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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418426
Report Date: 01/28/2025
Date Signed: 01/28/2025 12:38:35 PM

Document Has Been Signed on 01/28/2025 12:38 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:A PLACE OF OUR OWN LEARNING ACADEMY,INCFACILITY NUMBER:
197418426
ADMINISTRATOR/
DIRECTOR:		TOLLIVER, ADRIENNEFACILITY TYPE:
830
ADDRESS:2739 W. AVENUE LTELEPHONE:
(661) 718-3614
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 1DATE:
01/28/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:20 PM
MET WITH:Director/ Tolliver, Adrienne.TIME VISIT/
INSPECTION COMPLETED:
12:50 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 1/28/2025, Licensing Program Analyst (LPA) Carol Heath conducted an unannounced site visit at A Place of Our Own Learning Academy, INC, located at 2738 W. Avenue L, Lancaster. LPA met with the director, Tolliver, Adrienne. The purpose of the visit was to conduct a Case Management inspection related to documents provided for an individual (referred to as Person #1, see LIC 811) issued by the Department on 1/22/2025.

Upon arrival, LPA observed 1 infant in care with 1 teacher. LPA Heath provided the document to the director and inquired about when Person #1 was disassociated from the facility. LPA also checked the Guardian system and found that Person #1's Live scan status was separated from the facility.

The director was reminded that any uncleared adults are not permitted to reside at the facility or have any contact with children in care. An exit interview was conducted, and the report and related documentation were reviewed with the director, Tolliver, Adrienne.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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