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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700634
Report Date: 02/27/2023
Date Signed: 02/27/2023 10:04:19 AM

Document Has Been Signed on 02/27/2023 10:04 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:CRUZ FAMILY CHILD CAREFACILITY NUMBER:
197700634
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
02/27/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:TIME COMPLETED:
10:20 AM
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On 02/27/23 Licensing Program Analysts (LPA) Beneroso, met with Applicant, Diana Cruz for the purpose of conducting a Follow-Up Pre-Licensing inspection for a Small Family Day Care Home. This follow-up visit is to review corrections from the initial pre-licensing visit conducted by LPA Beneroso on 02/08/23

LPA observed the following corrections:

1. BBQ grills were removed or covered
2. Locks were placed in 2 storage unit
3. Cots for napping were obtained
4. Smoke alarm and carbon dioxide alarm were installed
5. Bikes were removed from accessible areas
6. Control panel of wall heater was barricaded.


Based on LPA's observations, the facility is now in compliance with Tittle 22 Regulations and is ready for licensure effective 02/27/23

An exit interview was conducted and a copy of this report was provided to applicant Diana Cruz .
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2023
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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