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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191202102
Report Date: 05/31/2024
Date Signed: 05/31/2024 04:27:07 PM

Document Has Been Signed on 05/31/2024 04:27 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:ST. STEPHEN'S PRESCHOOLFACILITY NUMBER:
191202102
ADMINISTRATOR/
DIRECTOR:		FOSTER, AMANDAFACILITY TYPE:
850
ADDRESS:24901 ORCHARD VILLAGE RDTELEPHONE:
(661) 259-8527
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 41DATE:
05/31/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Director Vivan TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On May 31, 2024, Licensing Program Analyst (LPA) Andrew Alemoh conducted an unannounced Case Management Incident inspection and met with facility representative, Vivien Firta. LPA disclosed the purpose of the inspection and was granted entry into the facility by the facility representative. 41 (preschool age) children and (12) teachers were present in the facility during the inspection. At the time of this inspection teachers and children were observed leaving the facility via time off or parent pickup.

The purpose of the inspection was to follow up on a unusual incident report (UIR) which occurred on May 21, 2024 at the facility. The Department was notified of the UIR on May 21, 2024. According to the UIR, SA(sexual abuse) incident may have occurred at the facility.

LPA interviewed the licensee/director and other relevant complaint parties. (See LIC 811 Confidential Names). LPA obtained a copy of the facility roster.

Further investigation is required in order to resolve the unusual incident.

An exit interview was conducted and a copy of the report, appeal rights, and notice of the site visit was left with Director Vivien Frita.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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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