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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750031
Report Date: 06/28/2023
Date Signed: 06/28/2023 03:32:54 PM

Document Has Been Signed on 06/28/2023 03:32 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:KIDS & CARE INC.FACILITY NUMBER:
367750031
ADMINISTRATOR:CLAUDIA V. GARCIAFACILITY TYPE:
850
ADDRESS:10522 MANHASSET ROADTELEPHONE:
(760) 956-5000
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92308
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 31DATE:
06/28/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:21 PM
MET WITH:Patricia JacobsTIME COMPLETED:
03:55 PM
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On June 28, 2023 Licensing Program Analyst (LPA) Babatunde Ibitoye met with Director Patricia Jacob's, for the purpose to conduct a Case Management visit. Upon arrival LPA observed 31 Pre-School children in care with 3 Teachers. The Center also Licensed for a Infant component (X367750029) and a School age component (X367750030) on the same premises.

The purpose of the visit is to conduct a Plan Of Correction Visit to ensure the center meets State Licensing Title 22 Regulations: Limitation on Capacity Section 101161(a).

A tour of the facility was conducted along with the Director, LPA Observed the facility is operating beyond the limitation specified on the Facility License and did not meet the Title 22 Regulations :Limitation on Capacity. A Civil Penalty Assessment for Failure to Correct and Repeat Violation. See LIC 421IM

An exit interview was conducted, and a copy of this report was read and provided to Director Patricia Jacob's along with Notice of Site Visit.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2023
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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