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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410260
Report Date: 09/05/2024
Date Signed: 09/05/2024 02:49:10 PM

Document Has Been Signed on 09/05/2024 02:49 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:KIDS FIRST LEARNING CENTER SAN FERNANDOFACILITY NUMBER:
197410260
ADMINISTRATOR/
DIRECTOR:		MANCILLA, GLORIAFACILITY TYPE:
850
ADDRESS:727 KEWEN STREETTELEPHONE:
(818) 897-5427
CITY:SAN FERNANDOSTATE: CAZIP CODE:
91340
CAPACITY: 97TOTAL ENROLLED CHILDREN: 97CENSUS: 0DATE:
09/05/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:01 PM
MET WITH: Eloise Ortiz, Program Audit Compliance SupervisorTIME VISIT/
INSPECTION COMPLETED:
03:01 PM
NARRATIVE
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On Thursday, September 5, 2024, Licensing Program Analyst (LPA) Mayra Rivera conducted a Case Management- Deficiencies visit to review corrections in regards the below deficiency cited on 1/11/23. LPA Rivera met with Program Audit Compliance Supervisor Eloise Ortiz. During this visit, LPA Rivera did not observe staff or children present. Facility is currently not operating due to no children enrolled.

101700.3 California Lead Action Level at Child Care Centers(a) California's Actions Level for lead in water at Child Care Centers is 5 ppb.A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.

Lead testing was conducted on 4/25/23, and LPA reviewed the report and observed the report to indicate no lead exceedance in the food preparation kitchen, and room 5.

LPA Rivera observed the deficiencies to be corrected.

A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, during which this report and the Appeal Rights were discussed with Program Audit Compliance Supervisor Eloise Ortiz.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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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