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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750142
Report Date: 10/28/2025
Date Signed: 10/28/2025 02:06:11 PM

Document Has Been Signed on 10/28/2025 02:06 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:WOODEN SHOE PRESCHOOLFACILITY NUMBER:
197750142
ADMINISTRATOR/
DIRECTOR:
MARTHA T VELOZFACILITY TYPE:
850
ADDRESS:1525 GLENOAKS BLVDTELEPHONE:
(818) 365-1513
CITY:SAN FERNANDOSTATE: CAZIP CODE:
91340
CAPACITY: 74TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
10/28/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Director, Martha VelozTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On Tuesday, October 28, 2025 at 9:30 am, Licensing Program Analyst (LPA) Evelyn Garcia conducted an unannounced annual inspection and met with Site Director, Martha Veloz who guided LPA Garcia on a tour of the facility.

This is a preschool program that serves children ages 2 to 5 years old. This program operates Monday to Friday 7:00am – 6:00pm. Sign in and out takes place at the entrance of the main office. All areas identified on the facility sketch were toured and inspected both indoors and outdoors. Teacher and child ratio were observed, and present staff are fingerprinted cleared. At arrival, there were 9 children present, 2 staff including Director.

LPA entered the “Red Door” Classroom, which serves children 2-3 years of age. During today’s visit, because only 9 children attended and 1 teacher called out sick, the children were combined in classrooms. There were no children present in this classroom as LPA Garcia toured. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cubbies for children to store their personal belongings. Cleaning supplies were observed to be stored in high cabinets that were not accessible to the children. Adjacent to the classroom, there is a storage room that is not used by the children and is off limits. LPA observed the restroom that had 2 toilets and 1 hand washing sink. The hand washing sinks in the bathroom are not operable, but children hand wash at the sink located directly outside of the bathroom. LPA Garcia observed a trash bin with a tight lid.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

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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: WOODEN SHOE PRESCHOOL
FACILITY NUMBER: 197750142
VISIT DATE: 10/28/2025
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LPA entered the daycare classroom that is used for meals and for naptime. This room was not in use during the tour. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cubbies for children to store their personal belongings. Cleaning supplies were observed to be stored in a storage closet located in the restroom adjacent to the classroom that is secured with a safety lock, inaccessible to children. LPA Garcia observed a trash bin with tight fitting lid.

LPA entered the T-K Classroom. LPA Garcia observed 9 children engaged in playtime and 1 staff present supervising the children. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cubbies for children to store their personal belongings, a water jug that the children use for drinking water and the children re-filled as needed with disposable cups. Cleaning supplies were observed to be stored in a high storage cabinet that is not accessible to children. This restroom is between the daycare classroom and the TK classroom. There were 2 toilets and 1 handwashing sink located outside of the restrooms. The handwashing sinks in the bathroom are not operable, but children handwash at the sink located directly outside of the bathroom. LPA Garcia observed a step trash bin with a lid.

Heating, lighting and ventilation were evaluated by LPA Garcia. LPA observed central Heating and A/C units on located in each classroom. LPA observed the temperature of the classrooms to be comfortable to the children. LPA observed fire extinguishers located in each classroom. The valve for the fire extinguisher on the required 2-A-10BC fire extinguishers indicating fully charged and serviced on 11/21/23. Site director provided an invoice for the fire extinguishers and the last date serviced was 5/30/24. The dual carbon monoxide detectors and smoke detectors were tested during this visit and LPA heard sounds and are operable. The last emergency drill was conducted on 10/16/25. LPA observed napping equipment (cots) to be in good condition and stored in the daycare classroom were the children nap. First aid kit supplies are kept inside the classrooms in backpacks, out of reach to the children. LPA observed the kits to be fully equipped. During this visit, per Site Director, Martha Veloz, stated currently has no children with medication nor with food allergies. LPA Garcia asked if there were any poisons, firearms, weapons or bodies of water. Site Supervisor stated no firearms, weapons, and poisons are stored in the janitor closet across the church and secured with a key lock and are not accessible to the children, nor are there bodies of water.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
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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: WOODEN SHOE PRESCHOOL
FACILITY NUMBER: 197750142
VISIT DATE: 10/28/2025
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LPA did not observe firearms or weapons, poisons, nor bodies of water. Site Director, stated the ill isolation area takes place in the Site Director’s office and children utilize staff restroom.

There are 2 restrooms located in this facility. One is located in the “red door” Classroom and another is between the TK Classroom and T-K Classroom and shared. LPA Garcia observed the restrooms to be in good condition with working toilets, sinks inside the restroom are not working, however they utilize the sinks directly outside the restroom, hand soap dispenser and paper towels. LPA observed a total of 4 toilets and 2 handwashing sinks utilized by the children. There are 2 staff restrooms this facility with a total of 2 men’s toilets and 1 sink in the men’s restroom and 2 women’s toilets and 1 sink.

