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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191202102
Report Date: 02/11/2025
Date Signed: 02/11/2025 03:00:30 PM

Document Has Been Signed on 02/11/2025 03:00 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ST. STEPHEN'S PRESCHOOLFACILITY NUMBER:
191202102
ADMINISTRATOR/
DIRECTOR:		FIRTA, VIVIENFACILITY TYPE:
850
ADDRESS:24901 ORCHARD VILLAGE RDTELEPHONE:
(661) 259-8527
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 8DATE:
02/11/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:29 PM
MET WITH:Vivien Firta, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 2/11/25, Licensing Program Analyst (LPA) Crystal Ali met with Director Vivien Firta to conduct an unannounced case management inspection. The purpose of the case management was to follow up on unusual incident report (UIR) received 12/13/24. Incident occurred on 12/13/24, child was observed by teacher to have a seizure in the play yard. 911 was called and paramedics arrived they transported the child to hospital.

Upon arrival, LPA observed 8 preschool children napping and 2 staff providing care. LPA interviewed the director and obtained the contact information of two teachers. LPA was given a tour of the light blue classroom.

Due to the need to gather additional information, the case management will require further investigation.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with Director, Vivien Firta.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE: DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/11/2025
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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