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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364818052
Report Date: 05/08/2024
Date Signed: 05/08/2024 02:36:33 PM


Document Has Been Signed on 05/08/2024 02:36 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:
364818052
ADMINISTRATOR:BALDWIN, LISAFACILITY TYPE:
840
ADDRESS:59025 YUCCA TRAILTELEPHONE:
(760) 365-9049
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:40CENSUS: 0DATE:
05/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Lisa Baldwin, Director TIME COMPLETED:
02:50 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 School-age component from 40 to 30 due to the bathrooms. The hours of operation are 6:00 am - 6:00 pm. During this inspection, LPA's measured 2 classrooms and the outside play area.

B4 = 625
B5 = 603
Total Capacity - 1228

Outdoor Play Space
30,696 (all 3 play yards together)

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 and to share all 3 play yards. (there's currently a waiver on file to commingle PS & SA children in Room C-1, Room C1 will no longer be utilized by center as a result of this inspection ).
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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