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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191224046
Report Date: 02/10/2026
Date Signed: 02/10/2026 02:37:20 PM

Document Has Been Signed on 02/10/2026 02:37 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:VERDUGO HILLS FAMILY YMCAFACILITY NUMBER:
191224046
ADMINISTRATOR/
DIRECTOR:
CHELSEA LAWRENCEFACILITY TYPE:
850
ADDRESS:6840 FOOTHILL BOULEVARDTELEPHONE:
(818) 352-3255
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY: 79TOTAL ENROLLED CHILDREN: 79CENSUS: 15DATE:
02/10/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Chelsea Lawrence, DirectorTIME VISIT/
INSPECTION COMPLETED:
02:46 PM
NARRATIVE
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On Tuesday, February 10, 2026, Licensing Program Analyst (LPA) Evelyn Garcia conducted an unannounced annual inspection and met with Facility Director, Chealsea Lawrence who guided LPA Garcia on a tour of the facility. This is a preschool program that serves children ages 2 to 5 years old. This program operates Monday to Friday 7:00am – 6:00pm. Sign in and out takes place at the entrance of the facility. All areas identified on the facility sketch were toured and inspected both indoors and outdoors. Teacher and child ratio were observed, and present staff are fingerprinted cleared, however LPA Garcia observed 1 teacher who did not have the minimum qualifications. 1 Type A violation has been issued. Please see 809-D for more information. Upon arrival, there were 16 children present, 4 staff providing care and supervision.

LPA entered the Yellow Birds Classroom, which serves children 3 years of age. There were 5 children present and 2 and 1 staff in this classroom as LPA Garcia toured. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cubbies for children to store their personal belongings. Cleaning supplies were not observed to be stored in the classroom.

LPA entered the Green Birds classroom, which serves children 4-5 years of age. There were 6 children present and 2 staff in this classroom as LPA Garcia toured. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cubbies for children to store their personal belongings. Cleaning supplies were not observed to be stored in the classroom. LPA observed sliding outlet covers that require replacement due to exposed electrical sockets and non-functional sliding covers. LPA Garcia observed a trash bin with a tight lid.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 02/10/2026 02:37 PM - It Cannot Be Edited


Created By: Evelyn Garcia On 02/10/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: VERDUGO HILLS FAMILY YMCA

FACILITY NUMBER: 191224046

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101216.1(b)(1)
Teacher Qualifications and Duties
(b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below: (1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below; or shall have obtained a Child Development Assistant Permit issued by the California Commission on Teacher Credentialing.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care. LPA Garcia observed Adriana Macias providing care and supervision to 5 children without meeting the minimum qualifications.
POC Due Date: 02/11/2026
Plan of Correction
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Director immediately transferred the children to a classroom with a fully qualified teacher, and will ensure that all aides are working under the direct supervision of a fully qualified teacher and have the minimum qualifications to work at the facility.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Mariela Ramon
NAME OF LICENSING PROGRAM MANAGER:
Evelyn Garcia
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 02/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/10/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/10/2026 02:37 PM - It Cannot Be Edited


Created By: Evelyn Garcia On 02/10/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: VERDUGO HILLS FAMILY YMCA

FACILITY NUMBER: 191224046

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101221(b)(8)(C)
Child's Records
(C) A signed consent form for emergency medical treatment unless the child's authorized
representative has signed the statement specified in Section 101220(f).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care. Upon review of children's files, it was revealed that the LIC 627 Consent for Emergency Medical Treatment, was not on file.
POC Due Date: 02/11/2026
Plan of Correction
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Director stated she will have all children's parents fillout the form and file in each of the child's files for review by the department. LPA informed director to provide proof that the forms have been filled and signed by the parent by the date above.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Mariela Ramon
NAME OF LICENSING PROGRAM MANAGER:
Evelyn Garcia
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 02/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/10/2026


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: VERDUGO HILLS FAMILY YMCA
FACILITY NUMBER: 191224046
VISIT DATE: 02/10/2026
NARRATIVE
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LPA entered the Blue Birds classroom, which serves children 2 years of age. There were 5 children present and 2 staff in this classroom as LPA Garcia toured. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cubbies for children to store their personal belongings. Cleaning supplies were not observed to be stored in the classroom.

Heating, lighting and ventilation were evaluated by LPA Garcia. LPA observed central Heating and A/C units on located in each classroom. LPA observed the temperature of the classrooms to be comfortable to the children. LPA observed fire extinguishers located in the outdoor hallways. The valve for the fire extinguisher on the required 2-A-10BC fire extinguishers indicating fully charged and serviced on 6/13/25. The carbon monoxide detectors and smoke detectors were tested during this visit and LPA heard sounds and are operable. The last emergency drill was conducted on 1/22/26. LPA observed napping equipment (cots) to be in good condition and stored in each classroom closet. First aid kit supplies are kept inside the classrooms, out of reach to the children. LPA observed the kits to be fully equipped. Site Director, Chealsea also informed LPA that additional first aid backpacks are kept in the office in case of an emergency and evacuation is needed. During this visit, per Site director, stated there are currently no children with medication nor with food allergies enrolled. LPA Garcia asked if there were any poisons, firearms, weapons or bodies of water. Site director stated no firearms, weapons, or poisons, but the YMCA does have a in-ground pool on the premises. LPA did not observe firearms or weapons, poisons, but did observe the in-ground pool. Director stated the ill isolation area takes place outside in front of the classrooms and children utilize staff restroom.

