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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700746
Report Date: 10/18/2023
Date Signed: 10/18/2023 02:56:04 PM

Document Has Been Signed on 10/18/2023 02:56 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:ABARCA FAMILY CHILD CAREFACILITY NUMBER:
197700746
ADMINISTRATOR:REYNA ABARCAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 359-2118
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/18/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Reyna AbarcaTIME COMPLETED:
03:15 PM
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On 10/18/2023 LPA Isabel Ortega conducted a pre-licensing/Case Management inspection as Licensee is requesting a relocation and to increase capacity from 8 children to 14 children. LPA also conducted a relocation pre-licensing inspection with an increase of capacity. LPA announced the purpose of the inspection and was granted entry by Licensee. A tour of the facility was completed. Upon arrival LPA did not observe any children in care.

Licensee was initially licensed on 2/20/2019 as a Small Family Child Care Home. The Fire Department has inspected the home and granted a fire clearance for 14 children on 9/26/2023. Family Child Care Home operates Monday through Friday from 7:00 a.m. to 5:00 p.m. The facility participates in the food nutrition program and provides breakfast, lunch, and afternoon snacks.

This is a single story with four bedrooms, two restrooms attached garage, family room and back yard. Main care will be provided in the family room and Room #3 referred to as the play room. The off limits areas will be the attached garage maintained locked, kitchen(child safety gate observed), bedroom #1, #2, and #4(Office room), livening room( child safety gate observed barricading the family room from the remaining of the home), and the second restroom.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2023
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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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: ABARCA FAMILY CHILD CARE
FACILITY NUMBER: 197700746
VISIT DATE: 10/18/2023
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Children will utilize the restroom by the entrance next to the kitchen. The home has personal cell telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. There are age-appropriate toys and equipment on the premises. LPA did not observe a fireplace or any bodies of water. Per the licensee there are no weapons or firearms of any kind in the facility, nor did the LPA observe any weapons during inspection. LPA observed mats for napping and individual playpens will be provided for infants during nap time.


The backyard is utilized by the children for outside play and is fenced all around. The outdoor play area was inspected and play equipment was observed to be free of hazards, loose and sharp parts. LPA observed age-appropriate toys both inside and outside of the home.
The facility’s fire extinguisher (2A10BC) is reading in green and met the State Fire Marshal standards(serviced on 9/7/2023). Licensee tested the smoke and carbon monoxide detectors at 1:15 p.m., and LPA found them to be in operable condition. The facility annual fees are current. The parent board was reviewed and had all the required forms posted and visible to parents.

Licensee is reminded with a capacity increase she must have a qualified assistant present whenever more than 8 children in care. Licensee was provided with a capacity and ratio handout pertaining to large Family Child Care Homes and the various age groups that can be under care at one given time.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023
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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: ABARCA FAMILY CHILD CARE
FACILITY NUMBER: 197700746
VISIT DATE: 10/18/2023
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at http://www.ada.gov/childqanda.htm

Licensee has met Title 22 regulations; Fire clearance was granted 9/26/2023, therefore, a Large Family Child Care Home License capacity of 14 children will be granted effective 10/23/2023. Previous FCCH license will no longer be active as of 10/22/2023.

An exit interview was conducted, and a copy of this report, appeal and notice of site visit was provided to Licensee on this day. All Licensing reports are recommended to be kept on file for a minimum of three years. Notice of site visit (NOA) shall be posted for 30 days from today.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023
LIC809 (FAS) - (06/04)
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