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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750079
Report Date: 01/26/2022
Date Signed: 01/28/2022 08:51:17 AM

Document Has Been Signed on 01/28/2022 08:51 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:PURE & SIMPLE ACADEMY & CHILD CARE CENTERFACILITY NUMBER:
197750079
ADMINISTRATOR:AGUIRRE, SANDRA LONAFACILITY TYPE:
840
ADDRESS:43301 DIVISION ST SUITE 101TELEPHONE:
(661) 524-1042
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 4DATE:
01/26/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Licensee, Sandra Aguirre and Director, Ms. DebbieTIME COMPLETED:
10:43 AM
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
Licensing Program Analyst Maddox met with Director, Debbie and Licensee Mrs. Aguirre today for the purpose of conducting a Case Management inspection. This visit is conducted to evaluate the indoors and outdoors outside space available vs the centers current capacity's.

Room A (2 sides): 30 X 10 = 300 sq ft


23 X 14 = 322
Total: 622/35= 18

Room B: 15 X 30 = 450/35=13
Room C (2 sides): 26 X10=260
30 X 10 = 300
Total: 560/35 =16
With indoor measurements for the School age building = 47 children

Licensee also wants to include the Library (according to facility sketch) as a School age room if needed. The library can accommodate 6 children.
Total Indoor Space for the School age component = 53

Bathroom (2 bathrooms with 1 toilet and 1 sink in each) in Suites 104 & 105: 30
There are additional bathrooms located off of the play yard:
Women's bathroom as 3 toilets and 2 Sinks. =30
The Men's bathroom has 1 Urinal; 2 Toilets, and 2 Sinks. = 30
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2022
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PURE & SIMPLE ACADEMY & CHILD CARE CENTER
FACILITY NUMBER: 197750079
VISIT DATE: 01/26/2022
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
26
27
28
29
30
31
32
OUTDOOR MEASUREMENTS:
School age and Preschool Yard (Middle Area)
24W X 42L = 1,008/75= 13 (FT)
22W X 32L = 704/75 = 9 (BK)
Total Outdoor Space = 22

Licensee is requesting to use Rm #7 and Rm# 306 for Indoor/Outdoor space;
Rm #7 35L X 18W = 630/75 = 9 (outdoors) and 19 (Indoor)
Rm# 306 = 69L X 29W = 2,001/75 = 27 (outdoor) and 57 (indoor)
TOTAL CAPACITY FOR BOTH CLASSROOMS: 36 (outdoors) and 76 (indoor)
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2