<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414249
Report Date: 07/10/2023
Date Signed: 07/10/2023 12:00:38 PM

Document Has Been Signed on 07/10/2023 12:00 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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:VHERU AND HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
197414249
ADMINISTRATOR:VHERU, LORRAINE S.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 839-2175
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
07/10/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:21 AM
MET WITH:Alma PerezTIME COMPLETED:
12:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 7/10/2023 at 9:21am, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced case management visit. The LPA disclosed the purpose of the inspection and was permitted entry by the Licensee’s Employee Alma Perez. The employee guided the LPA on a tour of the home. Upon entry to the facility, the LPA observe 6 children in care and two staff providing care and supervision (fingerprint cleared and associated to the center.) Two additional children arrived during the visit bringing the census to 8.

LPA toured the facility, observed the facility and care provided, reviewed records, and conducted interviews with staff and children in care. LPA obtained copies of children's records and an updated copy of the children's roster.

An exit interview was conducted, a copy of this Report, a Notice of Site visit, and Appeal rights were provided and discussed with the Employee Alma Perez..

All licensing reports are recommended to keep for 3 years and the Notice of Site visit is to be posted and visible to parents for 30 days.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE: DATE: 07/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1