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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408048
Report Date: 02/07/2024
Date Signed: 02/07/2024 10:17:43 AM

Document Has Been Signed on 02/07/2024 10:17 AM - 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:PALMDALE SCH. DIST.-CHAPARRAL HEAD START/STATE PREFACILITY NUMBER:
197408048
ADMINISTRATOR:DR. MELANIE CULVERFACILITY TYPE:
850
ADDRESS:37500 50TH STREET EASTTELEPHONE:
(661) 575-8959
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY: 142TOTAL ENROLLED CHILDREN: 142CENSUS: 20DATE:
02/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Joe Vega-SmithTIME COMPLETED:
10:16 AM
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On February 7, 2024, Licensing Program Analysts (LPAs) Kris Diaz and Sherell Braddock conducted an unannounced Case Management – Incident. LPAs met with Facility Representative Joe Vega-Smith. At the time of the visit 20 children were present in the facility with 3 staff.

Description of the incident: A incident occurred on 1/19/24. C1 was playing in the classroom when they were approached by C2. C2 attempted to play with C1. C1 continued to play. Per S1, C2 bit C1 on the leg for no reason. C1 and C2s parents were contacted. C1s parent took child for medical care. Staff was in close proximity. Staff was unable to stop the incident. Staff rendered aid to C1 immediately and redirected C2. C1 ad C2 have returned to center with no issue.

Per Representative, hours of operation are 8am-11:30am and 12pm-3pm. LPA conducted interviews with the School Readiness Coordinator and S1. Facility Representative will email C1 and C2s files and a copy of the current roster.

A safety inspection was conducted with zero deficiencies observed. No citations will be issued during this visit.

This inspection was conducted in person. The report was read with the Facility Representative, Joe Vega-Smith. A copy of this report, appeal rights, and a Notice of Site Visit was left. Notice of Site Visit must be posted for 30 days. An exit interview was conducted.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2024
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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