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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409079
Report Date: 02/28/2025
Date Signed: 02/28/2025 11:11:47 AM

Document Has Been Signed on 02/28/2025 11:11 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:PSD ECE TUMBLEWEED CENTERFACILITY NUMBER:
197409079
ADMINISTRATOR/
DIRECTOR:		DR. MELANIE CULVERFACILITY TYPE:
850
ADDRESS:1100 EAST AVENUE R-4TELEPHONE:
(661) 267-9934
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 200TOTAL ENROLLED CHILDREN: 200CENSUS: 97DATE:
02/28/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Joe Vega Smith, School Readiness CoordinatorTIME VISIT/
INSPECTION COMPLETED:
11:20 PM
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On 02/28/2025, Licensing Program Analyst (LPA) Justeene Tamayo met with School Readiness Coordinator Joe Vega-Smith, who granted access to the facility. The purpose of the inspection was to conduct a follow up unannounced case management inspection for a UIR received at Palmdale RO on 01/23/25. Upon arrival, there were 97 preschool age children in care, along with 21 Teachers.

Description of Incident: On 01/17/25, child #2 hit child #1 in the forehead with a toy which caused a laceration on child #1 forehead.

During this follow up inspection, LPA Tamayo conducted an interview with child #2 to obtain additional information.

Based on the information obtained, it was revealed assistant teacher #1 observed the incident but did not have enough time to intervene to prevent child #2 hitting child #1. Child #1 corroborated that assistant teacher #1 did observe the incident. Child #2 has been moved to a different classroom to prevent this incident from reoccurring between the two children.

This incident was deemed accidental, and facility took appropriate measures to ensure child #1 received the appropriate first aid, and parents were notified immediately. No deficiencies have been cited at this time. Facility is reminded to continue to report any unusual incidents to the Palmdale Regional Office.

An exit interview was conducted, and a copy of this report was provided to Joe Vega-Smith, along with a copy of Notice of Site Visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2025
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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