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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153909374
Report Date: 02/12/2025
Date Signed: 02/12/2025 11:08:51 AM

Document Has Been Signed on 02/12/2025 11:08 AM - 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:PRADO, JACLYN FAMILY CHILD CAREFACILITY NUMBER:
153909374
ADMINISTRATOR/
DIRECTOR:		PRADO, JACLYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 404-6766
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
02/12/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:54 AM
MET WITH:Jaclyn PradoTIME VISIT/
INSPECTION COMPLETED:
11:10 AM
NARRATIVE
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On February 12, 2025, Licensing Program Analyst (LPA), Calloway conducted an unannounced case management inspection to the above facility. LPA met with the Licensee who granted access and toured the facility with the Licensee and observed five-day care children and two staff in care.

On January 8, 2025, LPA observed the facility roster to have seventeen (17) children. On January 27, 2025, LPA spoke to the Licensee via telephone and Licensee stated, “They were caring for six additional children that were not placed on the facility roster due to the facility being over capacity.”

There is one Type B deficiency cited for 102417(g)(8) during this inspection. See 809D page attached to this report.

Exit interview was conducted and a copy of this report was read, a Notice of Site Visit, and Appeal Rights were provided to Jaclyn Prado, Licensee at the facility. 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: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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Document Has Been Signed on 02/12/2025 11:08 AM - It Cannot Be Edited


Created By: Kuliema Calloway On 02/12/2025 at 10:57 AM
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: PRADO, JACLYN FAMILY CHILD CARE
FACILITY NUMBER: 153909374

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/19/2025
Section Cited
CCR
102417(g)(8)

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102417 Operation of a Family Child Care Home (g)The home shall be free from defects .... Safety precautions shall include... (8) Each family child care home shall have a current roster...in HSC1596.841. This requirement was not met as evidenced by:
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Per LIcensee, I will provide a updated roster with all the children I had and have in my day care and maintain the roster to be current at all times. I will provide proof to Licensing by POC date.
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Based on observation, interview, and record review the facility was providing care for children that were not placed on the facility roster which is a potential health, safety, or personal rights risks to the persons in care.
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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:Claretta Yates
LICENSING EVALUATOR NAME:Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2025


LIC809 (FAS) - (06/04)
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