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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750013
Report Date: 02/09/2023
Date Signed: 02/09/2023 12:54:31 PM


Document Has Been Signed on 02/09/2023 12:54 PM - 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:MONTESSORI OF NORTH PARKFACILITY NUMBER:
197750013
ADMINISTRATOR:JOHNSON, ERINFACILITY TYPE:
830
ADDRESS:28180 MCBEAN PARKWAYTELEPHONE:
(818) 974-3582
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY:52CENSUS: 22DATE:
02/09/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Rushani Thomas-WiseTIME COMPLETED:
11:50 AM
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 met with Rushani Thomas-Wise today for the purpose of conducting a Case Management inspection. Director is requesting to decrease the capacity for the Infant component from 52 (current license capacity) to 34. Together Director and LPA measured 2 classrooms (Nido #1; and the Crib Room)

Measurements were as follows:
Nido 1 - 24 X 26 = 624/35 = 18
(Cribs will be added to the rear of the classroom)
Crib Room: 22 X 18 = 396/35 = 12
Additional area in front of the sink
11 X 12 = 132/35=4
Total Capacity for the crib room = 16
Total Infant Capacity: 34

LPA observed age appropriate toys, play equipment, diaper changing tables in place, small refrigerator. Infants also have their play yard.
While touring the Crib Room, LPA observed 4 Infants asleep in cribs, LPA reminded Director of the updated Safe Sleep Regulation which require Infants under 12 months, must sleep on their backs. LPA also referred Director to PIN 20 - 24 CCP dated 9/15/2020.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/09/2023
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 1