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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700106
Report Date: 05/19/2023
Date Signed: 05/24/2023 09:57:07 AM

Document Has Been Signed on 05/24/2023 09:57 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:SANCHEZ DE HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
367700106
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
05/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Maria Sanchez De HernandezTIME COMPLETED:
02:15 PM
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On 5/19/2023, Licensing Program Analyst (LPA) Beneroso conducted an announced in-person inspection of the Sanchez De Hernandez Family Child Care Home. LPA met with applicant Maria Sanchez De Hernandez. The purpose of the inspection is to conduct a follow-up Capacity Increase Inspection to review the corrections required for licensure. LPA and Applicant toured the facility inside and out to ensure the home meets State Licensing Title 22 Regulations. During the inspection, there were

During the time of the inspection, the following corrections were observed:

· Copy of Assistant (Daughter’s) Driver License was provided.

· Approved Fire Clearance (Approved on 03/17/2023)

· Current Mandated Reporter Training for Assistant

· Safety latches for upper cabinets

***As a result of this inspection, the home does meet Title 22 Regulations for a large license. The applicant is ready for licensure pending the manager's approval.

The exit interview was conducted, and the report was emailed and reviewed with the applicant Maria Sanchez De Hernandez.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2023
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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