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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750046
Report Date: 11/01/2023
Date Signed: 11/01/2023 04:37:57 PM

Document Has Been Signed on 11/01/2023 04:37 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:AZY'S PLACE CHILDRENS CENTERFACILITY NUMBER:
367750046
ADMINISTRATOR:SALEENA SMITHFACILITY TYPE:
840
ADDRESS:58967 BUSINESS CENTER DR STE GTELEPHONE:
(760) 228-9068
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: DATE:
11/01/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Administrator Saleena Smith and Facility Representative Liliana VelasquezTIME COMPLETED:
01:45 PM
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On November 1, 2023, at 1:00 p.m. Licensing Program Analyst (LPA) Zirbes and Maddox met with the Administrator Saleena Smith and Facility Representative Liliana Velasquez. The purpose of the inspection was to conduct an unannounced case management- other inspection. LPA disclosed the purpose of the inspection to the Facility Representatives. Present during today’s inspection were three school age children.

During the inspection, LPA provided guidance to the Administrator regarding the facility submitting a written statement attesting that the Child Care Center has not used, and will not use, any water outlets used for drinking water or food preparation. LPA advised the Administrator that a facility map (LIC 999) had to be submitted with the written statement which identified all water outlets located at the facility. Furthermore, LPA advised the Administrator to update the parent handbook.

A safety inspection was conducted and LPA observations were discussed with the facility representatives.

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 Administrator Saleena Smith and Facility Representative Liliana Velasquez.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2023
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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