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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750056
Report Date: 11/08/2024
Date Signed: 11/08/2024 03:56:56 PM

Document Has Been Signed on 11/08/2024 03:56 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:MC DONALD LEARNING CENTERFACILITY NUMBER:
367750056
ADMINISTRATOR/
DIRECTOR:
LISA BURTNERFACILITY TYPE:
830
ADDRESS:796 ERWIN RANCH ROADTELEPHONE:
(909) 709-4041
CITY:BIG BEAR CITYSTATE: CAZIP CODE:
92314
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 6DATE:
11/08/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Facility representative Casie Gilham and Administrator Lisa Burtner . TIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On November 8, 2024, at 09:15am Licensing Program Analyst (LPA) Zirbes met with facility representative
Casie Gilham and Administrator Lisa Burtner to conduct an unannounced case management inspection. The purpose of the case management was to follow up on a self-reported unusual incident report (UIR) submitted to the Department on October 28, 2024. The unusual incident report was regarding a potential personal rights incident involving child 1 (C1). Upon LPAs arrival, there were six infants in care with one fully qualified teacher and one aide providing supervision.
During this inspection, interviews were conducted with staff. Child interviews were not completed due to the age and development of the children in the infant classroom. In addition, LPA reviewed staff and
child files. Furthermore, LPA completed a safety inspection of the Center at 09:30am, no deficiencies were observed during the safety inspection.

Further investigation is required in order to resolve the case management.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Administrator Lisa Burtner.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2024
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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