUCHANFACILITY TYPE:
840
ADDRESS:765 NORTH STANFIELD CUTOFFTELEPHONE:
(909) 531-1628
CITY:BIG BEAR LAKESTATE: CAZIP CODE:
92315
CAPACITY: 30TOTAL ENROLLED CHILDREN: 37CENSUS: 27DATE:
12/11/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:05 PM
MET WITH:Facility Representative Jamie Jarrett TIME VISIT/
INSPECTION COMPLETED:
06:10 PM
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On December 11, 2024, at 02:05 p.m., Licensing Program Analyst (LPA) Zirbes met with the Facility Representative Lee Deleone for the purpose of conducting an unannounced Annual/Random inspection. LPA toured and inspected the facility in accordance with the facility sketch with facility representative Jamie Jarrett. There were zero school age children when LPA arrived to the Center. However during the inspection 27 school age children arrived. LPA observed four teachers, and one aide 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 Northshore Elementary School and is operated out of two modulars classrooms, 29 and 30. The program operates, Monday through Friday from 7:00 am to 8:30 am (morning session) and from 3:00 pm to 6:00 pm in the afternoon. On Thursdays the school has minimum days so the afternoon session operates from 1:00 pm to 6:00 pm. 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 and chairs 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 classroom 30 via a water cooler and cups. LPA observed chemicals and cleaning materials stored in a combination locked cabinet in the kitchen area within classroom 30. 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 in 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. Facility representative confirmed zero firearms/weapons or bodies of water are on the premises. Report continued on page two.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2024
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-NORTHSHORE
FACILITY NUMBER: 367750072
VISIT DATE: 12/11/2024
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Report continued from page one
Restrooms: The program utilizes the elementary schools boys and girls restrooms. The restrooms utilized by the school age children were in safe and sanitary operating condition at the time of this inspection.
Facility representative confirmed the children are escorted to the restrooms.

Meals: The Center provides one afternoon snack. The Center has a kitchen in classroom 30 which is equipped with a refrigerator, microwave and toaster oven. Menus were posted in the classrooms.


Napping: The school age children do not nap at the Center. Quit 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 and swings on the playground. The climbing equipment was secured to the ground and was in good repair. Wood chips surrounded the climbing equipment. When the children are engaged in outdoor play, water is readily accessible via a drinking fountain. LPA and facility representative discussed the need for the staff to be actively supervising the children due to the large outdoor space.
Transportation: The Center does not provide transportation.
Child/Personnel Records
LPA reviewed five child records and four personnel files during this inspection. Per LPAs review the child files were complete and contained all required documentation. Based on LPA review and information obtained from facility representative staff 1 (S1) did not have a personnel record. Per conversation with facility representative, staff 1 (S1) was hired a week ago and the Center has not made a complete staff file for S1. Furthermore during LPA's review staff 2 (S2) and staff 3 (S3) personnel files were missing immunizations records (measles, Tdap). S3 file was missing documentation of the mandated reporter training. Based on LPA record review the Licensee did not ensure that personnel records were maintained for each employee that contained all required information. A type B citation was issued, refer to LIC 809D. In addition, Per conversation with Facility Representative Mendez on October 25, 2024, the Director on record Luz Tuchan, left the Center in August 2024. The Center has not submitted the required paperwork for the interim Director. Facility Representative confirmed the documents had not been submitted to the Department. Therefore as of this date, the Center does not have an Director for the school age center. A Type B citation was issued for regulation, 101515(b). Refer to LIC 809D. Report continued on page three
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
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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-NORTHSHORE
FACILITY NUMBER: 367750072
VISIT DATE: 12/11/2024
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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 September 2024) and sign in/out records.

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.

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.

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 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.

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

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/11/2024 05:58 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 12/11/2024 at 04:39 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-NORTHSHORE
FACILITY NUMBER: 367750072

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/11/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

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 in three of four staff files reviewed did not contained all the required documentation, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/08/2025
Plan of Correction
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Per facility representative all staff files will be reviewed and required documents will be added to the files. Documentation will be sent to the Department verifying the files contain all required information.
Type B
Section Cited
CCR
101515(b)
School-Age Child Care Center Director Qualifications and Duties
(b) All school-age child care centers shall have a director.

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 as the previous director left in August 2024 and the Center did not submit the required documents to the Department to approve the new Center director, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/08/2025
Plan of Correction
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Per facility representative, a packet will be submitted to the Department with all required documentation to approve the new Director.
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: 12/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/11/2024


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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-NORTHSHORE
FACILITY NUMBER: 367750072
VISIT DATE: 12/11/2024
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Report continued from page three

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 two type B citation 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 Jamie Jarett.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
LIC809 (FAS) - (06/04)
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