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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750091
Report Date: 10/27/2022
Date Signed: 10/27/2022 01:58:24 PM

Document Has Been Signed on 10/27/2022 01:58 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:GUIDEPOST MONTESSORI AT PLUM CANYONFACILITY NUMBER:
197750091
ADMINISTRATOR:AARON BAILEYFACILITY TYPE:
830
ADDRESS:19141 SKYLINE RANCH RDTELEPHONE:
(949) 354-2259
CITY:SANTA CLARITASTATE: CAZIP CODE:
91350
CAPACITY: 54TOTAL ENROLLED CHILDREN: 54CENSUS: 4DATE:
10/27/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Thalia Valdovinos, DirectorTIME COMPLETED:
02:15 PM
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
On 10/27/22, Licensing Program Analysts (LPAs) Beneroso and Villa met with Director Thalia Valdovinos for the purpose of following up on an unusual incident report submitted to the Department on 10/25/22. During the visit, LPAs toured the facility and took a census of the children present. LPAs observed 4 infants and one staff member 1 providing supervision.

The incident report indicated that Child #1 who is enrolled in the infant program was practicing walking inside the infant classroom. Child #1 lost her balance and hit her right eyebrow on a shelf in the classroom. Based on the information obtained during the interviews conducted with staff, it has been determined that child #1's incident was the result of an accident. Staff #1 statements indicated she observed child #1 lose her balance while practicing walking when she fell. Staff #1 immediately attended child #1 by checking for injuries and placing an ice pack in her right eyebrow. Staff #2 was present during the incident but did not witness it. Staff # 2 stated she helped assisting the child. Child # 1 cried as a result of the fall but remained alert and conscious. Child #1 parents were contacted immediately by staff #3 and both parents arrived to the facility shortly after. Parents took child #1 to the doctor where she received 3 stitches. No restrictions were required and child returned to center the following day.

Staff handled the situation accordingly by providing first aid and immediately contacting child #1 parents.Staff also provided parent with a written incident report.

The information obtained during the unusual incident follow up revealed no violations were found.
Facility is encouraged to continue to report incidents that occur in the facility.

An exit interview was conducted, a copy of this report was provided along with the notice of site visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 10/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2022
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 1