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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700237
Report Date: 10/19/2023
Date Signed: 10/19/2023 10:14:25 AM

Document Has Been Signed on 10/19/2023 10:14 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:RODRIGUEZ FAMILY CHILD CAREFACILITY NUMBER:
367700237
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
10/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Cindy RodriguezTIME COMPLETED:
10:36 AM
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On October 19, 2023, Licensing Program Analyst (LPA) Kris Diaz met with the Licensee, Cindy Rodriguez for an unannounced case management inspection - capacity change. The licensee gave access to the home and guided LPA on tour. People who reside in the home are the licensee, her spouse, and her two minor children (11, 14). Both adults have fingerprint clearance and TB Test. The licensee and her spouse have the required immunizations against pertussis (TDAP), measles (MMR) and provided statements declining the flu vaccine. At the time of the visit licensee had 6 children in care (2 infants, 4 3-4yo). LPA reminded licensee that 100% supervision required at all times when children in care. Per the licensee, the small family childcare home operates 24 hours/day 7days/week. LPA reminded licensee that someone should always be awake when the children are awake. Incidental Medical Services (IMS) were discussed. Per the licensee, she does not have childcare children who need IMS currently.

This is a one-story home with 4 bedrooms, 3 bathrooms, kitchen, dining room, family room, living room, laundry room, and attached garage. There is no pool or of water on the premises. The children have access to the living room where the main childcare is provided, the kitchen, dining room, family room, and backyard. Children have access to bathroom down the hallway to the right. LPA observed safety latches on all lower cabinets in the kitchen. LPA observed several age-appropriate toys, books, play structures, and activities in the childcare area and backyard. Off-limit areas include the laundry room, bedrooms, and garage. Per licensee, older children are present Fri.-Sat. The family room has a fireplace that is made inaccessible with a safety lock. LPA observed functional fire-pull and required single action door knob on front door.

Home is ready for capacity increase.

This inspection was conducted in person. The report was read with the licensee. A copy of this report and the Notice of Site Visit was provided to licensee, Cindy Rodriguez. Exit interview was conducted.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
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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