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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197404676
Report Date: 05/08/2024
Date Signed: 05/08/2024 02:11:41 PM

Document Has Been Signed on 05/08/2024 02:11 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:PSD ECE MESQUITE CENTERFACILITY NUMBER:
197404676
ADMINISTRATOR/
DIRECTOR:		DR. MELANIE CULVERFACILITY TYPE:
850
ADDRESS:37622 43RD ST. EASTTELEPHONE:
(661) 533-7254
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 4DATE:
05/08/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:02 PM
MET WITH:Nayeli Barrios AldacoTIME VISIT/
INSPECTION COMPLETED:
02:11 PM
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On 5.8.24, LPA Diaz conducted an unannounced Case Management - Incident for a UIR submitted to the Palmdale RO on 5.1.24. LPA was greeted by Facility Representative, Susan Zapata who granted access to the classroom and confirmed that C1 was enrolled in the class. At the time of the visit LPA observed 4 children in care. The children were being dismissed for minimum day.

LPA requested a copy of C1's emergency contact information and facility representative informed LPA that the site coordinator would provide the copies upon arrival. LPA conducted an interview with S1 who was present at the time of the incident.

LPA conducted a safety inspection and found zero deficiencies at the time of the visit.

This inspection was conducted in person. The report was read with the Facility Representative, Nayeli Barrios Aldaco and a copy was provided. A Notice of Site Visit was given and must be posted for 30 days. Exit interview conducted.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
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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