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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808179
Report Date: 10/06/2022
Date Signed: 10/06/2022 04:49:19 PM


Document Has Been Signed on 10/06/2022 04:49 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:PRIMEROS PASOS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808179
ADMINISTRATOR:LLANES, GLORIAFACILITY TYPE:
850
ADDRESS:1111 BUSH STREETTELEPHONE:
(661) 854-6488
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY:106CENSUS: 36DATE:
10/06/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:19 PM
MET WITH:Francis VegaTIME COMPLETED:
04:55 PM
NARRATIVE
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On October 06, 2022, Licensing Program Analysts (LPAs) Isabel Ortega and Anna Villa met with facility Supervisor Francis Vega 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 that occurred on August 23, 2022. The unusual incident report was regarding Child #1 and Child #2 were inappropriately handled by Staff #4.

Upon arrival, there were 36 children observed in care and 8 staff.

During this inspection LPAs conducted interviews that disclosed Staff inappropriately handling children #1 and child #2. In addition, LPAs completed a safety inspection of the facility. In addition, during the inspection, LPAs obtained copies of documentation related to the case management incident. LPA's have concluded this incident is a personal rights violation of Child #1 and Child #2, cited today under Section 101223(a)(1) Personal Rights. Each child receiving Child Care Services shall be accorded dignity in his/her personal relationships with staff, residents and other persons. Due to information received, incident is rendered a Type B violation. A notice of site visit was provided and requested to be posted for 30 days.An exit interview was conducted, a copy of this report, notice of site visit and appeal rights were provided to facility.

SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2022
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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Document Has Been Signed on 10/06/2022 04:49 PM - It Cannot Be Edited

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: PRIMEROS PASOS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153808179

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/24/2022
Section Cited

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Each child receiving services from a family child care home shall be accorded dignity in his/her personal relationships with staff, residents and other persons This requirement was not met by...

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Interviews conducted and UIR submitted to the Palmdale RO. Child #1 and Child #2 were handed inappropriately by staff which poses a potential risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2022
LIC809 (FAS) - (06/04)
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