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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191202102
Report Date: 06/06/2024
Date Signed: 06/06/2024 12:48:07 PM

Document Has Been Signed on 06/06/2024 12:48 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: 0DATE:
06/06/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Director Viven FritaTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
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On 06/06/24, Licensing Program Analyst (LPA) Andrew Alemoh met with the facility Director Viven Firta, and Reverend Christopher Montella to conclude the unusual incident that was received by the Palmdale Regional Office on 05/21/24 and occurred on 05/21/24. The incident was investigated by the Investigation Bureau (IB) Investigator, Edward Hector. LPA toured the facility and observed 0 children present. The school year has ended at the facility.

On 05/21/24 the facility director reported an Unusual Incident concerning a parent who disclosed Staff #1 having inappropriate contact with Child #1 and other children. The unusual incident follow-up consisted of interviews with staff, children, and other relevant parties including the review of the facility surveillance video recording.

The interviews did not reveal any inappropriate contact from Staff #1 towards Child #1, and other children. The parents and staff statements corroborated in that Staff #1 is not present alone around the children. A review of the facility surveillance showed children singing and smiling along with two staff members. Interviews with all relevant parties denied that Staff #1 and facility representatives have not had any history of being left alone with the day care children.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 PRESCHOOL
FACILITY NUMBER: 191202102
VISIT DATE: 06/06/2024
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No violation of the California Title 22 Regulations has been found during the unusual incident follow-up concerning Staff #1 inappropriate contact with Child #1 and other children.

The facility is encouraged to continue to report Unusual Incidents to the Department.

A copy of this report was provided to the Director along with the notice of the site visit and appeal rights.

An exit interview was conducted with the licensee and a copy of this report was provided along with the appeal rights.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
LIC809 (FAS) - (06/04)
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