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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700354
Report Date: 09/15/2022
Date Signed: 09/15/2022 01:54:07 PM

Document Has Been Signed on 09/15/2022 01:54 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:WINGERT FAMILY CHILD CAREFACILITY NUMBER:
197700354
ADMINISTRATOR:WINGERT, SUSANNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 274-8355
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
09/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Susann Wingert, LicenseeTIME COMPLETED:
02:00 PM
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On 09/15/2022, Licensing Program Analysts (LPAs) Justeene Tamayo and Andrew Alemoh conducted an unannounced case management inspection. The purpose of this inspection is to obtain measurements of the pool area. Upon arrival, LPAs were greeted by licensee Susann Wingert. LPAs observed two day care children in care.

A copy of this report was provided to licensee, along with a Notice of Site Visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022
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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