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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192009908
Report Date: 12/06/2024
Date Signed: 12/06/2024 01:15:48 PM

Document Has Been Signed on 12/06/2024 01:15 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:ARAUJO FAMILY CHILD CAREFACILITY NUMBER:
192009908
ADMINISTRATOR/
DIRECTOR:		ARAUJO, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 895-8572
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/06/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Maria Araujo, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 12/06/2024 LPA Ortega arrived at the facility since no response to letters and phone number on file has been disconnected. New phone number has been updated. Licensee disclosed facility is currently not active and does not have any children enrolled. Licensee allowed LPA in the home and LPA did not observe any children in care.

LPA printed and demonstrated licensee the delinquent annual fees, of $210.00, Licensee stated she did not receive the letter and besides she does not understand English to well. According to licensee she paid her annual fees. Informed licensee according to records Department has not received payment. Informed Licensee until annual fees are paid she may be placed back to inactive care for now a payment of $210 is due, explained appeal rights.

Licensing Program Analyst (LPA) Ortega conducted a Case Management inspection. Per licensee she is requesting inactive status 12/29/2024 to 12/29/2025. The request inactive child care license status form submitted.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2024
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: ARAUJO FAMILY CHILD CARE
FACILITY NUMBER: 192009908
VISIT DATE: 12/06/2024
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LPA reviewed regulations and maintaining compliance, fingerprint clearance for all adults over the age 18 years living in the home, and current in annual fees. Licensee is aware no children may be enrolled until LPA completes an annual inspection and Pediatric First Aid/CPR and Provider Mandated Reporter training is current (www.mandatedreporterca.com).

An exit interview was conducted, a copy of this Report, Appeal Rights, and Notice of Site Visit were provided on this day.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024
LIC809 (FAS) - (06/04)
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