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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750074
Report Date: 10/25/2023
Date Signed: 10/26/2023 09:18:44 AM

Document Has Been Signed on 10/26/2023 09:18 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:AZY'S PLACEFACILITY NUMBER:
367750074
ADMINISTRATOR:LILIANA VELASQUEZFACILITY TYPE:
850
ADDRESS:58967 BUSINESS CTR DR STE G-HTELEPHONE:
(702) 764-6544
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY: 21TOTAL ENROLLED CHILDREN: 21CENSUS: 0DATE:
10/25/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Saleena Smith, Applicant, and Liliana Velasquez, Director TIME COMPLETED:
01:12 PM
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Licensing Program Analyst (LPA) Maddox met with Saleena Smith, Applicant, and Liliana Velasquez, Director today for the purpose of conducting a second Pre licensing inspection for a Pre-school (PS) Child Care Center with a Toddler option. There is a licensed School age component at this site (367750046) as well. Applicant is requesting a capacity of 9 Preschool children (ages 3 - 5 yrs) and 6 Toddlers (ages 18 mos - 36 mos). This facility is located in a business center located at the above address in Suites G & H. Days and Hrs. of Operation: Mon - Fri from 7:00am to 6:00pm.

During this inspection, LPA measured the Grand Room which applicant wishes to utilize for the PS component. Measurements were as follows:

27.42 X 34.33 = 941/35 = 27

There are 2 separate bathrooms available for children, Each bathroom has 1 toilet and 1 sink available. Applicant wishes to utilize the School age bathroom during the day while School age children are away.

LPA observed the tape on the floor in the Toddler room and the missing boarders have been replaced.

Licensee is awaiting Managerial review of the application and the approval of the waiver to use the Gym as outdoor/indoor space for all components due to the lack of outdoor space available.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2023
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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