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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364808720
Report Date: 04/20/2023
Date Signed: 04/20/2023 03:08:25 PM

Document Has Been Signed on 04/20/2023 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:AVUSD RANCHO VERDE STATE PRESCHOOLFACILITY NUMBER:
364808720
ADMINISTRATOR:MICHELLE PONCEFACILITY TYPE:
850
ADDRESS:14334 PIONEERTELEPHONE:
(760) 240-4732
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92307
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 12DATE:
04/20/2023
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:SHARON SCHEIDERTIME COMPLETED:
03:20 PM
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On April 20, 2023, Licensing Program Analyst (LPA) Babatunde Ibitoye met with the Lead Teacher Sharon Scheider for the purpose to conduct a Case Management inspection. The Lead Teacher guided LPA on a tour of the facility. Upon arrival, LPA observed 12 children on the play ground with 2 teachers.

The purpose of the inspection is to conduct a health and welfare check to ensure the health and safety of the children in care are met. A tour of the facility was conducted. The facility is operating within proper capacity and ratios.

No deficiencies were observed at the time of the visit.

An exit interview was conducted, and a copy of this report was provided to the Lead Teacher along with a Notice of the Site Visit.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2023
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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