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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817412
Report Date: 03/12/2025
Date Signed: 03/12/2025 01:03:55 PM

Document Has Been Signed on 03/12/2025 01:03 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: 28DATE:
03/12/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:04 PM
MET WITH:EVELYN CHINCHILLA, DirectorTIME VISIT/
INSPECTION COMPLETED:
01:05 PM
NARRATIVE
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On 3/12/25, 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 and conclude unusual incident report (UIR) received 12/19/24. UIR received by CCL disclosed a child’s behavior of physical aggression towards teacher, other younger children in care, and termination of child’s care at facility.

Upon arrival, LPA observed 28 preschool and 6 staff member providing care.

During this inspection LPA conducted interview with Director and two children.

The case management (CM) is concluded that facility did not follow their agency protocol and procedures in terminating a child’s care from their facility. The CM is substantiated.

A finding that the CM is substantiated means that the allegation (or incident) happened or is valid, there is a preponderance of evidence to prove that the alleged occurred.

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: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2025
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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Document Has Been Signed on 03/12/2025 01:03 PM - It Cannot Be Edited


Created By: Crystal Ali On 03/12/2025 at 12:21 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: FUNDAMENTALS PRESCHOOL ACADEMY, THE
FACILITY NUMBER: 364817412

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/25/2025
Section Cited
CCR
101219(b)(7)

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(b) Admission agreements shall specify the following:
(7) Conditions under which the agreement may be terminated.
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Director will provide proof of completion to LPA Ali.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Claretta Yates
LICENSING EVALUATOR NAME:Crystal Ali
LICENSING EVALUATOR SIGNATURE:
DATE: 03/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2025


LIC809 (FAS) - (06/04)
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