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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403513
Report Date: 01/25/2023
Date Signed: 01/25/2023 12:24:27 PM


Document Has Been Signed on 01/25/2023 12:24 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:KINDERCARE LEARNING CENTERFACILITY NUMBER:
197403513
ADMINISTRATOR:ILIANA FARALDOFACILITY TYPE:
830
ADDRESS:18525 W. SOLEDADTELEPHONE:
(661) 251-9176
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY:20CENSUS: 5DATE:
01/25/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Paige MartinezTIME COMPLETED:
12:30 PM
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On 1/25/2023 Licensing Program Analyst (LPA)Isabel Ortega conducted an unannounced case management inspection. LPA Ortega met with Director Paige Martinez and announced the purpose of today's inspection. This inspection is to conduct a case management inspection and to notify facility there has been a lead exceedance results reporting an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility.

Palmdale Regional Office received notification of water lead exceedance at the facility resulting from a water lead sampling test on 12/07/2022. Based on the records reviewed water fountain located in the classroom (B) has an ALE of 9.4 ppb. This area in the Preschool classroom, lead is exceeding the Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water.

Water fountain was never utilized for drinking nor utilized for food preparation. This area identified on the facility sketch as (B) is not reachable by children. Facility provides filtered water in disposable cups and individual water bottles during day care hours of operation.

SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
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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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: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 197403513
VISIT DATE: 01/25/2023
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Facility submitted authorized children's representatives notification of exceedance results and posted notice visible to parents.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiency will being cited. Facility was provided a copy of the appeal rights. An exit interview was conducted with facility Director.

This report shall be made available to the public upon request. The Notice of Site Visit is provided an required to be posted for 30 days. Appeal rights and report have been provided to facility on this day.

SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023
LIC809 (FAS) - (06/04)
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