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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843655
Report Date: 11/15/2022
Date Signed: 11/15/2022 12:33:39 PM

Document Has Been Signed on 11/15/2022 12:33 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:KIDS & CARE PRESCHOOL & CHILD CARE CENTERFACILITY NUMBER:
364843655
ADMINISTRATOR:LUZ MARISOL VALENZUELAFACILITY TYPE:
830
ADDRESS:10662 MAPLE AVENUETELEPHONE:
(760) 956-2000
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 8DATE:
11/15/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Alyse Sanders, Assistant DirectorTIME COMPLETED:
12:45 PM
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On November 15, 2022, at 11:00 am Licensing Program Analysts (LPA’s), Kuliema Calloway and Babatunde Ibitoye made an unannounced inspection to the facility Kids and Care Preschool Inc,. LPA's met with Alyse Sanders, Assistant Director for the purpose of conducting a Case Management inspection to address concerns regarding an incident report that was received on 11/2/2022 stating the following:

On Wednesday 11/2/22, On Call Duty Worker (OD Desk) received a call from S3. S1 stated that C1 was standing next to C2 and was bit on the left arm. There was no cut on the arm or blood just teeth marks on and when C2 was picked up the information was reported to the dad.

LPA's arrived at the facility and observed 8 children and 2 staff members in care. LPA interviewed S1 and S2 in person during today's inspection. [See confidential names list dated 11/15/2022]. Based on the information gathered from observation, record review, and interviews conducted with the staff additional follow up is needed.

Exit interview was conducted with the Assistant Director and a copy of this report and appeal rights were left at the site visit.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2022
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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