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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364810833
Report Date: 06/06/2025
Date Signed: 06/06/2025 03:02:18 PM

Document Has Been Signed on 06/06/2025 03:02 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:FIERRO FAMILY CHILD CAREFACILITY NUMBER:
364810833
ADMINISTRATOR/
DIRECTOR:		FIERRO, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 882-8162
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92405
CAPACITY: 14TOTAL ENROLLED CHILDREN: 18CENSUS: 12DATE:
06/06/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Licensee Maria Fierro TIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On June 6, 2025, at 1:45pm., Licensing Program Analyst (LPA) Zirbes met with Licensee Maria Fierro who guided analyst on a tour of the home for the Annual/Random inspection. Upon arrival, LPA observed a total of twelve children (six preschool age children and six school age children) with the Licensee and an assistant providing supervision. Currently living in the home are the Licensee, and three adults. All adults are associated and have eligible clearances. Current days and hours of operation are Sunday to Friday 24 hours. Licensee understands that 24 hour care per child is not a allowed.
Physical Plant: This is single story home with two bedrooms, one bathroom, living room, dining room, kitchen, detached garage, front and backyard. Per Licensee the living room, dining room, kitchen, and bathroom are utilized for child care activities. Per licensee, the off-limit areas of the home are all bedrooms and the detached garage. The off limits areas were inaccessible via doors equipped with key locks.
The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds, medicines and hazardous items that can pose a danger to children. LPA observed cleaning products were stored in a key locked kitchen cabinet under the kitchen sink. Also cleaning products were stored above the refrigerator, which was inaccessible to the children in care. Knives and sharp kitchen items were stored in a locked cabinet under the kitchen sink. Household medications were stored in the off limits bedrooms and in a locked cabinet in the hallway. The fire extinguisher was serviced in March 2025. Safe and age appropriate toys, play equipment and materials were present. The home does not have a fireplace. The home has central heating and window air conditioning units. The home was a comfortable temperature at the time of this inspection. LPA did not observe baby bouncers/saucer chairs, or any recalled and or prohibited toys on the premises. Per Licensee, there are zero firearms or weapons stored in the family child care. Report continued on page
NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2025
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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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.

LIC809 (FAS) - (09/23)
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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: FIERRO FAMILY CHILD CARE
FACILITY NUMBER: 364810833
VISIT DATE: 06/06/2025
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Report continued for page one
Bathroom (located in the hallway of the home): Toilet, sink, shower/tub were clean and operable. Zero cleaning products or hygiene materials were stored in the bathroom.

Outdoor: The outdoor play space is located in the backyard. The space is divided into two fenced spaces. The area to the back of the property is utilized for outdoor play. Per Licensee the children are supervised as they walk between the home and the fenced play space. The outdoor space is enclosed with a fence. LPA observed two climbing structures in the outdoor activity space. The climbing structures were secured to the ground and recycled rubber and rubber mats were on the ground surrounding the play structures. At the time of this inspection, there was a blow up water slide with an attached base that accumulated water. LPA observed the children were under constant supervision by either the Licensee or an assistant. LPA and Licensee discussed water safety and according to the Licensee the water is drained from the equipment after ever use. A copy of PIN 24-08-CCLD was provided to the Licensee.

Per Licensee, there are two dogs and one cat in the home, who are current on shots. Per Licensee the dogs and cat interact occasionally with the child care children.

Due to time constraints LPA was unable to complete the entire inspection. LPA will return on a future date.

As a result of this inspection, zero citations were issued.

Exit interview conducted and report was reviewed with the licensee Maria Fierro.


NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2025
LIC809 (FAS) - (06/04)
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