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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019270
Report Date: 10/07/2022
Date Signed: 10/07/2022 10:28:13 AM

Document Has Been Signed on 10/07/2022 10:28 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:PALMER FAMILY CHILD CAREFACILITY NUMBER:
198019270
ADMINISTRATOR:KELSIE & VICTORIA PALMERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 427-1437
CITY:PARAMOUNTSTATE: CAZIP CODE:
90723
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 6DATE:
10/07/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Victoria Palmer & Kelsie Palmer, LicenseesTIME COMPLETED:
10:35 AM
NARRATIVE
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On October 7, 2022 at 9:40 AM, an unannounced Case Management inspection was conducted by Regional Manager (RM) Sharon Greene and Licensing Program Analyst (LPA) Susann Sanchez for the purpose of serving a Immediate Exclusion for Victor C. Palmer the licensees brother. Upon arrival LPA and RM observed 6 day-care children during the inspection. Licensee gave LPA a tour of the facility at 10:00am. Also present at the facility was assistants Jessica Hogans and Jazmin Morgan. Mother of Licensee's Denise Palmer listen in by telephone.

Licensee’s Victoria Palmer and Kelsie Palmer was served with the following by Regional Manager Sharon Greene:
  • ORDER TO INDIVIDUAL OF IMMEDIATE EXCLUSION FROM ALL FACILITIES: Victor C. Palmer
  • How to appeal
  • Government Code 11522
  • A sealed certified letter was left with Licensees for Victor C. Palmer.
  • An additional certified letter will be mailed to the address provided by licensees for Victor C. Palmer

LPA and RM advised Licensee that Victor C. Palmer is excluded from the Palmer Family Child Care and any other licensed facilities by Department of Social Services. Licensee and Victor C. Palmer have 15 days to submit an appeal. The address for the appeal was provided to Licensee. Licensing staff served the exclusion letter was served to Victoria & Kelsie Palmer. Victor C. Palmer was not observed at the facility and Licensees have agreed to comply.

Exit interview was conducted with Licensee Victoria Palmer Kelsie Palmer. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/07/2022
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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