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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750198
Report Date: 12/09/2024
Date Signed: 12/09/2024 11:22:34 AM

Document Has Been Signed on 12/09/2024 11:22 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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:SKYLINE ACADEMY INC.FACILITY NUMBER:
197750198
ADMINISTRATOR/
DIRECTOR:
MARIANNE HADDADFACILITY TYPE:
860
ADDRESS:18045-47 SIERRA HWYTELEPHONE:
(310) 259-1555
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 0DATE:
12/09/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Applicants, Anthony and Marianne Haddad TIME VISIT/
INSPECTION COMPLETED:
11:37 AM
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Licensing Program Analyst (LPA) Maddox met with Applicants, Anthony and Marianne Haddad today for a 2nd pre-licensing inspection. Due to "PIN 24-13-CCP: NOTIFICATION OF ASSEMBLY BILL 176, CHAPTER 998, STATUTES OF 2024. These amendments to HSC Sections 1596.809 and 13235 became effective on September 30, 2024, and will remain operative until January 1, 2027, or until the Office of the State Fire Marshal implements new occupancy standards for childcare centers."

Applicants are now requesting licensure of 17 Infants ages 3 - 24 months in Rooms D & E, and 32 PS children ages 2 - 5yrs in Rooms A, B, & C. The days and hour of operation will be: Mon through Sunday from 6:00 am - 8:00 pm. During this inspection, LPA measured Rooms D & E again and came up with then following measurements.

Room D


215/35 = 7
Room E
362/35 = 10

(Previous measurements for the PS classrooms were: Room A
367/35 = 10; Room B 455/35 = 13; Room C 316/35 = 9)
Total Indoor Capacity: 1715/35 = 49
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SKYLINE ACADEMY INC.
FACILITY NUMBER: 197750198
VISIT DATE: 12/09/2024
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OUTDOOR
Infant Yard: 1,422/75 = 19
Preschool Yard: 6,003/75 = 80

With the above measurements, center can accommodate 17 Infants and 32 Preschool children. Fire clearance has been received for a total capacity of 46 children. An exit interview was conducted with the above items discussed and a copy of this report was provided to the Applicants. Final license determination will be made upon review of the Licensing Program Manager
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2024
LIC809 (FAS) - (06/04)
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