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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364819503
Report Date: 06/12/2023
Date Signed: 06/13/2023 08:45:51 AM


Document Has Been Signed on 06/13/2023 08:45 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:KIDS AND CARE PRESCHOOL AND DAY CARE CENTERFACILITY NUMBER:
364819503
ADMINISTRATOR:CLAUDIA VALENZUELA GARCIAFACILITY TYPE:
840
ADDRESS:9560 I AVETELEPHONE:
(760) 956-5000
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:14CENSUS: 14DATE:
06/12/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Owner, Claudia GarciaTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA)Maddox met with Owner, Operator, Claudia Garcia and Director, Katrina Henderson today for the purpose of conducting a Case Management (CM) inspection for a capacity increase inspection. The current capacity for School age (SA) children is 14, Owner is requesting to increase the capacity to 42. This center is located within a strip mall, the address is 9594 Ave I, Hesperia, Suite A. Owner also has a facility located right next door (9560 Ave I) with a licensed Preschool, School Age, and Infant component. During this inspection, LPA inspected 1 large classroom, the outside play area and 2 bathrooms. Meals will be brought over from the main building by staff. LPA observed a water cooler in the classroom for drinking water. There is a fully charged fire extinguisher, and a dual smoke and carbon monoxide detector present.

INDOOR
25 X 35 = 875/35 = 25
7 X 16 = 112/35 = 3
TOTAL INDOOR SPACE: 28

BATHROOMS
There are 2 individual bathrooms in the classroom, each bathroom has 1T and 1 Sink with an additional bathroom in the main building (1T/1S)
TOTAL CAPACITY WITH TOILETS AND SINKS = 45

SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 06/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS AND CARE PRESCHOOL AND DAY CARE CENTER
FACILITY NUMBER: 364819503
VISIT DATE: 06/12/2023
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OUTDOOR
25 X 79 = 1975
87 x 25 = 2175
Total Outdoor Space: 4150/75 = 55

Fire Clearance was granted on 6/1/2023 for a Total Capacity of 42 SA children. An updated waiver will be required to allow the PS and SA children to share the play yard. Capacity increase will be granted for a total of 42 school age children (14 in the Main Building and 28 at the new location). LPA is requesting an outside play yard schedule (please allow 10 min for each transition) and a formal request for the Waiver. School age children will be escorted to and from the play yard. Exit interview conducted, a copy of this report was left with Director, Katrina Henderson today.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2