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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364830159
Report Date: 10/09/2024
Date Signed: 10/09/2024 09:52:43 AM

Document Has Been Signed on 10/09/2024 09:52 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:KIDS AND CARE PRESCHOOL & DAY CARE CENTERFACILITY NUMBER:
364830159
ADMINISTRATOR/
DIRECTOR:		KATRINA HENDERSONFACILITY TYPE:
830
ADDRESS:9560 I AVENUETELEPHONE:
(760) 956-5000
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 7DATE:
10/09/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:34 AM
MET WITH:Katrina HendersonTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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On October 9, 2024, Licensing Program Analyst (LPA) Carol Heath conducted an unannounced site visit at Kids and Care Preschool & Day Care Center, located at 9560 I Avenue, Hesperia, CA 92345. LPA met with the site director, Katrina Henderson. The purpose of the visit was to conduct a Case Management inspection related to documents provided for an individual (referred to as Person #1, see LIC 811) issued by the Department on September 24, 2024.

Upon arrival, LPA observed 7 children in care with 1 teacher and 1 assistant present. LPA Heath provided the document to the director and inquired about when Person #1 was disassociated from the facility. LPA also checked the Guardian system and found that Person #1's Livescan status was still listed as "In Process."

The director was reminded that any uncleared adults are not permitted to reside at the facility or have any contact with children in care. An exit interview was conducted, and the report and related documentation were reviewed with the director, Katrina Henderson.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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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