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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418896
Report Date: 06/18/2024
Date Signed: 06/18/2024 02:04:01 PM

Document Has Been Signed on 06/18/2024 02:04 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:HOWARD FAMILY CHILD CAREFACILITY NUMBER:
197418896
ADMINISTRATOR/
DIRECTOR:		HOWARD, EDNA M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 718-3163
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
06/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Edna HowardTIME VISIT/
INSPECTION COMPLETED:
01:45 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 06/18/2024, at 10:00 A.M., Licensing Program Analyst (LPA) Joselito L. Del Mundo arrived at the facility to conduct a case management inspection. The purpose of the case management visit was to conduct a health and safety inspection at the facility. LPA met with Licensee, Edna Howard. The inspection included a review of facility records and a confidential interview with the licensee and children. LPA observed six children (8, 7, 5, 4, 6, and less than 3 years old) with the licensee providing care and supervision.

During this visit, LPA was able obtain a copy of the LIC9040 Children’s Roster of the day care. LPA conducted an interview with the licensee and children. At 1:00 P.M., licensee’s minor child (9) came to the facility. Based on the confidential interviews, it was determined that there were no children being inappropriately discipline while in care. No deficiencies were cited during this inspection.

A LIC 9213 Notice of Site Visit was left at facility and must be posted for 30 days. Failure to do so will result in an immediate civil penalty assessment of $100.00.

An exit interview was conducted, Appeal Rights and a copy of this report were provided to licensee, Edna Howard.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE: DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2024
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