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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157700046
Report Date: 06/13/2024
Date Signed: 06/14/2024 08:21:28 AM

Document Has Been Signed on 06/14/2024 08:21 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:MALDONADO FAMILY CHILD CAREFACILITY NUMBER:
157700046
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
06/13/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Lorena silva MaldonadoTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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On 05/31/2024 Licensing Program Analyst (LPA) Beneroso met with Licensee Lorena Silva de Maldonado, who guided analyst on a tour of the facility for a Capacity Increase Inspection. This is a one story, 4 bedrooms, 2 bathroom home with kitchen/dining, living room and garage. There is no pool/spa or body of water on the premises. Upon arrival LPA observed 2 children in care. Family members residing in the home include 3 adults and one minor child. The facility will operate Monday through Friday from 5AM to 5PM. Licensee is requesting an increase of capacity of 14 children. A Fire Clearance has been granted effective 05/28/2024. LPA went over the child care ratios for a large family home with licensee, and provided licensee with a copy.

Physical Plant: Main care is provided in room#1 (playroom). Children use the bathroom located in the hallway. Off limit areas include 3 bedrooms, bathroom 1, partial backyard and garage. The home was inspected inside and out for safety, clean and orderly, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds are located in the kitchen secured with a safety latch and sharp items are located in an upper cabinet. Medications were observed to be located in a pantry, in an upper shelf in near the kitchen. Children nap in the day care room, in mats. Safe and age appropriate toys, play equipment and materials were observed. The smoke detector and carbon monoxide detector, Fire Extinguisher (3A40BC) are in operable condition. Per Licensee no one smokes in the home. Electrical outlets are inaccessible. LPA reminded licensee, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment are allowed. There is a designated area for ill children as necessary in living room area. Per Licensee there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone (cell).
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: MALDONADO FAMILY CHILD CARE
FACILITY NUMBER: 157700046
VISIT DATE: 06/13/2024
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Fire/Disaster Drill is complete and maintained current. Last Fire/Disaster Drill was completed on 06/13/24. Roster complete and maintained current.

Bathroom: Shower/tub are free of hazards (childcare bathroom). LPA did not observe any hazardous items in the children's bathroom. Toilet and faucet are clean and operable.

Kitchen: Does not have a physical barrier but safety latches were observed. Per licensee, she does have a food program. Meals served: Breakfast, AM snack, Lunch, PM snacks and Dinner are provided

Outdoor: The backyard is completely fenced in with cement blocks. There are no pools or bodies of water. Per licensee, there are no pets on the premises. No hazardous items were observed. The play equipment in the backyard is in well repair.

Advisory/Other: First Aid kit was observed with supplies readily available. CPR/First Aid expires 12/2025. Mandated Reporter expires 02/27/2025. There are no window cords accessible to children.

Documents Provided and or Discussed: Fire Drill Log, Roster, Postings, Safe Sleep PIN 20-24-CCP, Individual Sleeping Plan (LIC9227), and Safe Sleep Log. Licensee stated currently does not have child care insurance.


Licensee Silva de Maldonado was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024
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: MALDONADO FAMILY CHILD CARE
FACILITY NUMBER: 157700046
VISIT DATE: 06/13/2024
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LPA discussed the safe sleep regulations with licensee Silva De Maldonado and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

No deficiencies have been cited at this time. A notice of site visit was given to licensee and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Facility is ready for a capacity increase.

Exit interview conducted and report was reviewed with the licensee Lorena Silva de Maldonado along with her appeal rights, and Notice of Site

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024
LIC809 (FAS) - (06/04)
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