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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700351
Report Date: 07/18/2023
Date Signed: 07/18/2023 09:55:10 AM

Document Has Been Signed on 07/18/2023 09:55 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:GALVEZ ALBIZURES FAMILY CHILD CAREFACILITY NUMBER:
367700351
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/18/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Applicant, Yuliana Galvez Albizures TIME COMPLETED:
10:05 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 July 18, 2023, at 9:25 a.m Licensing Program Analyst (LPA) Kendal Zirbes, conducted a follow up Pre-Licensing inspection with applicant Yuliana Galvez Albizures. The purpose of the inspection was to ensure corrections were completed by the Applicant.

LPA and Applicant completed a tour of the home at 9:35 a.m. LPA observed the following:
1. Fire arm was stored in accordance with the regulations.
2. A three foot fence made of chain link and wire has been constructed in the backyard. The rose bushes and cactuses are inaccessible to the child care children. Due to the fence, the backyard now has on limit and off limit sections. The on limit section consists of the patio and an area to the left with the climbing structure. The Applicant moved the trampoline and BBQ to an off limit section of the backyard.

Based on LPA observation all physical plant corrections have been completed by the Applicant. Final approval of the Small Family Child Care License is pending final review by a Licensing Program Manager.

An exit interview was conducted, and a copy of this report and appeal rights were discussed with the Applicant Yuliana Galvez Albizures.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2023
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