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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750074
Report Date: 01/21/2025
Date Signed: 01/21/2025 02:16:14 PM

Document Has Been Signed on 01/21/2025 02:16 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 PLACEFACILITY NUMBER:
367750074
ADMINISTRATOR/
DIRECTOR:		LILIANA VELASQUEZFACILITY TYPE:
850
ADDRESS:58967 BUSINESS CTR DR STE G-HTELEPHONE:
(760) 288-9068
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: DATE:
01/21/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Licensee Saleena Smith TIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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An Informal Conference was held at the Palmdale Child Care Regional Office on January 21, 2025 at 12:30pm. Present during the informal conference were: Regional Manager (RM) George Mingle, Licensing Program Manager (LPM) Lady King-Lewis, Licensing Program Analyst (LPA) Kendal Zirbes, Licensee Saleena Smith, Administrator Liliana Velasquez, Amy Miranda.

The following concerns were discussed:
1. Responsibility for Providing Care and Supervision

During this meeting, the Licensee and facility representative disclosed the following measures have already been taken to ensure compliance:
1. Hiring of additional staff members
2. Purchased Walkie Talkies to assist in staff communication.
3. Monthly staff training through CCEI

During the conference, RM Mingle and LPM King Lewis reminded facility representatives of the importance for regulatory compliance in licensed facilities to protect the Health and Safety of children in care. Facility representatives were informed the Community Care Licensing Agency takes these violations seriously, and how continued repeat violations can lead to further administrative actions by the Department including Non-compliance conference and/or up to revocation of licensure.

RM Mingle introduced the Childcare Technical Support Program (TSP) and informed the facility representatives that TSP is a voluntarily program to assist facilities with meeting and maintaining the requirements of operating a licensed childcare facility. Licensee expressed an interest in TSP services, therefore LPA will refer the Center for services.
Report continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2025
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: AZY'S PLACE
FACILITY NUMBER: 367750074
VISIT DATE: 01/21/2025
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Report continued from page one
During this meeting hard copies of the above Title 22 Regulations were provided to the facility representatives.

In response to the discussion, the Licensee has agreed to the following:
1. Licensee shall submit a written statement indicating how they will maintain compliance with the California Code of Regulations, Title 22, Division 12 at all times by February 4, 2025.
2. The Licensee will provide an updated in-service training plan for the staff by February 4, 2025.
3. The Licensee shall provide in service training to staff and submit a training roster signed by all staff and topics covered to the Department every month for the next six months.
4. Licensee shall have their staff complete the following training: Supervising Children in Child Care Center no later than February 4, 2025. Staff are to provide written feedback of this video for their personnel file which will be verified during inspections. Video can be access on the following link:
https://ccld.childcarevideos.org/child-care-center-operators/

Azy’s Place Representatives were informed of and/or provided with the following CDSS resources:
1. Information for ongoing training and regulations: https://www.cdss.ca.gov
2. CDSS Videos- https://ccld.childcarevideos.org/
3. PINS at: https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care
4. Childcare Advocates - childcareadvocatesprogram@dss.ca.gov for training.
5. Access forms & Title 22 Regulations for Child Care Center Care at: https://cdss.ca.gov/inforesources/community-care/policy/laws-and-regulations
6. Sign up for department and quarterly updates at: https://cdss.ca.gov/inforesources/community-care-licensing/subscribe.
7. LIC9224 Receipt of Licensing Report
Licensee is further advised that copies of this office conference document be provided to all parents of enrolled children in care and any newly enrolled children for the period of one year from this date. Licensee was provided with the Acknowledgment of Receipt of Licensing Reports (LIC 9224) for parents to sign, indicating that they received copies of this document. Acknowledgment of Receipt of Licensing Reports (LIC 9224) was provided to licensee during this conference meeting.
Exit interview conducted and report was reviewed with the Licensee Saleena Smith.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC809 (FAS) - (06/04)
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