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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750079
Report Date: 09/18/2020
Date Signed: 09/18/2020 01:06:57 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:PURE & SIMPLE ACADEMY & CHILD CARE CENTERFACILITY NUMBER:
197750079
ADMINISTRATOR:AGUIRRE, SANDRA LONAFACILITY TYPE:
840
ADDRESS:43301 DIVISION ST SUITE 101TELEPHONE:
(661) 524-1042
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:15CENSUS: 30DATE:
09/18/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
12:03 PM
MET WITH:Licensee, Sandra LonaTIME COMPLETED:
01:20 PM
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Licensing Program Analyst (LPA) Maddox met with licensee Sandra Aguirre today for the purpose of conducting a pre-licensing inspection. Currently center is licensed in Suites' 101 - 103 but has since acquired suites' 104 & 105. Suites' 104 and 105 were toured and consist of 3 classrooms, 2 bathrooms, storage, cubbies, and staff lounge. Measurements were as follows:

Room A (2 sides): 30 X 10 = 300 sq ft
23 X 14 = 322
Total: 622/35= 18

Room B: 15 X 30 = 450/35=13
Room C (2 sides): 26 X10=260
30 X 10 = 300
Total: 560/35 =16

With indoor measurements, center can accommodate 47 children
Bathroom (2 bathrooms with 1 toilet and 1 sink in each) in Suites 104 & 105: 30
Preschool and school age: 50.5 X 24 = 1212/75 =16 children (waiver on file for shared yard). Licensee is reminded to adhere to the latest County guidelines for cohorts and group sizes. Licensee has postings for washing hands, face coverings, and screenings, LPA observed hand sanitizer throughout center, staff wearing mask, fully charged fire extinguishers, carbon monoxide detectors. Center will be approved for a requested capacity of 60 total School Age children.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020
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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