Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492944
Report Date: 03/23/2018
Date Signed 03/23/2018 04:33:09 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME:KIDS TOWN CHILDCARE CENTER, LLCFACILITY NUMBER:
197492944
ADMINISTRATOR:KIMBERLY MCKINNEYFACILITY TYPE:
850
ADDRESS:1825 WEST AVENUE J, SUITE 123TELEPHONE:
(661) 951-2070
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:36CENSUS: 6DATE:
03/23/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Ms. KimTIME COMPLETED:
04:45 PM
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Licensing Program Analyst (LPA) Maddox met with Site Supervisor, Ms. Kim, Director today for the purpose of conducting and unannounced Annual/Random inspection. Present today were 5 School age children and 1 staff person. Ms. Kim led LPA on a tour of the center which consist of 3 components (Infant, Pre-School, and School-Age), each component maintains a physical separation. The hours of operation: Seven days per week from 6 am to 11 pm.

**LPA observed age appropriate furniture, equipment, toys and materials. The classrooms were observed to be clean and safe and free of any Health or safety hazards. Telephone service was verified as well as adequate heating, lighting, and ventilation. Children's belongings are kept in cubbies along the wall as you enter classrooms. Drinking water is available inside the classroom in the form of a water cooler and disposable cups.

**The children's bathroom is located between the 2 yr old room and Pre-School room. The bathroom has 4 toilets and 4 sinks. The staff rest-room is located in the rear of Suite 127/Preschool room. LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and paper towels readily available. Toilets and sinks are functioning properly and age appropriate.

SUPERVISOR'S NAME: Burnett MageeTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2018
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
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: KIDS TOWN CHILDCARE CENTER, LLC
FACILITY NUMBER: 197492944
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/23/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/13/2018
Section Cited
CCR
101239
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101239(n) Fixtures, Furniture, Equipment and Supplies. Furniture and equipment shall be in good condition. While conducting this inspection, LPA observed the Pre-School room
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Director will consult with the owner and contact LPA with a date.
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flooring needs more epoxy. Epoxy was very worn and sparce in rear area of the classroom.
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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: Burnett MageeTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2018
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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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: KIDS TOWN CHILDCARE CENTER, LLC
FACILITY NUMBER: 197492944
VISIT DATE: 03/23/2018
NARRATIVE
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**Center has stackable cots individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. Each cot is equipped with a sheet to cover the cot, bedding and linens are laundered weekly and as needed. All flooring and carpets were inspected for cleanliness, and in good repair.

**Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes rubber blocks under climbing structures and play equipment for cushioning material, there is sufficient and adequate shade available. The area was observed to be free of debris. Outside Drinking water is available in the form of a water cooler with disposable cups. There are no bodies of water observed on the premises. The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area. The play yard has wrought iron fencing in place and at least 5 feet high.

**Food preparation area/Kitchen was inspected for safety, cleanliness, proper equipment & protection against contamination and storage. Center serves breakfast and lunch, menus observed and posted. Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children were stored and inaccessible to children



**LPA informed Director of the Departments Child Care Advocate’s (CCA’s) that can forward Quarterly updates regarding Child Care Licensing’s’ Rules and Regulations. You may contact the Child Care Advocate Program directly: Phone number: (916) 654-1541
Email address:
childcareadvocatesprogram@dss.ca.gov
SUPERVISOR'S NAME: Burnett MageeTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2018
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: KIDS TOWN CHILDCARE CENTER, LLC
FACILITY NUMBER: 197492944
VISIT DATE: 03/23/2018
NARRATIVE
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**The Parent Board (located in the main entrance area) contained all documents that are required to be posted according to Title 22 Regulations. A sampling of Children's and Staff records were reviewed as part of this inspection. Staff are certified in Pediatric CPR and First Aid (exp 4/2019). Sign in and out sheets were inspected and contain full legal signatures. LPA observed a fully stocked first aid kit; fully charged fire extinguishers; carbon monoxide detectors throughout the center. Fire Drill/Earthquake log is posted.

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

§1596.8662(b) (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. http://www.mandatedreporterca.com/

The Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. Exit interview conducted and a copy of this report was left at the facility. A copy of this report must be made available to the public for 3 years.

SUPERVISOR'S NAME: Burnett MageeTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2018
LIC809 (FAS) - (06/04)
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