367750074-9-20-2023-12-CC-DMAX-CVUUMJ-20230920154224

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367750074
Report Date: 09/20/2023
Date Signed: 09/20/2023 03:42:37 PM

Document Has Been Signed on 09/20/2023 03:42 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	AZY'S PLACE		FACILITY NUMBER:	367750074
ADMINISTRATOR:	LILIANA VELASQUEZ		FACILITY TYPE:	850
ADDRESS:	58967 BUSINESS CTR DR STE G-H		TELEPHONE:	(702) 764-6544
CITY:	YUCCA VALLEY	STATE: CA	ZIP CODE:	92284
CAPACITY: 21	TOTAL ENROLLED CHILDREN: 21	CENSUS: 0	DATE:	09/20/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Seleena Smith, Licensee		TIME COMPLETED:	01:40 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	Licensing Program Analyst (LPA) Maddox met with Saleena Smith, Applicant, and Liliana Velasquez, Director today for the purpose of conducting a Pre licensing inspection for a Pre-school (PS) Child Care Center. There is a licensed School age componet at this site (367750046). This facility is located in a business center located at the above address in Suites G & H. Days and Hrs. of Operation: Mon - Fri from 7:00am to 6:00pm. Indoor Space: The Preschool room is located to the right as you enter Suite G. Azy's Room: 8.42 X 10 = 85/35 = 2 Nursery: 8.83 X 8 = 71/35 = 2 Small Toddler Room: 7 X 10 = 70 plus 6 X 13 = 78 70 + 78 = 148 - 8 (enc space) = 140/35 = 4 Large Toddler Room: 17.25 X 26 = 449/35 = 13 Total Indoor Space: 753/35 = 22 All disinfectants, cleaning solutions and other items that are dangerous to children were found to be inaccessible to children (in the staff bathroom and staff break room). Furniture and equipment were inspected for age appropriateness and are in good repair. Telephone service was verified and operational. Heating, lighting, and ventilation are adequate. LPA observed age appropriate toys and materials.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: AZY'S PLACE	FACILITY NUMBER: 367750074
	VISIT DATE: 09/20/2023

NARRATIVE

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Outdoor Play Yard: Currently, there is no outdoor space available, Licensee is requesting a waiver to utilize Indoor space for outdoor play time (gym play room).

Bathroom: There is 1 bathroom with 1 toilet and 1 sink. The PS bathroom is located in the hallway area by the 2 Toddler Rooms, the staff bathroom is located in the front hallway area next to the office. The toilets and sinks are functioning properly and are age appropriate. All toilets and hand washing facilities are in safe and sanitary condition. LPA observed soap, toilet paper and paper towels readily available. The hot water is too hot for children (hot to the touch), LPA recommends turning the hot water off in the PS bathroom.

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

Children are inspected for illnesses as they arrive including taking temperatures. Medications are kept in a safe condition, and free of hazards. A review of medication policy indicates that prescription and non-prescription medication is administered only with parent's written permission.

Food Service: Applicant states she will supply breakfast, lunch, and snacks. There is an area that will used as the food preparation area, this is not a full kitchen but has a refrigerator, microwave, snacks, cleaning solutions, and stairs that lead to the attack. The staff break room must remain locked while children are present.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: AZY'S PLACE	FACILITY NUMBER: 367750074
	VISIT DATE: 09/20/2023

NARRATIVE

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**Children will be Signed in and out and through Brightwheel. The parent board is located in the lobby area as you enter the building and contained required documentation. LPA has verified Director has current CPR/First Aid training (exp 3/2025), current Mandated Reporter Training (exp 1/27/2025), required immunization's, and qualifications.

All chemicals in the kitchen were kept separate from the food. All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. All kitchen, food-preparation and storage areas shall be kept clean and free of litter and rubbish; and measures shall be taken to keep all such areas free of rodents and other vermin. Food must be stored in that was stored in air tight containers.

LPA observed that this facility has telephone service, 4 fully charged fire extinguishers (2A10BC,), and working smoke and carbon monoxide detectors.

Fire Clearance has been received for the requested capacity of 21 PS/Toddlers, however, with the 1 bathroom with 1 toilet and 1 sink, the capacity can only be approved for 15 children. In addition, LPA discussed decreasing the capacity for the SA component after the PS component is approved for licensure. The SA component was approved for a capacity of 25 because the PS area was not in use and SA children had access to the 1 bedroom. However, if the PS license is approved, it will take 1 bathroom away which will cause a decrease in the capacity for SA children. Licensee wants to use the "gym play room" for outdoor play space since there is no outdoor play space available.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: AZY'S PLACE	FACILITY NUMBER: 367750074
	VISIT DATE: 09/20/2023

NARRATIVE

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Licensee shall ensure the food present at the facility matches the menu.

The following are needed prior to licensure: Toddler Play Room - LPA observed tape on the floor, due to the tape peeling away from the floor, the taped area needs to be re-done. There are some areas along the bottom portion of the wall that's missing boarders. The Director needs to take the Operations and Records keeping orientation. LPA reviewed the NOIA letter with Licensee and explained documents that are missing or need correcting.

Licensee needs to request a waiver to approve using the Gym play room for outdoor space, Exit interview conducted, a copy of this report discussed and left at facility.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

LIC809 (FAS) - (06/04)

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