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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360907170
Report Date: 12/08/2023
Date Signed: 12/08/2023 11:43:42 AM

Document Has Been Signed on 12/08/2023 11:43 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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:CONCORDIA CHRISTIAN SCHOOLFACILITY NUMBER:
360907170
ADMINISTRATOR:DEBORA BARAJASFACILITY TYPE:
850
ADDRESS:420 AVENUE ETELEPHONE:
(760) 256-8979
CITY:BARSTOWSTATE: CAZIP CODE:
92311
CAPACITY: 57TOTAL ENROLLED CHILDREN: 57CENSUS: 22DATE:
12/08/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Director Debora BarajasTIME COMPLETED:
12:21 PM
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On 12/8/2023 at 10:20am, Licensing Program Analyst (LPA) Andrea Pittman conducted a Case Management Legal/Non-Compliance Inspection at the facility and was met by the Facility Representative. The LPA disclosed the purpose of the inspection and was permitted entry by the Facility Representative. The Director Debora Barajas later met with LPA Pittman and guided the LPA on a tour of the facility. Upon entry to the facility, the LPA observed 22 children in care and six staff providing care and supervision.

During the inspection, LPA Pittman explained the details of the Immediate Exclusion Order for Michelle Parks. LPA Pittman observed that the employee, Michele Parks, was not present. The order to immediately exclude Michele Parks was discussed in detail with the Director. They are aware that Michele Parks must not be physically present in the facility nor can they have contact with children in care. The Director acknowledges the receipt of the Immediate Exclusion Order served today, Friday, December 8th, 2023.

The California Department of Social Services (CDSS) has determined that Michele Parks continued or future contact with clients or presence in any community care facility, child care facility, residential care facility for the elderly, or any other facility licensed by the CDSS constitutes a threat to the health, welfare, or safety of the clients in care.



Upon receipt of the immediate exclusion order, Michele Parks, must remove themselves from any contact with clients and not be physically present in any state licensed facilities. This action is final until Michele Parks is notified otherwise, in writing, by the CDSS.

An exit interview was conducted, a copy of this Report, a Notice of Site visit, and Appeal rights were provided and discussed with the Director.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2023
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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