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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808947
Report Date: 04/10/2024
Date Signed: 04/10/2024 02:52:52 PM


Document Has Been Signed on 04/10/2024 02:52 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: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:
04/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Tina Nunez, DirectorTIME COMPLETED:
03:00 PM
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On April 10, 2024, Licensing Program Analyst (LPA), Calloway made an unannounced case management inspection to the facility above. LPA toured the facility with the Director, and there were no kids in care during the inspection. The purpose was to disclose information regarding an Unusual Incident Report reported to the Palmdale Regional Office on December 13, 2023.

On December 11, 2023, Child 1 was holding onto the door of the playhouse on the playground when they fell back and sustained a head injury. The IB unit investigated the incident and found it to be Unsubstantiated, meaning the preponderance of the evidence showed the day care was not responsible for the injury occurring.

There are no deficiencies cited during this inspection.

An exit interview was conducted, a copy of this report was read a Notice of Site Visit and this report were provided to Tina Nunez, Director at the facility. A Notice of Site Visit must remain posted for thirty (30) consecutive days, failure to maintain the posting will result in $100 civil penalty.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:
DATE: 04/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/10/2024
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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