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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364813646
Report Date: 05/08/2024
Date Signed: 05/08/2024 02:35:59 PM


Document Has Been Signed on 05/08/2024 02:35 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCAREFACILITY NUMBER:
364813646
ADMINISTRATOR:LISA BALDWINFACILITY TYPE:
850
ADDRESS:59025 YUCCA TRAILTELEPHONE:
(760) 365-9049
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:60CENSUS: 25DATE:
05/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:13 PM
MET WITH: Lisa Baldwin, Director TIME COMPLETED:
01:30 PM
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Licensing Program Analysts (LPA'S) Maddox and Zirbes met with Lisa Baldwin, Director for the purpose of conducting a Case Management inspection. This unannounced inspection is conducted due to Director's request to decrease the capacity for the Preschool component. Director is requesting to decrease the capacity from 60 to 45. The hours of operation are 6:00 am - 6:00 pm

During this inspection, LPA's measured 3 classrooms and 3 Play yards.

B1 = 576
B2 = 490
B3 = 795
Total = 1,861 which can accommodate the requested decrease of 45

PS Yard #1 = 1680
PS Yard #2 = 13,016
Large Play Yard = 16,000
Total = 30,696
Bathrooms: 3T/3S/1U = 45

The last fire inspection was conducted on 4/24/24

Director states she will request a waiver to commingle children (PS & SA) in classroom B1 from 6am - 7am and again from 5 pm - 6pm. (current waiver on file to commingle in Room C-1 which will no longer be utilized by center). An exit interview was conducted with the above items discussed and a copy of this report was provided to the Director, Lisa Baldwin. Final determination will be made upon review of the Licensing Program Manager.
SUPERVISOR'S NAME: Deborah LoweTELEPHONE: (916) 661-7243
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/08/2024
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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