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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419458
Report Date: 10/04/2023
Date Signed: 10/04/2023 11:30:13 AM

Document Has Been Signed on 10/04/2023 11:30 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 CC RO, 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: 0DATE:
10/04/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Rachel Chalmers, Program Manager and Prisma Rubio, Site SupervisorTIME COMPLETED:
11:45 AM
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Licensing Program Analysts (LPA's) Maddox and Ortega met with Rachel Chalmers, Program Manager and Prisma Rubio, Site Supervisor today for the purpose of conducting a case management inspection. Center is relocating from one modular to another on the same campus premises Wiley Elementary School. This program will occupy Modular # 02 and # 01. The modular consist of 2 classrooms, kitchen, office area, 1 children's bathroom, and 1 staff bathroom. Center will serve children ages 3 to 5 years, the days and hours of operation will be: Mon - Fri from 8:00 a.m. - 2:15 p.m.

Measurements were as follows:
21 X 38 = 798/35=23 X 2 = 46 children
Bathroom:
1 bathroom with 3 toilets and 3 sinks = 45 children

The outside play yard is still under construction, center will continue to utilize the original play yard until the new play yard is completed. Children must be escorted to the play yard with visual supervision.
Age appropriate toys and equipment were observed. The carbon monoxide and smoke detector (dual) are operating properly. Last emergency drill was conducted and documented on 10/02/2023 at 10:00 a.m. The fire extinguisher is reading in green.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: VOLUNTEERS OF AMERICA,WILEY CANYON HEAD START
FACILITY NUMBER: 197419458
VISIT DATE: 10/04/2023
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Center was found to be in compliance with Title 22 Regulations, fire clearance has been received for the requested capacity of 40, capacity decrease will be granted.

Exit Interview conducted, copy of this report, appeal rights and Notice of site visit was provided to Rachel Chalmers, and Prisma Rubio, Site Supervisor.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023
LIC809 (FAS) - (06/04)
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