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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
157700046
Report Date:
02/15/2023
Date Signed:
03/07/2023 03:05:32 PM
Document Has Been Signed on
03/07/2023 03:05 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:
MALDONADO FAMILY CHILD CARE
FACILITY NUMBER:
157700046
ADMINISTRATOR:
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
CITY:
STATE:
ZIP CODE:
CAPACITY:
8
TOTAL ENROLLED CHILDREN:
8
CENSUS:
DATE:
02/15/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
11:15 PM
MET WITH:
TIME COMPLETED:
11:30 PM
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On 02/15/2023 LPA Beneroso attempted to conduct an annual inspection but licensee was not home.
LPA Called and no one answered. Could not approach door due to locked fence. Could not hear sounds coming from the house.
SUPERVISORS NAME
:
Mariela Ramon
LICENSING EVALUATOR NAME
:
Barbara Beneroso
LICENSING EVALUATOR SIGNATURE
:
DATE:
02/15/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
02/15/2023
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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