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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750034
Report Date: 09/28/2023
Date Signed: 02/27/2024 10:19:23 AM

Document Has Been Signed on 02/27/2024 10:19 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: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: 30DATE:
09/28/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:36 PM
MET WITH:Sonia Galvaz, Assistant DirectorTIME COMPLETED:
01:45 PM
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THIS REPORT IS AMENDED FROM ORIGINAL REPORT ON 9/28/2023.

On September 28, 2023, Licensing Program Analyst (LPA) Calloway made an unannounced Case Management Inspection to Kids and Care, Inc. The purpose of the inspection was to request information for the assignment of the Site Assistant Director.

On April 19, 2023, LPA Calloway received a LIC 610 form via email from childcare center owner, Claudia Garcia. The LIC 610 form indicated Sonia Galvaz, Assistant to the Director. LPA did not receive the required forms, or any additional information from Kids & Care, Inc. that indicates the qualifications were met to designate the newly appointed Assistant Director.

It is determined that the citation issued under California Code of Section 101212(b)(1) Reporting Requirements was issued incorrectly. Therefore, your appeal request was approved, and the Type B citation was dismissed.

An exit interview was conducted, this report was read and a copy of this report, a Notice of Site Visit, was provided to facility representative, S1 at the facility. The notice of site visit letter shall remain posted for thirty (30) days, if removed it may result in $100 civil penalty.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023
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 is an Amendment of Original Document on 02/27/2024 10:18 AM


Created By: Kuliema Calloway On 09/28/2023 at 02:37 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

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

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
10/06/2023
Section Cited
CCR
101212(b)(1)

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101212 (b)(1) Reporting Requirements(b)The name of...director... the child care center director's absence, shall be reported to the Department within 10 days...(1)Whenever a change in child care center...This requirement was not met as evidenced by:
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The Center Owner will submit the required LIC 308 form and all required documentation to appoint a new Director or Assistant Director by the POC date requested of 10/6/23.
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Based on interview and record review, LPA did not receive the required documentation within 10 days of the newly appointed Assistant Director at the facility which poses a potential health, safety, or personal rights risks to the 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:Claretta Yates
LICENSING EVALUATOR NAME:Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:
DATE: 09/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/28/2023


LIC809 (FAS) - (06/04)
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