The In-ground pool located on premises is off-limits to the children in care and located on opposite ends of the facility. And in between childcare and the pool is the facility operating area used by the YMCA that is off limits to the children. The children do not use the pool on the premises. LPA observed a lifeguard on duty and director informed LPA that if there is no lifeguard on duty, the pool is locked. The doors that exit the daycare area and enter the YMCA facility have a push button near the top of the door that needs to be pushed to open the door. The doors that have direct access to the pool are push bar doors. However, the doors with direct access to the pool are not easily accessible to the children.

There are 2 restrooms located in this facility that are utilized by the children. They are located between the blue birds and red birds classroom.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
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: VERDUGO HILLS FAMILY YMCA
FACILITY NUMBER: 191224046
VISIT DATE: 02/10/2026
NARRATIVE
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There is the girls restroom which has 2 toilets and 3 sinks. The boys bathroom has 2 toilets and 3 sinks and during this inspection the urinal was out of order. LPA Garcia observed the restrooms to be in good condition with working toilets, sinks, hand soap dispenser and paper towels. LPA observed a total of 4 toilets and 6 hand washing sinks utilized by the children. There are 2 staff restrooms in this facility.

LPA Garcia entered the outdoor play area. The outdoor play area is surrounded by a white vinyl fence that measures over 5 feet high. The surface of the outdoor activity space (poured in rubber) is maintained in a safe condition and is free of hazards. LPA Garcia observed play structure and equipment to be age-appropriate for ages 2-5 years and areas around or under high climbing equipment, are cushioned with poured in rubber that may absorb a fall. For adequate shade, LPA Garcia observed 2 hip roof shade canopies. The entrance gate to the play yard has a latch and helps contain the children in the play area. For outdoor water drinking, staff bring out the children’s individual water bottles.

This program provides meals and snacks for the children, and the meals are prepared on a daily basis. LPA Garcia informed director that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. Menu items are handed to the parents. Director informed LPA that Lead testing is conducted by the City of Los Angeles on a yearly basis but did not have the report due to maintenance manager is the person who received those reports. Per director there and there was no exceedance and they do not use the water fountains for drinking water. This facility drinks water from filtered water system. Water bottles are used and brought from home or provided by facility.

The following documents were posted in a prominent, publicly accessible area at the facility: Facility License, Daily Schedule, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), and Earthquake Preparedness (LIC 9148), Emergency Disaster Plan (LIC 610) and. LPA Garcia observed sign in/out sheets (bright wheel) and observed 15 children signed in and 16 children present. LPA explained to site designee the importance of having parents sign each child in and out each day.

LPA Garcia reviewed the children’s roster, children’s files and staff files and observed the children’s files to be missing the LIC 627, Consent for Emergency Medical Treatment.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC809 (FAS) - (06/04)
Page: 6 of 9
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: VERDUGO HILLS FAMILY YMCA
FACILITY NUMBER: 191224046
VISIT DATE: 02/10/2026
NARRATIVE
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LPA Garcia observed a director Pediatric First Aid/CPR certification dated 4/25/25, director stated she does not believe she has completed the Preventative Health and Safety certification and will complete and send to LPA for proof of completion. Director has proof of immunization against Pertussis, MMR and Influenza. Director has completed the mandated reporter (AB 1207) training dated 10/27/25. Director was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

Items discussed during this visit:

1. The following items are prohibited by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both

2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.

3. Current Children’s Roster: Each childcare facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.

4.LIC 311A - Records to be Maintained at the Facility: LPAs advised that forms, regulations and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov.

5.Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR and EMSA approved must be present.

6.Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
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: VERDUGO HILLS FAMILY YMCA
FACILITY NUMBER: 191224046
VISIT DATE: 02/10/2026
NARRATIVE
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7. Qualifications: Educational background, training, and/or experience for each staff present must be available for review

8. Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles or influenza declination

9.Children’s Records: must be available for review; including but not limited to, the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

Criminal Record Clearance - Licensee [or facility representative] was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child

Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP).LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.LPA referred licensee facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC809 (FAS) - (06/04)
Page: 8 of 9
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: VERDUGO HILLS FAMILY YMCA
FACILITY NUMBER: 191224046
VISIT DATE: 02/10/2026
NARRATIVE
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The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Deficiencies: 1) Type A Violation- Non-qualified staff were observed providing care and supervision to children. 2) Type B Violation – Review of the child’s file revealed that the LIC 627 was not on file.

LPA Evelyn Garcia informed facility representative Chelsea Lawrence, that this report dated 2/10/25 documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Evelyn Garcia informed the facility representative, Chelsea Lawrence, to provide a copy of this licensing report dated, 2/10/26 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

In addition, the Director shall ensure that all safety measures within the facility are routinely inspected and maintained. This includes verifying that all sliding electrical outlet covers are functioning properly, with any defective or nonfunctional covers promptly replaced, and inspecting the vinyl fence in the children’s playground to ensure there are no sharp edges, gaps, or holes, with any necessary repairs completed immediately.

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted and report was reviewed with Facility Director, Chelsea Lawrence.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC809 (FAS) - (06/04)
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