<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401106
Report Date: 04/06/2023
Date Signed: 06/16/2023 11:30:35 AM

Document Has Been Signed on 06/16/2023 11:30 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:STEPPING STONES CHILDREN'S CENTERFACILITY NUMBER:
197401106
ADMINISTRATOR:ANNE E GRUNBOKFACILITY TYPE:
850
ADDRESS:26330 N. FRIENDLY VALLEY PKWY.TELEPHONE:
(661) 251-4469
CITY:SANTA CLARITASTATE: CAZIP CODE:
91321
CAPACITY: 71TOTAL ENROLLED CHILDREN: 0CENSUS: 44DATE:
04/06/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH:Nancy Anne E. Grunbok, AdministatorTIME COMPLETED:
05:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
***This report is to amend the report dated on 4/6/2023***

On April 6, 2023, Licensing Program Analyst (LPA) Isabel Ortega met with facility Administrator/owner Nancy Anne E. Grunbok to conduct an unannounced case management inspection. The purpose of the case management was to follow up on a self-reported unusual incident report (UIR) submitted to the Department on April 5, 2023. The unusual incident report is regarding a child injury at the facility on the outdoor play structure.

Upon arrival, there were 44 children observed in care and 8 staff proving care and supervision. During this inspection, LPA was provided with the facility roster and additional supporting documentation regarding the incident on 4/4/2023. In addition, LPA completed a safety inspection of the facility’s outdoor play structure. At the time of the inspection, children were engaged in outdoor play.

At this time further follow-up is needed. Director was informed the Department’s Investigation Bureau Investigator Laura Garcia will be following up on the unusual incident report.

An exit interview was conducted, and a copy of this report, notice of the site visit, and appeal rights were provided to the facility. A notice of site visit was provided and requested to be posted for 30 days.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2023
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 1