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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415187
Report Date: 12/06/2023
Date Signed: 12/06/2023 11:05:22 AM


Document Has Been Signed on 12/06/2023 11:05 AM - 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:SUNSHINE LEARNING CENTERFACILITY NUMBER:
197415187
ADMINISTRATOR:JACQUELINE MAJORFACILITY TYPE:
840
ADDRESS:27630 NEWHALL RANCH ROADTELEPHONE:
(661) 294-1970
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY:144CENSUS: 0DATE:
12/06/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:JACQUELINE MAJORTIME COMPLETED:
11:30 PM
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On December 6th at 10:20am Licensing Program Analyst (LPA) Andrew met with Director Jacqueline to conduct an unannounced case management inspection. The purpose of the case management was to follow up on a self-reported unusual incident report (UIR) submitted to the Department on November 30th, 2023. The unusual incident report was regarding a supervision incident involving Child #1. Upon arrival, there were 0 school age children and 0 staff for the school age license present at the facility.

The incident report indicated that Staff #1 was lining up the children outside to return to the classroom. Staff #1 did do rollcall (name to face) and thought Child #1 went home, and marked the child absent on the rollcall sheet. Staff #1 proceeded to leave the outside playground area with the children accounted for and guide them back to the classroom. About a minute later Child #1 runs from the outside playground area back to the kindergarten classroom. Child #1 was left unsupervised outside for 1 minute.


LPA reviewed staff and children files including the facility video surveillance camera. Furthermore, LPA also completed a safety inspection of the Center at approximately 10:40 am. At the time of the visit there are no school age children, as well as no staff members that were involved in the incident.

Further investigation will be required in order to resolve the unusual incident report.

An exit interview was conducted and a copy of this report and appeal rights were discussed with the Director Jacqueline.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew AlemohTELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:
DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2023
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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