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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750009
Report Date: 01/07/2025
Date Signed: 01/10/2025 11:25:49 AM

Document Has Been Signed on 01/10/2025 11:25 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:CCRC EHS LPCFACILITY NUMBER:
197750009
ADMINISTRATOR/
DIRECTOR:		ZAMORANO-PEDREGON, BEATRIZFACILITY TYPE:
830
ADDRESS:2320 EAST AVE RTELEPHONE:
(818) 717-1000
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 52TOTAL ENROLLED CHILDREN: 52CENSUS: 7DATE:
01/07/2025
TYPE OF VISIT:Case Management - Infectious Disease OutbreakUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:36 AM
MET WITH:Rosa Ayala Lopez, Director TIME VISIT/
INSPECTION COMPLETED:
11:35 AM
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On 01/10/2025, Licensing Program Analyst (LPA) Justeene Tamayo met with Director, Rosa Ayala Lopez, who granted access to the facility. The purpose of the inspection was to conclude the gastrointestinal outbreak from the first original UIR received at Palmdale Regional Office on 10/04/24 . LPA disclosed the purpose of the inspection. Upon arrival, there are 7 toddlers and zero infants, along with 7 teachers.

The facility has been cleared of the gastrointestinal outbreak by the Department of Public Health on 11/12/24, and there are no more known cases. The director is encouraged to continue to report unusual incidents to the Palmdale Regional Office.

No deficiencies have been cited at this time.

An exit interview was conducted, and a copy of this report was read and provided to Director on this date, along with a copy of her appeal rights and Notice of Site Visit.
Mariela RamonTELEPHONE: (661) 202-3798
Justeene TamayoTELEPHONE: 661-202-3796
DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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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