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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700530
Report Date: 03/20/2026
Date Signed: 03/20/2026 09:46:49 PM

Document Has Been Signed on 03/20/2026 09:46 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MEJIA GONZALEZ FAMILY CHILD CAREFACILITY NUMBER:
367700530
ADMINISTRATOR/
DIRECTOR:		MARICELA MEJIA GONZALEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 668-5082
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/20/2026
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:55 AM
MET WITH:MARICELA MEJIA GONZALEZTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On Friday March 20, 2026, at 9:55AM, Licensing Program Analyst (LPA), Giovanni met with applicant Maricela Mejia Gonzalez for the purpose of conducting a Pre-Licensing Inspection. The Applicant and LPA toured the home, indoors, and outdoors to ensure the home meets Title 22 licensing requirements. The applicant is requesting to provide care and supervision for a Large Family childcare home for a capacity of twelve (12) to fourteen (14) children. Currently residing in the home are the following, two (2) adults, applicant, and applicant’s spouse. All adults residing in the home have a Criminal Record Clearance (DOJ/FBI) and Child Abuse Index Clearance and are associated with the home. The applicant is requesting the following days and hours of operation: Monday through Friday, 6:00 AM to 6:00 PM, for ages 6 months - 4 yrs old. Per applicant overnight care will not be provided at this time.

The Home is set up as follows:

Physical Plant: This is a one-story home with three (3) bedrooms (all toured) and two (2) bathrooms, living room, family room, kitchen (Open concept), dining room, pantry/coffee area, laundry/detached garage, front and backyard. The home was inspected for safety, comfort, cleanliness, telephone service and proper ventilation. There is no landline phone but there is a cell phone. The home has central heating and air conditioning. All windows have screens and are free of cracks, bugs, and debris. The fireplace completely blocked (made inaccessible with wooden cubby shelf).

Childcare Area: Per Applicant & facility sketch, living room, family room, bathroom #1, bedroom #1, dining room, kitchen, and backyard will be utilized for Family Childcare. LPA observed age-appropriate furniture, toys, and books for the children. LPA observed napping equipment consisting of mats, cots, and playpen, enough for all children. All unused electrical outlets (made inaccessible with plastic covers/plugs). The isolation area is in the family room until the parent can pick up the child. LPA did not observe blind cords (twist handles).

NAME OF LICENSING PROGRAM MANAGER: Francisco Pedroza
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MEJIA GONZALEZ FAMILY CHILD CARE
FACILITY NUMBER: 367700530
VISIT DATE: 03/20/2026
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Off Limit Areas: Bedrooms #2, #3, bathroom#2, (made inaccessible with knob guards) laundry room/detached garage, (made inaccessible with combination door knob) and side yard (made inaccessible with locked chain link gate).

Kitchen Off-Limits: The kitchen was inspected and there were no hazardous or dangerous items. All the sharp knives, sharp utensils (made inaccessible in wooden cabinet with safety latch), detergents, cleaning compounds (made inaccessible in off-limit laundry/ detached garage), and medications are in off-limit master bedroom. The refrigerator and stove are both operable. LPA observe one (1) highchair.

Children's Bathroom: The Bathroom is in the hallway to the left upon entrance, which was toured and inspected. The bathroom was clean, sanitized, and in good repair. The sink and toilet are both operable. LPA observed shower tub to be free of cleaning supplies, shampoos, bodywash, razors which can post a danger to children. Cabinet underneath the sink is accessible. LPA did not observe any chemicals underneath sink.

Outdoor Off-Limit: The front and backyard were toured and inspected. The back yard is fenced all around (Chain link fencing). The home has an attached shed structure porch area providing shed. The yard is composed of dirt and cement ground for proper play. LPA observed one (1) wooden slide and swing structure, anchored to the ground. LPA did not observe any pool, spas, or bodies of water on the premises. AC unit, grill and heavy equipment (made inaccessible in off-limits enclosed area of the yard, Chain link fencing).

Others: Current Pediatric CPR/First Aid (Expires: 9/22/2027), Preventive Health and Safety Training, Mandated Reporter (Expires: 9/9/2027), and Immunization's were viewed as complete along with application. Fire extinguishers meets licensing regulations (2A10BC). The smoke and carbon monoxide detectors (2- in-1) were tested, and operable. Per applicant, there are no weapons or firearms in the home. Per applicant no one smokes in the home. The First Aid Kit was observed to be complete and located in kitchen are inside wooden cabinet

The following information was discussed with the Applicant:

Temporary absences should not exceed 20 percent of the hours while the facility provides care per day. If day care is closed for the day, or Licensee is absent, the applicant must notify Licensing.

