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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700298
Report Date: 02/14/2023
Date Signed: 02/14/2023 01:34:47 PM

Document Has Been Signed on 02/14/2023 01:34 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
367700298
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
02/14/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:19 PM
MET WITH:Mirna Garcia, LicenseeTIME COMPLETED:
01:45 PM
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On February 14, 2023, at 1:19 PM., Licensing Program Analyst (LPA), Kuliema Calloway conducted a follow up Pre-Licensing Visit to Garcia Family Child Care. LPA met with Licensee who granted access.

LPA toured the home and observed the following: The AC Unit in the backyard was covered and made inaccessible to the children. The entire back yard is off limits and noted in the facility sketch. The unused vehicle in front of the home was removed. The truck in the driveway of the home, displays a car cover. The fire extinguisher was removed from the wall and placed in the kitchen cabinet underneath the sink along with the first aid kit. The cabinet is locked with safety latches and made inaccessible to the children.

Prior to the visit, LPA obtained copies of the following: a LIC 279B, a copy of ex-spouse’s California Driver License and phone number, and a declaration from the licensee stating there are no other adults living inside the home. The isolation area for the children was moved to a wall near the kitchen where the licensee can observe the sick child, until the parent's pick them up. .

Applicant was given the Pre-Licensing packet with licensing forms.

As a result of this inspection, the home does meet Title 22 Regulations. The childcare license will be issued upon LPM approval.

Exit interview conducted: A copy of this report, Notice of Site Visit were discussed and left with Mirna Garcia, Applicant.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2023
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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