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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364814533
Report Date: 01/24/2025
Date Signed: 01/24/2025 05:29:28 PM

Document Has Been Signed on 01/24/2025 05:29 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:SALAZAR FAMILY CHILD CAREFACILITY NUMBER:
364814533
ADMINISTRATOR/
DIRECTOR:		SALAZAR, UNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(725) 300-5844
CITY:BARSTOWSTATE: CAZIP CODE:
92311
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
01/24/2025
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:25 PM
MET WITH:Un SalazarTIME VISIT/
INSPECTION COMPLETED:
06:00 PM
NARRATIVE
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On 1/24/2025, at 4:25 PM, an unannounced Case Management Legal/Non-Compliance Inspection was conducted by Regional Manager (RM), George Mingle, and Licensing Program Analyst (LPA) Kris Diaz. The purpose of the Inspection was to serve Licensee, Un Salazar with a Temporary Suspension Order (TSO). RM and LPA met with licensee who granted access to the facility. At the time of the visit, RM and LPA observed 7 children in care with Licensee and assistant, Sarang Salazar. The document package was discussed and reviewed with licensee.

The following documents were served to Licensee:

1) Temporary Suspension Order (TSO)
2) Statement to Respondent
3) Government Code Statutes
4) Summary of Charges - Instructions for Licensee
5) Summary of Charges
6) Accusation
7) Notice to respondent and/or Attorney of Record
8) Confidential Name List
9) Request for Discovery
10) Notice of Defense (2)
11) Notice of Language Services

RM Mingle explained to licensee that this TSO is a result of complaint findings (LIC 9099 and LIC 9099D) issued on 1/17/2025, where licensee lost two daycare children (C1 and C2) in her care, who were both found by strangers and later reunited with licensee. C1 was found near oncoming traffic. C2 was found crying and attempting to enter the facility.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
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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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: SALAZAR FAMILY CHILD CARE
FACILITY NUMBER: 364814533
VISIT DATE: 01/24/2025
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Parent/AR packets were provided to the licensee to distribute to parents. Licensee was advised she must maintain in each child’s file an Acknowledgement of Receipt of Licensing Reports (LIC 9224) signed by a parent/legal guardian of each child enrolled in care. The licensee was advised that she has fifteen (15) calendar days to respond to the TSO by mailing the Notice of Defense included in the TSO Packet. A copy of this TSO will be mailed to the local Resource and Referral.

The TSO – CLOSED FOR BUSINESS notice was posted on the front door of the facility. Licensee was informed that removal of the posted notice while the temporary suspension is in effect is a violation of Title 22, Division 6, Health and Safety Code Chapter 3.4, Article 4 and is punishable by a misdemeanor fine of five hundred dollars ($500). This notice shall be posted until further notice by the Order of the Director of the Department of Social Services. Licensee was also informed operation of the facility must cease by the close of business today. The licensee was advised that she is required to provide a copy of the Accusation and Summary of Charges to the parent and/or legal guardian of each child enrolled in the facility until the accusation is either dismissed or resolved through the administrative hearing process or stipulated agreement.

This report was read, and a copy provided to Licensee, Un Salazar. Appeal Rights were explained and provided to licensee. RM advised Ms. Salazar that any further communication should be directed to our Department Legal Division. Exit interview was conducted.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
LIC809 (FAS) - (06/04)
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