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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364818052
Report Date: 01/31/2020
Date Signed: 01/31/2020 12:54:32 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:VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCAREFACILITY NUMBER:
364818052
ADMINISTRATOR:BALDWIN, LISAFACILITY TYPE:
840
ADDRESS:59025 YUCCA TRAILTELEPHONE:
(760) 365-9049
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:30CENSUS: DATE:
01/31/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:19 PM
MET WITH:Lisa BaldwinTIME COMPLETED:
12:55 PM
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On this date and time Licensing Program Analyst (LPA) went to the center to discuss the personnel staff issue of a non-teaching staff whose prints needed an exemption. LPA was let in and led on a tour of all the components.
LPA and Director discussed that the Janitorial staff is not going to be used around the children before the prints clear. The staff will only clean Buildings 'C' and 'B' when the children are gone otherwise the rest of the buildings are separate from the preschool. An LIC 855 Declaration was signed and is on file.

Exit interviews was done with the director, Lisa Baldwin.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
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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