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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750122
Report Date: 01/14/2025
Date Signed: 01/14/2025 03:08:26 PM

Document Has Been Signed on 01/14/2025 03:08 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MAGIC CAROUSEL MONTESSORI PRESCHOOL 2FACILITY NUMBER:
197750122
ADMINISTRATOR/
DIRECTOR:		CARMEN CERDAFACILITY TYPE:
850
ADDRESS:28200 BOUQUET CANYON RD UNIT KTELEPHONE:
(818) 912-1512
CITY:SANTA CLARITASTATE: CAZIP CODE:
91350
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 35DATE:
01/14/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Carmen Cerda, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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On Tuesday, January 14, 2025, Licensing Program Analyst (LPA) Mayra Rivera conducted a Case Management -Incident inspection, to follow up on a self reported incident that occurred on December 10, 2024 in regards a statement made by child #1 of being pinched by staff #1.

During this inspection, LPA Rivera interviewed staff #1, director, and child #1. During the interviews with staff #1, director and child #1, there's no indication of personal rights being violated.

Based on the information and documents provided, no deficiencies have been cited during this inspection.



A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview conducted and report and appeal rights were reviewed with director Carmen Cerda.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
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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