LPA Garcia entered the outdoor play area. The outdoor play area is divided into 2 yards and the children use the yards interchangeably. The outdoor play area is surrounded by 3 property walls that are chain link fence and observed the equipment to be in a safe condition, free of sharp, no loose or pointed parts. The surface of the outdoor activity space (concrete, poured in rubber, artificial turf) is maintained in a safe condition and is free of hazards. LPA Garcia observed play structure and equipment to be age appropriate for ages 2-5 years and areas around or under high climbing equipment, are cushioned with poured in rubber and artificial turf that may absorb a fall. For adequate shade, LPA Garcia observed trees, hip roof shade canopy. LPA observed the playground yard to be fenced and gates that leads to the elementary school yard are closed and locked. For outdoor water drinking, staff bring out the children’s individual water bottles.

This program provides meals and snacks for the children, and the meals are delivered on a daily basis. LPA Garcia informed Site supervisor Gabriella that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. This facility does not utilize a kitchen as meals are delivered straight to the classroom from the food vendor. Menus were posted in the classrooms. Lead testing was conducted on 8/26/22 and corrections for the lead exceedance were still in place. The children do not drink water from any fountains or sinks at the facility. Water bottles are used and brought from home or provided by parents.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
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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: WOODEN SHOE PRESCHOOL
FACILITY NUMBER: 197750142
VISIT DATE: 10/28/2025
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The following documents were posted in a prominent, publicly accessible area at the facility: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), Menu, and Earthquake Preparedness (LIC 9148), Emergency Disaster Plan (LIC 610) and Daily Schedule. LPA Garcia observed sign in/out sheets and observed 30 signatures.

LPA Garcia reviewed the children’s roster, children’s files and staff files and observed the files to be complete. 1 teacher, Martha Sanchez has not renewed her Mandated reporter due to returning from a medical leave.

LPA Garcia observed Site supervisors Pediatric First Aid/CPR certification dated 8/28/24, Preventative Health and Safety certification dated, 5/5/09. Director has proof of immunization against Pertussis, MMR and Influenza. Director has completed the mandated reporter (AB 1207) training dated 9/1/25. Director was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

Items discussed during this visit:

1. The following items are prohibited by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both

2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.

3. Current Children’s Roster: Each childcare facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
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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: WOODEN SHOE PRESCHOOL
FACILITY NUMBER: 197750142
VISIT DATE: 10/28/2025
NARRATIVE
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4.LIC 311A - Records to be Maintained at the Facility: LPAs advised that forms, regulations and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov.

5.Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR and EMSA approved must be present.

6.Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.

7.Qualifications: Educational background, training, and/or experience for each staff present must be available for review

8. Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles or influenza declination

9.Children’s Records: must be available for review; including but not limited to, the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

Criminal Record Clearance - Licensee [or facility representative] was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child

Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
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: WOODEN SHOE PRESCHOOL
FACILITY NUMBER: 197750142
VISIT DATE: 10/28/2025
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For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at

Deficiencies:

1) Type B Violation – Fire Extinguishers are to be serviced or replaced annually.

2) Type B Violation – Mandated Reporter Certifications are to be renewed every 2 years.

Notice of Site Visit - 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 was reviewed with Site Director, Martha Veloz.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
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Document Has Been Signed on 10/28/2025 02:06 PM - It Cannot Be Edited


Created By: Evelyn Garcia On 10/28/2025 at 01:42 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: WOODEN SHOE PRESCHOOL

FACILITY NUMBER: 197750142

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101171(a)
Fire Clearance
(a) All child care centers shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above by the facility not having any fire extinguishers on site that have been timely serviced within the last year for the fire clearance which poses a potential health, safety or personal rights risk to persons in care. The fire extinguishers in the classrooms were serviced on 11/21/23, however director produced invoice which states they were last serviced on 5/30/24.
POC Due Date: 10/30/2025
Plan of Correction
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Director will replace or service fire extinguishers and submit purhase receipt or invoice to LPA Garcia by the above stated date.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in which staff #1 not having a current mandated reporter certification, poses/posed a potential health, safety or personal rights risk to persons in care. Director stated that staff #1 was on leave and returned on _.
POC Due Date: 10/30/2025
Plan of Correction
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Director will have staff #1 take the course and complete certification and then sumbit to LPA Garcia by the date stated above.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Mariela Ramon
NAME OF LICENSING PROGRAM MANAGER:
Evelyn Garcia
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/28/2025


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