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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700659
Report Date: 07/12/2023
Date Signed: 07/12/2023 05:04:43 PM


Document Has Been Signed on 07/12/2023 05:04 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:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
197700659
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
07/12/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
03:32 PM
MET WITH:Alice Adriana RamirezTIME COMPLETED:
05:05 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 7/12/2023, Licensing Program Analyst (LPA)Isabel Ortega conducted an announced prelicensing inspection for the purpose of conducting a subsequent follow up case management inspection. Applicant has applied for a Small Family Childcare Home. LPA was greeted by applicant, who guided the LPA on a tour of the home, out door play yard and pool area.

Applicant has corrected the following:
Child safety gate was placed between the back yard separating the children's outdoor play area and the evaporated cooler, a shed utilized for storage.

The Underground Pool is meeting Title 22 Regulations: the black mesh fence is measuring 5 feet and is surrounding the pool. The self-latching device is located six inches from the top of the gate. Applicant agrees fencing will remain in place during the hours of childcare operation and while any licensed children are in care.

Per Title 22 the pool is meeting regulation. Applicant is ready for effective today 7/12/2023. A Small Family Child Care home license has been granted.
An exit interview was conducted, and a copy of this report was provided to applicant. All Licensing reports are recommended to be kept on file for minimum three years.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/12/2023
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