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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843306
Report Date: 11/17/2023
Date Signed: 11/17/2023 10:52:39 AM


Document Has Been Signed on 11/17/2023 10:52 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:BONANZA SCHOOL, LLCFACILITY NUMBER:
364843306
ADMINISTRATOR:MELISSA WOJCIKFACILITY TYPE:
830
ADDRESS:14624 BONANZA ROADTELEPHONE:
(760) 241-7800
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: 6DATE:
11/17/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:41 AM
MET WITH:Alicia Flores, Site DirectorTIME COMPLETED:
11:00 AM
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On November 17, 2023, Licensing Program Analyst (LPA), Calloway made an unannounced inspection at the facility above. LPA met with Site Director who granted access. The purpose was to conduct a POC inspection for the TYPE A deficiency cited on November 16, 2023. LPA observed the deficiency posted on the parent wall and LIC 9224 in children's files. LPA toured with Site Director, the infant room and observed six infants and two teachers in active play.

Per Site Director there is a training being conducted on November 17, 2023 with the staff that will cover Safe Sleep for infants, Personal Rights, Safe Practice when holding or picking up and infant or toddler. Training will cover PIN 20-24-CCP and there will be 10 minute, 1 minute, and 30 second videos explaining ways to reduce SIDS. There is a sign in sheet for the staff that will attend the training.

LPA received a copy of the training as proof of correction.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:
DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/17/2023
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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