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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
153807436
Report Date:
04/05/2023
Date Signed:
04/10/2023 04:29:02 PM
Document Has Been Signed on
04/10/2023 04:29 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:
SALAZAR, MARIA FAMILY CHILD CARE
FACILITY NUMBER:
153807436
ADMINISTRATOR:
SALAZAR, MARIA
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(661) 845-8169
CITY:
LAMONT
STATE:
CA
ZIP CODE:
93241
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
2
DATE:
04/05/2023
TYPE OF VISIT:
Case Management - Annual Continuation
UNANNOUNCED
TIME BEGAN:
10:30 AM
MET WITH:
Maria Salazar
TIME COMPLETED:
12:30 PM
NARRATIVE
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SUPERVISORS NAME
:
Mariela Ramon
LICENSING EVALUATOR NAME
:
Barbara Beneroso
LICENSING EVALUATOR SIGNATURE
:
DATE:
04/10/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/10/2023
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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