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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808947
Report Date: 12/19/2023
Date Signed: 12/19/2023 10:41:49 AM


Document Has Been Signed on 12/19/2023 10:41 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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:ROSAMOND CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808947
ADMINISTRATOR:NUNEZ, TINAFACILITY TYPE:
850
ADDRESS:2584 FELSITE AVETELEPHONE:
(661) 336-5236
CITY:ROSAMONDSTATE: CAZIP CODE:
93560
CAPACITY:100CENSUS: 0DATE:
12/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:Janey Felosci, Program ManagerTIME COMPLETED:
10:30 AM
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On December 19, 2023, Licensing Program Analyst (LPA), Calloway conducted an unannounced case management inspection to Rosamond Child Development Center. The purpose of the inspection was to follow up on an Unusual Incident Report (UIR) received in the Palmdale Regional Office.

On December 13, 2023, an Unusual Incident Report was received via telephone by staff stating, On December 11, 2023, Child 1 (C1) was playing in a playhouse on the playground during outdoor play. The child was swinging on the door of the playhouse when their hand slipped, and the child fell on their wrist.

The program manager (Licensee) was unavailable, but reachable by telephone. The program manager stated, the facility is closed for Winter break until January 8, 2024. Licensee will send a copy of the staff, child/parent facility roster via email or fax to LPA. LPA fax, email information was provided. LPA will forward this report via email for a signature from the Licensee.

Exit interview was conducted and a copy of this report was read over the phone, and a Notice of Site Visit was discussed and provided to the Licensee, via email. Failure to maintain posting of the Notice of Site Visit for thirty (30) consecutive days will result in a $100 Civil Penalty.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2023
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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