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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750034
Report Date: 06/28/2023
Date Signed: 06/28/2023 04:03:18 PM

Document Has Been Signed on 06/28/2023 04:03 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:KIDS & CARE INC.FACILITY NUMBER:
367750034
ADMINISTRATOR:CLAUDIA V. GARCIAFACILITY TYPE:
850
ADDRESS:15138 MAIN ST.TELEPHONE:
(760) 956-5000
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 28DATE:
06/28/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:59 PM
MET WITH:Site Supervisor Sonia GalvezTIME COMPLETED:
04:20 PM
NARRATIVE
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On 6/28/2023 at 10:20am, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced visit at the facility to conduct a case management. Upon arrival, LPA was met by Site Supervisor Sonia Galvez and permitted entry into the facility. LPA observed 28 children in care with 2 staff providing care and supervision.

Around 10:50am, LPA toured the facility with the Site Supervisor. The LPA and Site Supervisor walked into the outdoor play area designated for the preschool kids and observed Staff 1 and Staff 2 providing care and supervision over 28 preschoolers. After the walk through was completed, the Site Supervisor moved four of the older preschoolers and placed them in a separate classroom. The Site Supervisor admitted during their interview that they did not know the capacity limitations of the facility’s license and believed it to be 24 children. The presence of 28 children exceeds the capacity limits for the center which is a Type A violation. An immediate civil penalty of $500 has been assessed for the first violation.

As a Type A deficiency has been cited, a copy of the citation and licensing report must be posted for 30 days.



The same report must be provided to Parents/Guardians and the Acknowledgment of Receipt of Licensing
Reports LIC 9224 must be signed by Parents/Guardians of all enrolled children and any newly enrolled
children in the next 12 months following the citation. If these requirements are not met, civil penalties per
violation will be assessed.

An exit interview was conducted, a copy of this report read and provided to the Licensee, and the Notice of Site Visit and Appeal Rights was explained and given to the Licensee.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
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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Document Has Been Signed on 06/28/2023 04:03 PM - It Cannot Be Edited


Created By: Andrea Pittman On 06/28/2023 at 03:01 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KIDS & CARE INC.
FACILITY NUMBER: 367750034

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/29/2023
Section Cited
CCR
101161(a)

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101161(a) Limitations on Capacity...A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement is not met as evidenced by:
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The Licensee will bring their center back into compliance by only allowing the number of children specified on their license in attendance and will submit a written statement that they will remain in compliance with capacity regulations no later than 6/29/2023.
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Based on observation, interview, and record review, the Licensee did not comply with the section cited above for the capacity limitations by having 28 preschoolers in the outdoor play area which poses an immediate health, safety, or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mariela Ramon
LICENSING EVALUATOR NAME:Andrea Pittman
LICENSING EVALUATOR SIGNATURE:
DATE: 06/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/28/2023


LIC809 (FAS) - (06/04)
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