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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364819503
Report Date: 10/01/2025
Date Signed: 10/01/2025 05:38:47 PM

Document Has Been Signed on 10/01/2025 05:38 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:KIDS AND CARE PRESCHOOL AND DAY CARE CENTERFACILITY NUMBER:
364819503
ADMINISTRATOR/
DIRECTOR:		CLAUDIA VALENZUELA GARCIAFACILITY TYPE:
840
ADDRESS:9560 I AVETELEPHONE:
(760) 956-5000
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 21DATE:
10/01/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:04 PM
MET WITH:KATRINA HENDERSON - AdministratorTIME VISIT/
INSPECTION COMPLETED:
05:45 PM
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On Wednesday October 1, 2025, at 4:04 PM, Licensing Program Analyst (LPA) Giovanni Cristales arrived at the above facility and met with Director, Katrina Henderson, and conducted an unannounced annual/required Inspection for the School-age day care center with the capacity of 42 children. LPA toured and inspected the facility in accordance with the facility sketch. Upon arrival, LPA observed 2 staff and 21 school-age children and within ratio, The facility is also licensed for the Infant program (364830159) and Preschool program (364819502). The facility operates Monday through Friday from 6:00 AM to 6:30 PM. Incidental Medical Services (IMS) was discussed.


Indoor/Children’s Area: Furniture and equipment were inspected for age appropriateness and good repair. The room is clean and safe. Telephone service was verified (Portable). Heating, lighting, and ventilation are adequate. There are cubbies with coat hooks for children's belongings. LPA observed age-appropriate toys and materials. Drinking water is available inside the classroom in the form of a water dispenser and disposable cups. The trash cans have a lid. There is a working Carbon monoxide, smoke detector and Fire Extinguisher (2A10BC). There is an isolation area for children who become ill while in care located in front lobby, facility maintains a comfortable temperature at all times, first aid supplies (thermometer, bandages, scissors), sign in/out sheets available and completed daily. Smoking prohibited on the premises, daily inspection of illness, no prohibited childcare items observed. Firearms/weapons are not allowed or stored on premises. There is no body of water on the premises. LPA did not observe any bodies or water on the premises.
NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2025
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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS AND CARE PRESCHOOL AND DAY CARE CENTER
FACILITY NUMBER: 364819503
VISIT DATE: 10/01/2025
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Bathroom: LPA inspected and observed one school-age bathroom, across from the kitchen. Toilet and sink are functioning properly and are age appropriate. LPA observed soap, toilet paper, seat covers and paper towels readily available. Water temperature is appropriate. No chemicals were observed in the bathroom.


Kitchen: There is a clean, fully equipped kitchen (off limits) with refrigerator, freezer, stove, and microwave oven. The facility provides breakfast, lunch, snacks (afternoon, evening). The menu is posted in the classroom and in front of the office. An allergy list is posted on the board next to the kitchen. LPA observed an appropriate amount of food and snacks. The chemicals are kept separate from the food (inside the kitchen locked cabinet under sink).

Outdoor: Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. The play area has sand and concrete. The area was observed to be free of debris. There is an area for rest, and it is shaded. A water pitcher and disposable cups are brought outside during play. Play area was inspected and found to be free of hazards and inaccessibility to bodies of water. waiver on file PS and SA children to share the play yard, Separate playground schedule for school-age and preschool children. Bikes, basketball court, and teether ball court were present and in good repair.


Three children's records and three staff records were reviewed. The staff are certified in Pediatric CPR and First Aid which expires: 08/29/2027 (Administrator). The required immunization's MMR, DTAP, Influenza, negative TB skin test, and Mandated Reporter, expires: 03/13/2027 (Administrator) training are current.

Posting Requirements: Center has required postings, (License, Facility Sketch, Menus, LIC 613 Personal
Rights, PUB 269 Child passenger restraint system poster, PUB 393 Notification of parent rights, LIC 610
Emergency disaster plan, LIC 9148 Earthquake preparedness, lead poison). LPA Observed Lead Water Test Results.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childquanda.htm
NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS AND CARE PRESCHOOL AND DAY CARE CENTER
FACILITY NUMBER: 364819503
VISIT DATE: 10/01/2025
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Children are inspected for illnesses (wellness policy) as they arrive. A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director and other administration staff administer medication and documents the dosage, date and time onto a log. Medication is brought and locked at the center (unless parents request daily return). Medication is properly labeled and stored in its original container. Medication is kept at the center until expiration date (given to parents or discarded through the Fire Department).

Director advised of the requirement to report Unusual Incidents. Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. Director shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of child care center or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS AND CARE PRESCHOOL AND DAY CARE CENTER
FACILITY NUMBER: 364819503
VISIT DATE: 10/01/2025
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Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

No deficiencies during today’s visit. The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.

No deficiencies were observed in today's visit. A notice of the site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Katrina Henderson.
NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5