<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750009
Report Date: 10/24/2023
Date Signed: 10/24/2023 11:39:18 AM


Document Has Been Signed on 10/24/2023 11:39 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:CCRC EHS LPCFACILITY NUMBER:
197750009
ADMINISTRATOR:ZAMORANO-PEDREGON, BEATRIZFACILITY TYPE:
830
ADDRESS:2320 EAST AVE RTELEPHONE:
(818) 717-1000
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY:52CENSUS: 0DATE:
10/24/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:13 AM
MET WITH: Celia Cassio, Early Learning Supervisor TIME COMPLETED:
12:50 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst 's (LPA) Maddox and Villa met with Celia Cassio, Early Learning Supervisor and Rosa Ayala, Director, today for the purpose of conducting a Case Management inspection. Center is requesting to relocate the Infant Component from the East Side of the campus to the Westside of the campus. LPA's verified the Director, Rosa Ayala has current CPR/First Aid (exp 12/16/2024? and current Mandated Reporter training (exp 8/10/2024). The days and hours of operation are Monday - Friday from 7:00 am to 6:00 pm. During this inspection, LPA's measured 4 classrooms (Rooms 1 - 4). CCRC is renting the 4 classrooms from Living Praise Church.
Measurements were as follows:
Room #1 totaled 937 sq ft - Cribs/ 26
Room #2 totaled 1013 sq ft/29
Room #3 totaled 924 sq ft/27
Room #4 Totaled 924 sq ft/27
Total indoor space 109

There are 2 in-ground swimming pools on the East side of the campus in front of classrooms #1 and #2 with regulated 5 ft. fencing, which includes a spring closure on the gate.
The outdoor area measurements were 6649 + 4730 = 11,379 feet which can accommodate capacity of 151 children.
SUPERVISOR'S NAME: Deborah LoweTELEPHONE: (916) 661-7243
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


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: CCRC EHS LPC
FACILITY NUMBER: 197750009
VISIT DATE: 10/24/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
There are 2 bathrooms; located between Room #1 &2 and between Room #3 & 4.
The bathroom between Rooms #1 & 2 has 2 toilets/2 sinks/and a changing table. 30
The bathroom between Rooms #3 &4 has 4 toilets/ 4 sinks/ and a changing table. 60
Total space with bathrooms will be 90

LPA's also observed each classroom has fully stocked first aid kits. operable carbon monoxide detectors, fire extinguishers, and age appropriate toys and materials. Parent boards contained required forms, staff are aware of the new Safe Sleep Regulations.

The play yard designated for Infants/Toddlers needs the following: The rubber matting underneath the play equipment is deteriorated on the edges which could result in potential fall or injuries. LPAs also observed two tree trunks on the west end of the playground which has left sizable holes in the asphalt. Licensee stated they have received estimates for cost of repair and is in the process of replacing the rubber matting, removing the tree trunks, and filling cracks in walkways. Staff will need a waiver to allow the Infants/Toddlers use the play yards located on the PS side until the play yard designated for Infants/Toddlers is completed.

Fire clearance has been received for the requested capacity of 52 (26 infants and 26 Toddlers). LPA's also observed emergency evacuation cribs as required by the fire department. Exit interview was conducted, copy of reports left at facility with Celia Cassio, Early Learning Supervisor .
SUPERVISOR'S NAME: Deborah LoweTELEPHONE: (916) 661-7243
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2