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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817412
Report Date: 12/30/2024
Date Signed: 12/30/2024 12:18:41 PM

Document Has Been Signed on 12/30/2024 12:18 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:FUNDAMENTALS PRESCHOOL ACADEMY, THEFACILITY NUMBER:
364817412
ADMINISTRATOR/
DIRECTOR:		EVELYN CHINCHILLAFACILITY TYPE:
850
ADDRESS:2424 KENDALL DRIVETELEPHONE:
(909) 887-1150
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 17DATE:
12/30/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:33 AM
MET WITH:Evelyn Chindrilla, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 12/30/24, Licensing Program Analyst (LPA) Crystal Ali met with Director Evelyn Chinchilla to conduct an unannounced case management inspection. The purpose of the case management was to follow up on unusual incident report (UIR) received 12/19/24. UIR received by CCL disclosed a child’s behavioral history of physical aggression towards teacher and other children in care including the status of the child enrollment with the preschool.

Upon arrival, LPA observed 17 preschool and 2 staff member providing care.

During this inspection LPA conducted interview with Director. In addition, LPA completed a safety inspection of the facility grounds. During the inspection, LPA obtained copies of documentation child file (including incident reports), facility employee roster, and child roster.

Due to the need to gather additional information, the case management will require further investigation.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with Director Evelyn Chinchilla.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE: DATE: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/30/2024
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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