<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750061
Report Date: 03/03/2023
Date Signed: 03/06/2023 02:15:08 PM

Document Has Been Signed on 03/06/2023 02:15 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:SNOWLINE CHILDCARE SERVICESFACILITY NUMBER:
367750061
ADMINISTRATOR:VICTORIA GIEBEFACILITY TYPE:
840
ADDRESS:4112 NIELSEN ROADTELEPHONE:
(760) 215-1050
CITY:PHELANSTATE: CAZIP CODE:
92371
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 0DATE:
03/03/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:VICTORIA GIEBETIME COMPLETED:
01:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Maddox met with Applicant, Victoria Giebe today for the purpose of conducting a pre-licensing inspection. Applicant has also submitted an application for a Preschool component (367750060).

LPA measured the room that was designated for SA children, however, there is no separate bathroom available. SA children and PS children cannot share the same bathroom. As a result, Applicant has decided to place the SA component on hold at this time.

Applicant has a licensed FCCH (364844474), she has decided, for now, to keep the SA children at the licensed FCCH and designate the center for PS children.

LPA explained to Applicant she has an option, if she voluntarily withdraws this pending application, she can re-apply at her leisure, however, if the Department denies the application, she will have to wait an entire year to re-apply.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1