The applicant was reminded that supervision is always required for all children. Maintain capacity limits, parent/child roster maintenance for three years with complete information, posting facility license, knowledge of Emergency Plan.

NAME OF LICENSING PROGRAM MANAGER: Francisco Pedroza
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MEJIA GONZALEZ FAMILY CHILD CARE
FACILITY NUMBER: 367700530
VISIT DATE: 03/20/2026
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All food is properly labeled if brought from child’s home; and all food is checked periodically for expiration dates. Applicants were advised how to access forms and Regulations for Family Childcare online at: www.ccld.ca.gov. Applicant was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care.

Applicant was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must always have the facility’s phone number; if the phone number is changed, licensing must be notified. A licensed childcare provider, administrator, or employee of the licensed child day care facility shall complete an on-line Mandated Reporter Training and shall renew the training every two (2) years at: www.mandatedreporterca.com. Requirements for disaster drills (fire and earthquake, every 6 months) and documentation for both.

Parent Notifications Requirements: Per the Health and Safety code (HSC) 1596.859, 1596.8895, and 1597.05 to improve transparency of licensing records and to ensure that the parents/guardians using the licensed childcare facility are aware of situations that present danger to the children. Employees or volunteers at family day care home; immunization requirements; records; exemptions (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against Influenza, Pertussis, and Measles. Each employee and volunteer shall receive an Influenza vaccination between August 1 and December 1 of each year. Applicant was advised to visit www.shotsforschool.org for Immunization information.

Applicant was advised of the importance and requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form (LIC 624B) and send via email to: www.unusualincidentreport@dss.ca.gov. or via fax. The applicant was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000 and call the CCLD (Community Care Licensing Division) office and follow up with a written Unusual Incident/Injury Report (LIC 624B).

Our Quarterly updates come out every 3 months, which are also available in Spanish. Please log in to the CCLD website or you can email our advocates to have the quarterly updates sent directly to your email. Childcare Advocates information: www.childcareadvocatesprogram@cdss.ca.gov.

NAME OF LICENSING PROGRAM MANAGER: Francisco Pedroza
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MEJIA GONZALEZ FAMILY CHILD CARE
FACILITY NUMBER: 367700530
VISIT DATE: 03/20/2026
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Criminal Record Clearance- FCCH – Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home.

A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Landlord Consent - FCCH APPLICANT OWNS OR RENTS/LEASES THE HOME: The applicant provided proof of control of property (Property Tax Bill). LPA observed the tax bill under applicant’s name.

APPLICANT WILL WAIT UNTIL FACILITY OPENS TO DETERMINE IMS NEEDS: Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.

The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Review of records to be maintained- FCCH - LPA reviewed with applicants, the LIC 311D, Forms/Records to Keep in your Family Child Care Home, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

Safe Sleep - FCCH - LPA discussed the safe sleep regulations with applicants, and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed applicant of the importance of checking for and removing recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

NAME OF LICENSING PROGRAM MANAGER: Francisco Pedroza
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
LIC809 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MEJIA GONZALEZ FAMILY CHILD CARE
FACILITY NUMBER: 367700530
VISIT DATE: 03/20/2026
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Megan’s Law- FCCH - On this date, 1/27/2026, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility address. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search.

However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

MyChildCarePlan.org- FCCH - Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Subscribe to CCLD Important Information- FCCH - Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters, and other important information communication platforms.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe, and select the Child Care option to receive email communication.

If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at: www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

The On Duty Worker is available for questions Monday through Friday at (661) 202-3318 from 8:00 AM - 5:00 PM for questions, information, and Unusual Incident Reporting.

No corrections needed. Home is ready for licensing. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Exit interview conducted, and report was reviewed with the applicant, Maricela Mejia Gonzalez.
NAME OF LICENSING PROGRAM MANAGER: Francisco Pedroza
NAME OF LICENSING PROGRAM ANALYST: Giovanni Cristales
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
LIC809 (FAS) - (06/04)
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