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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364830080
Report Date: 02/20/2024
Date Signed: 02/20/2024 01:21:21 PM


Document Has Been Signed on 02/20/2024 01:21 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:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364830080
ADMINISTRATOR:BRIANNE HINDMANFACILITY TYPE:
850
ADDRESS:13615 BEAR VALLEY ROADTELEPHONE:
(760) 949-8539
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:88CENSUS: 83DATE:
02/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Jeannette Honnold, Facility RepresentativeTIME COMPLETED:
01:20 PM
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On February 20, 2024, Licensing Program Analyst (LPAs) Calloway and Braddock made an unannounced case management inspection to the above facility. LPAs met with facility representative who granted access. LPAs toured the facility and observed eight three (83) active day care children and nine (9) staff.

On 1/29/24, there was a Unusual Incident Report (UIR) reported to the Palmdale Regional office where an incident occurred on 1/25/24 between a staff member and a child and on 2/14/24, there was an incident that occurred on 2/8/24, between a staff member and a child.

LPA conducted interviews with staff and children and obtained a child/parent roster and daily classroom roster. Per Title 22 regulations, there are no deficiencies cited during this inspection.

Exit interview was conducted and a copy of this report was read, a Notice of Site Visit, and Appeal Rights were provided to S1, facility representative, at the facility. A Notice of Site Visit must remain posted for thirty (30) consecutive days. Failure to maintain posting will result in a $100 civil penalty.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:
DATE: 02/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/20/2024
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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