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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153906189
Report Date: 02/15/2023
Date Signed: 02/15/2023 10:57:30 AM

Document Has Been Signed on 02/15/2023 10:57 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:SANCHEZ, ALICIA FAMILY CHILD CAREFACILITY NUMBER:
153906189
ADMINISTRATOR:SANCHEZ, ALICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 332-0467
CITY:LAMONTSTATE: CAZIP CODE:
93241
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
02/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:TIME COMPLETED:
10:45 AM
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On 02/15/2023 LPA Beneroso attempted to conduct an annual inspection but licensee was not home. LPA spoke with licensee on the phone and she informed that she is out of the country due to a family emergency. Licensee will call back to when she returns.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2023
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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