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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419458
Report Date: 01/19/2023
Date Signed: 01/19/2023 11:10:20 AM

Document Has Been Signed on 01/19/2023 11:10 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:VOLUNTEERS OF AMERICA,WILEY CANYON HEAD STARTFACILITY NUMBER:
197419458
ADMINISTRATOR:ROCIO GOMEZFACILITY TYPE:
850
ADDRESS:24240 LA GLORITA CIRCLETELEPHONE:
(818) 897-4124
CITY:NEWHALLSTATE: CAZIP CODE:
91321
CAPACITY: 51TOTAL ENROLLED CHILDREN: 51CENSUS: 31DATE:
01/19/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:09 AM
MET WITH:Rachel ChalmersTIME COMPLETED:
11:25 AM
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LPA Maddox met with Rachel Chalmers today for the purpose of conducting a Case Management inspection for a relocation. Center is relocating from one modular to another on the same campus of Wiley Elementary School. Currently center occupies Rooms 26 - 29 During this inspection LPA measured 1 modular that has 2 classrooms, kitchen, 1 children's bathroom, and 1 staff bathroom. Center will serve children ages 3 to 5 yrs, the days and hours of operation will be: 2 staggered schedules - 8:30 am - 2:30 pm and 8:45 am - 3:00 pm.

Measurements were the same for both sides:
21 X 38 = 798/35=23 X 2 = 46 children

Bathroom:
1 bathroom with 3 toilets and 3 sinks = 45 children

The classrooms were not set up during this inspection, staff estimates it will take approximately 1 month to get everything together.

Before this modular can be occupied by children the following are needed:
*Fire Clearance
*Facility Sketch with indoor measurements
*Both classrooms need to be set up to receive children


LPA will allow pictures of the classrooms set up. Staff will use the existing play yard for now until the new play yard is completed.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2023
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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