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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415102
Report Date: 09/18/2024
Date Signed: 09/18/2024 12:43:12 PM

Document Has Been Signed on 09/18/2024 12:43 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:CCRC HEAD START-OSBORNEFACILITY NUMBER:
197415102
ADMINISTRATOR/
DIRECTOR:		ANGELEE OSTERFACILITY TYPE:
850
ADDRESS:13821 OSBORNE STREETTELEPHONE:
(818) 830-1369
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 29DATE:
09/18/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Celia Cassio, EECBSTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 9/18/2024, Licensing Program Analysts(LPAs) Isabel Ortega and Donna Maddox arrived at the facility, LPAs announced the purpose of today's inspection and was granted entry. Upon arrival LPAs observed 29 children in care 8 Staff providing care and supervision. Classroom #2 and classrooms #3 are utilized for preschool children ages 2 year to 5 year olds.

Today's Case Management inspection was initiated by facility. Facility has requested to add a Toddler component option. Due to new regulations this facility will be closed and a new single license shall be issued with effective 9/19/2024, new License number will be 197750194 (Toddler option classroom #1).

Facility is currently licensed for 80 children, however measurements today show a total of 55 children can be accommodated. The following measurements were as followed.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
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: CCRC HEAD START-OSBORNE
FACILITY NUMBER: 197415102
VISIT DATE: 09/18/2024
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Classroom #2 Measures:
38.06 x 19.11= 727.32 divided by 35(indoor space) is 20 children

Classroom #3 Measures:
36 x 21.02= 756.72 divided by 35 (indoor space) is 35 children
Total of 55 children ages 2 year to 5 year olds.

The outdoor space measures 8,766 divided by 75 = 116
Facility has 11 toilets including 2 urinals and 12 sinks.

Facility is in compliance and has met Title 22 regulations.

An exit interview was conducted and a copy of this report, appeal rights and Notice of Site Visit (NOA) was provided to the facility on this date. A copy of this report must be made available to the public for 3 years. NOA shall be posted for 30 days.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
LIC809 (FAS) - (06/04)
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