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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700424
Report Date: 11/02/2023
Date Signed: 11/02/2023 04:03:53 PM

Document Has Been Signed on 11/02/2023 04:03 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:CORTEZ FAMILY CHILD CAREFACILITY NUMBER:
197700424
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
11/02/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:52 PM
MET WITH:Beatriz and Carlos CortezTIME COMPLETED:
04:10 PM
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On November 2, 2023, Licensing Program Analyst (LPA) Kris Diaz met with the Licensee, Beatriz Cortez for an unannounced case management – other for capacity change (increase). The licensee granted access to the home and guided LPA on a tour. People who reside in the home are the licensee and her spouse. At the time of the visit Licensee had 8 children in care. Per the licensee, the small family childcare home operates Monday through Friday 23 hours per day and weekends as needed. Incidental Medical Services (IMS) were discussed. Per the licensee, she does not have childcare children who need IMS currently.

This is a one story 4-bedroom, 2-bathroom home. LPA observed age-appropriate toys, books, play structures, and activities in the childcare area and backyard. LPA observed single-action door knob on front door that meets standards of state fire marshal. LPA observed fire extinguisher (2-A-10B-C) fully charged and green, fire pull is operable, and smoke and carbon monoxide detectors are operable. LPA observed licensee move baby swing to off-limits area. LPA reminded licensee that baby swings are prohibited on the premises of family childcare home.

The home was inspected inside and out for safety. The home is ready for capacity increase.

Exit interview conducted and report was reviewed with the licensee, Beatriz Cortez. A copy of this report was read and provided to Licensee on this date.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2023
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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