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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409661
Report Date: 09/02/2020
Date Signed: 09/02/2020 10:18:06 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ST. DIDACUS PRESCHOOLFACILITY NUMBER:
197409661
ADMINISTRATOR:MARIA DOLORES HERNANDEZFACILITY TYPE:
850
ADDRESS:14337 ASTORIATELEPHONE:
(818) 367-5296
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:35CENSUS: 16DATE:
09/02/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:MARIA DOLORES HERNANDEZTIME COMPLETED:
10:15 AM
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On September 2, 2020, at 9:00 AM, Licensing Program Analyst (LPA) Loyce Phillips, conduct an announced Case Management Tele-Visit inspection. The purpose of this visit: The center is requesting to use an additional room for social distancing only. The capacity for the preschool program is 35 children. During today's Tele-Visit, LPA spoke with Director, Maria Dolores Hernandez who toured the additional room via FaceTime. The additional room is adjacent to the courtyard and has been inspected and approved by the Fire Inspector. The additional room has a partition wall, that can be used to divide the additional room into two smaller rooms. The additional room was set up with chairs for circle time along with a playhouse and play kitchen. LPA observed three doors inside the room. One door is the electrical room, which was locked and inaccessible to children. The other two doors were emergency exit doors that leads to the play yard.

The additional room has been approved to use for social distancing space.

An exit interview was conducted, and a copy of this report was read. The report will be emailed with read receipt to the Director, Maria Dolores Hernandez.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2020
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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