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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700468
Report Date: 07/24/2023
Date Signed: 07/24/2023 04:09:43 PM

Document Has Been Signed on 07/24/2023 04:09 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:HART FAMILY CHILD CAREFACILITY NUMBER:
197700468
ADMINISTRATOR:HART, JOYCEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 230-5995
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
07/24/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Licensee Joyce HartTIME COMPLETED:
04:20 PM
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On 7/24/2023 at 3:40pm, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced Plan of Correction (POC) inspection. The LPA disclosed the purpose of the inspection and was permitted entry by the Licensee. The Licensee guided the LPA on a tour of the home. Upon entry to the facility, the LPA observe 8 children in care and two staff providing care and supervision (fingerprint cleared and associated to the facility.)

LPA reviewed the corrections made by the Licensee for the Mandated Reporter and Pediatric First Aid and CPR trainings for all staff (including the Licensee), the LIC 282, and the additional forms required for the children's records. The Licensee has complied and completed the corrections and there are no longer deficiencies as of the POC visit date of today, 7/24/2023. The POC Letter was completed and provided to the Licensee.

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

All licensing reports are recommended to be kept 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: 07/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2023
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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