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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815293
Report Date: 12/22/2022
Date Signed: 12/22/2022 12:15:55 PM


Document Has Been Signed on 12/22/2022 12:15 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:CSUSB-INFANT/TODDLER CENTERFACILITY NUMBER:
364815293
ADMINISTRATOR:DEANNA HERNDONFACILITY TYPE:
830
ADDRESS:5500 UNIVERSITY PARKWAYTELEPHONE:
(909) 537-5661
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY:30CENSUS: 0DATE:
12/22/2022
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Deanna Brown TIME COMPLETED:
12:27 PM
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Licensing Program Analyst (LPA) Maddox met with Site Director, Deanna Brown today for the purpose of conducting a Case Management inspection. This visit was conducted to inspect the newly renovated Infant classrooms. In September of 2022, the Infant component experienced water damage and had to temporarily to another building on campus.

Director presented LPA with paperwork from the Department of Forestry and Fire Protection stating the building passed it's final inspection (dated 10/20/22) and deemed safe for occupancy.

LPA and Director toured three classrooms (Rooms 132, 143, and 147). LPA observed changing tables within arms reach of a sink, carpets/flooring in good repair, cots available for napping, cribs in place for the younger infants, each classroom has cubbies to store infant belongings including bedding/linen, fire extinguishers were located throughout, carbon monoxide detectors are in operable condition. There are some boxes in the hallway, and staff are still in process of setting up classrooms to receive children before January 4th, 2023 (this is the date school will re-open from Winter break). As a result of this inspection, and the final inspection from the Fire Marshall, the Infant component is safe to resume care.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/22/2022
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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