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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157700115
Report Date: 05/29/2024
Date Signed: 07/25/2024 02:52:29 PM

Document Has Been Signed on 07/25/2024 02:52 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:CRUZ FAMILY CHILD CAREFACILITY NUMBER:
157700115
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
05/29/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Maria Nancy Cruz TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 05/29/24 Licensing Program Analyst (LPA) Beneroso conducted a Case Management Inspection - Licensee Initiated. Licensee is requesting to increase her capacity from 8 children to 14 children. The LPA disclosed the purpose of the inspection and was granted entry by Licensee who guided the LPA on a tour of the facility. Upon entry to the facility the LPA observed 2 children in care.

This is a one-story house with 4 bedrooms, 2 bathrooms, living room, kitchen, dining area, and attached garage. Family members residing in the home include one adult (Applicant) and 1 minor child.

The facility will operate Monday through Friday from 4:30AM – 6PM for less than 24 hours and with a license capacity of 8 children. LPA went over the childcare ratios for a small family home with applicant and provided applicant with a copy.

Main Care Area: Main care will be provided in the living room, dining area, room #1 one and room #2. Children will nap in bedroom #2. Per applicant has a for a food program. The day care children will utilize the bathroom on the hallway on the left-hand side. Children will use the backyard for outdoor play time. LPA observed day care area to be clean and orderly, central air and heating, age-appropriate toys and play equipment. There is a designated area for ill/sick children in the living room. LPA observed mats to be properly stored.

Off-Limit Areas: The front yard, bedrooms 3 and 4, bathroom #2, and garage area are off limits to the day care children. LPA observed door safety knobs in the bedrooms, making the inaccessible to children.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/29/2024
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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