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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415102
Report Date: 09/01/2023
Date Signed: 09/01/2023 12:04:28 PM


Document Has Been Signed on 09/01/2023 12:04 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:CCRC HEAD START-OSBORNEFACILITY NUMBER:
197415102
ADMINISTRATOR:ANGELEE OSTERFACILITY TYPE:
850
ADDRESS:13821 OSBORNE STREETTELEPHONE:
(818) 830-1369
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY:80CENSUS: 0DATE:
09/01/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Jennifer Nochez, Teacher DesigneeTIME COMPLETED:
11:59 AM
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On 9/01/2023, Licensing Program Analyst (LPA) Isabel Ortega arrived at the facility, LPA announced the purpose of today's inspection and was granted entry by Teacher Designee, which guided LPA on a tour of the facility. Upon arrival LPA did not observe any children in care. Today's Case Management inspection is a facility initiated- inspection due to renovation in classroom #2 and outdoors.
According to Teacher Designee, facility would like to continue providing child care services for children at Osborne Head Start location and renovation has been finalized. LPA observed classroom #2's walls with new paint and windows resealed. All three classrooms(#1, #2,#3) were observed to have the ceiling repainted. The outdoor middle path by the exit classrooms doors was observed to have a water drain installed along the entire middle pathway.
Facility is in compliance and has met Title 22 regulations. LPA informed Lead Designee a yearly annual inspection will continue as usual.
Facility is fully operating Monday to Friday effective 9/05/2023 as follows: State preschool hours are 7:30a.m. to 5:30 p.m. and Regular Preschool 7:30 a.m. to 3:30 p.m.
An exit interview was conducted and a copy of this report, appeal rights and Notice of Site Visit (NOA) was provided to the licensee on this date.
A copy of this report must be made available to the public for 3 years. NOA shall be posted for 30 days.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2023
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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