<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700328
Report Date: 03/09/2023
Date Signed: 03/09/2023 11:04:53 AM

Document Has Been Signed on 03/09/2023 11:04 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:BRAVO & HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
367700328
ADMINISTRATOR:ANA BRAVO & HUGO HERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 648-7218
CITY:VICTORVILLESTATE: CAZIP CODE:
92394
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
03/09/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:54 AM
MET WITH:Hugo Hernandez and An Bravo, LicenseesTIME COMPLETED:
11:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
 On March 9, 2023, Licensing Program Analyst (LPA), Kuliema Calloway conducted a follow up Pre-Licensing Visit to Bravo Hernandez Family Child Care. LPA met with Licensee(s) who granted access.
LPA toured the home and observed the following corrections:

The two AC Units in the backyard were covered and made inaccessible. The kitchen was gated across and made inaccessible to the children. The Parents Rights was posted on the wall inside the home. Per licensee, the isolation area will be a cot on the floor in the hallway near the front door entrance; it is gated around, and children do not have access to the off limits living/dining room area.

LPA observed all of the requested corrections.

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 Ana Bravo and Hugo Hernandez, Applicant(s).

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1