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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493364
Report Date: 06/18/2021
Date Signed: 06/18/2021 03:06:14 PM

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:LAUGH AND LEARN CHILD CAREFACILITY NUMBER:
197493364
ADMINISTRATOR:DAMON, TAMMYFACILITY TYPE:
830
ADDRESS:44539 10TH STREET WESTTELEPHONE:
(661) 726-0001
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:27CENSUS: 2DATE:
06/18/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:36 AM
MET WITH:Karen ScovellTIME COMPLETED:
03:15 PM
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On June 18, 2021 at 11:36AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced Plan of Correction inspection to follow up on deficiencies cited on 06/17/2021 regarding staff criminal record clearance. Director, Karen Scovell, arrived at facility at approximately 1:30PM. Upon entry, LPA counted 2 infants in care and Staff 1, who is associated to facility.

LPA conducted a walk through of the facility and determined Staff 2 was not present. LPA discussed with Licensee the requirement to submit a declaration by close of business. Licensee emailed declaration during inspection.

Type A deficiencies cited on 6/17/21 are cleared as of 6/18/21.

An exit interview was conducted, a copy of this Report, Appeal Rights, and Notice of Site Visit was provided to Director.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte TsutaokaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
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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