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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415187
Report Date: 10/14/2024
Date Signed: 10/14/2024 12:40:15 PM

Document Has Been Signed on 10/14/2024 12:40 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:CADENCE ACADEMY PRESCHOOLFACILITY NUMBER:
197415187
ADMINISTRATOR/
DIRECTOR:		JACQUELINE MAJORFACILITY TYPE:
840
ADDRESS:27630 NEWHALL RANCH ROADTELEPHONE:
(661) 294-1970
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY: 144TOTAL ENROLLED CHILDREN: 144CENSUS: 0DATE:
10/14/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Director Jackie MajorTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 10/14/2024, Licensing Program Analyst (LPA) Andrew Alemoh met with licensee /director for the purpose of following up with the unusual incident that was reported to the Palmdale Regional Office on 10/10/2024. The facility also submitted a written Unusual Incident Report (LIC624) on the same day.

LPA Andrew Alemoh toured the facility and observed 0 children present and 0 staff present at the time of this visit. Per director statements children attend the after school program along with the staff members.

On 10/10/2024 the facility reported an Unusual Incident concerning child #1 was playing on the playground on the monkey bars. C1 was jumping off the steps when C1 fell face down on their left arm. Resulting in a broken left arm. The facility provided First Aid and contacted C1’s parents.

During today Case Management Incident visit, LPA conducted interviews with the director, children, and other parties including the review of supportive documentation and records. LPA inspected the playground area and were the monkey bars are located. LPA obtained photographs of the play area equipment.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 10/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/14/2024
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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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: CADENCE ACADEMY PRESCHOOL
FACILITY NUMBER: 197415187
VISIT DATE: 10/14/2024
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A final determination has not been made and further follow up is needed. No citations are being issued on this date. A copy of this report was read, and provided to the licensee/director along with a copy of the appeal rights and notice of site visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2024
LIC809 (FAS) - (06/04)
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