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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750034
Report Date: 09/28/2023
Date Signed: 09/29/2023 11:29:45 AM

Document Has Been Signed on 09/29/2023 11:29 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: 70DATE:
09/28/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:53 PM
MET WITH:Sonia Galvaz, Assistant DirectorTIME COMPLETED:
03:15 PM
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THIS REPORT IS AMENDED FROM THE ORIGINAL REPORT ON 9/28/2023.

On 9/28/2023, Licensing Program Analyst (LPA) Calloway made an unannounced Case Management inspection at the above facility. LPA met with Assistant Director who granted access. Upon initial walk through, LPA observed 23 preschool children in active play outside and seven (7 infants) in active play and no school aged children. While in the center thirty nine (39) school aged children arrived on the bus. LPA did a second walk through and observed twelve (12) napping preschool children and twelve (12) preschool children in active play outside and seven (7) infants: five in active play, two napping and eight staff. The amount of children in census has placed the center over the capacity limits for the required licenses. This is a combination center with 367750032 and 367750033.

Per Title 22 Regulations, Division 12, Chapter 1, of CCR, there is a Type A deficiency cited: 101161(a) for Limitation on Capacity and an Immediate Repeat Violation Civil Penalty for $1,000.00 were cited during this inspection. See 809-D page and LIC 421IM page for deficiencies.

Upon receipt of a Type A deficiency licensee shall post the report for 30 days in addition to the Notice of Site Visit and provide copies of the licensing report to parents/guardians of children in care at the facility.
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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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
VISIT DATE: 09/28/2023
NARRATIVE
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This report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months and licensee will obtain a signed acknowledgment of Licensing Reports (LIC 9224) from parent/guardian and place it in each child's file. If these requirements are not met, civil penalties will be assessed.

An exit interview was conducted a copy of this report was read, discussed, and provided to Sonia Galvaz, Assistant Director, along with a Notice of Site Visit, and Appeal Rights. The Notice of Site Visit must remain posted for thirty (30) consecutive days, failure to maintain posting will result in a $100 Civil Penalty per day.

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
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Document Has Been Signed on 09/28/2023 03:03 PM - It Cannot Be Edited


Created By: Kuliema Calloway On 09/28/2023 at 02:09 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: 09/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/29/2023
Section Cited
CCR
101161(a)

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Limitations on Capacity: (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidenced by:
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The Director 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 9/29/2023.

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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


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