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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364811626
Report Date: 08/19/2024
Date Signed: 08/19/2024 02:32:22 PM

Document Has Been Signed on 08/19/2024 02:32 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-LIBERTY STATE PRESCHOOLFACILITY NUMBER:
364811626
ADMINISTRATOR/
DIRECTOR:		NANCY ALVARADOFACILITY TYPE:
850
ADDRESS:12900 AMETHYST ROADTELEPHONE:
(760) 951-8738
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 10DATE:
08/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:35 AM
MET WITH:Laura DurhamTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On August 19, 2024, Licensing Program Analyst (LPA) Calloway made an unannounced inspection to the above facility for the purpose of conducting a Required Annual Random inspection. LPA met with facility representative who granted access. LPA and representative toured the facility inside and outside. LPA observed seventeen children in active play and six facility representatives. There are two classrooms #33 and #34. Classroom #33 operates from 7:45 AM to 10:45 AM for morning session and 11:30 AM to 2:30 PM for evening session. Monday through Friday. Classroom #34 operates from 8:00 Am to 11:00 AM and 11:45 AM to 2:45 PM. Monday through Friday.
Physical Plant: LPA observed two clean and safe classroom, telephone service, heating, lighting, and ventilation are adequate. There are cubbies for children's belongings that are labeled in each classroom. Furniture, books, equipment, toys, and materials were age appropriate. Drinking water is available inside the classrooms in the form of water dispensers and disposable cups. There is no napping. Each classroom has a first aid backpack for the storage are kept in hanging in the classrooms. There is an Emergency Survival Kit Bin kept in a shed outside and it is locked. Fire extinguisher, smoke detector and carbon monoxide detector are operable. Trash cans do not have secure lids. There are five storage closets in each classroom observed locked. There is a small refrigerator for staff lunches. The activity plan was posted inside the classroom.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE: DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2024
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: SBCSS-LIBERTY STATE PRESCHOOL
FACILITY NUMBER: 364811626
VISIT DATE: 08/19/2024
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Bathrooms: LPA inspected the children's bathroom. There is one restroom for boys observed with two toilet stalls and three urinals, and two handwashing sinks. The girl’s restroom has five toilet stalls and two handwashing sinks, functioning properly and age appropriate there were no hazards observed. LPA observed soap, toilet paper, and paper towels readily available. Staff restrooms are in between the two children’s restrooms.
Kitchen: There is a clean, fully equipped kitchen that is used by the school. The facility provides breakfast, lunch, and it is brought into the classroom via food cart. Menus are posted. LPA observed allergy list posted in each classroom. LPA observed an appropriate amount of food and snacks and 1% and nonfat milk being served. The chemicals are kept separate from the food. Cleaning supplies are kept inside the classroom in a locked cabinet. Classroom #34 eats breakfast and lunch inside the cafeteria separate from other age groups.
Outside: Outdoor play equipment was inspected for health, safety, cushioning material, good repair and is age appropriate. LPA observed a swing set with eight swings and wood chips as a cushioned surface underneath. There is also a large climbing apparatus with wood chips underneath. Both structures are securely anchored. There is concrete and grass area for active play. The playground was observed to be free of debris. Drinking water is available in the form of a water fountain. There were three water tables as bodies of water on the premises that were observed empty of water but had sand and two storage sheds that were observed locked. There is an area for shade with benches.
Other: Children and staff files were reviewed. Current Pediatric CPR and First Aid expires: 7/2025. Transportation is not provided, and medical policy reviewed. Disaster Drills: Fire was current completed 6/24 Earthquake was not current 10/23 and Roster was not current for view only in the Hubbe app. Children are inspected for illnesses as they arrive. There is a separate cot isolated for ill children that is moved near the supervisor’s desk until the parent can pick up the child.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
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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: SBCSS-LIBERTY STATE PRESCHOOL
FACILITY NUMBER: 364811626
VISIT DATE: 08/19/2024
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Staff/child ratios were observed- compliant, sign in/out sheets are digital/electronic on the Hubbe app). Facility representative was reminded to access the Licensing website at www.ccld.ca.gov. to obtain information about the most recent regulatory changes and the Quarterly Updates. Medications are stored in locked box inside the file cabinet in each classroom. A review of medication policy indicated that prescription medication is administered only with parent's written permission. The management staff administers medication and documents the dosage, date, and time onto a log. Medication is stored in the locked cabinet and is properly labeled and stored in its original container.
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 Childcare 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. State law prohibits baby walkers, bouncy seats, exersaucers, or any other items that fall into that category.

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 Childcare Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
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-LIBERTY STATE PRESCHOOL
FACILITY NUMBER: 364811626
VISIT DATE: 08/19/2024
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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Childcare.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 childcare 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). Or LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Lead Poisoning: For more information, go to the California Childhood Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb,or call them at (510) 620-5600.

Facility representative was informed of the MyChildCarePlan.org website, a
consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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 [email protected]. 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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
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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: SBCSS-LIBERTY STATE PRESCHOOL
FACILITY NUMBER: 364811626
VISIT DATE: 08/19/2024
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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 platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/
subscribe and select the Childcare option to receive email communication.

The On Duty Worker is available for questions Monday through Friday at (661) 202-3318 from 8:00 AM - 5:00 PM for questions, information, and Unusual Incident Reporting.

Per Title 22 Regulations, Division 12, Chapter 1, there are no deficiencies cited during this inspection. There are Technical Advisories issued. See TA pages attached to this report.

Exit interview was conducted and a copy of this report was read, a Notice of Site Visit, this report, and were provided to Janon Durham, Facility Representative. A Notice of Site Visit must remain posted for thirty (30) consecutive days. Failure to maintain posting will result in a $100 civil penalty.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
LIC809 (FAS) - (06/04)
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