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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700468
Report Date: 05/15/2024
Date Signed: 05/15/2024 11:09:36 AM

Document Has Been Signed on 05/15/2024 11:09 AM - 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/
DIRECTOR:		HART, JOYCEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 230-5995
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
05/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:47 AM
MET WITH:Staff Shavon JohnsonTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
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On 5/15/2025 at 9:47am, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced case management at the facility and was met by Staff Person Shavon Johnson who permitted entry to the facility. LPA toured the facility with the Staff according to the facility sketch. Upon arrival, LPA observed 3 children with 1 staff member providing care and supervision. Two additional staff members arrived during the visit.

LPA conducted interviews and reviewed personnel files.

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

All licensing reports are recommended to be kept for 3 years. 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: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2024
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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