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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750015
Report Date: 08/17/2023
Date Signed: 08/17/2023 03:01:23 PM


Document Has Been Signed on 08/17/2023 03:01 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:LANCASTER MONTESSORI PRESCHOOLFACILITY NUMBER:
197750015
ADMINISTRATOR:LALANIE HERATHFACILITY TYPE:
850
ADDRESS:933 NEWGROVE AVETELEPHONE:
(661) 723-0026
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:63CENSUS: 5DATE:
08/17/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Director Lalanie HerathTIME COMPLETED:
03:10 PM
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On 8/17/2023 at 2:10pm, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced Plan of Correction (POC) visit. The LPA disclosed the purpose of the inspection and was permitted entry by the Director. The Director guided the LPA on a tour of the facility . Upon entry to the facility, the LPA observe 5 children in care and one staff providing care and supervision (fingerprint cleared and associated to the center.)

LPA arrived at the facility to conduct the Plan of Correction Visit. The Licensee previously sent the LIC 308 on Sunday, August 6th, 2023 which designated the prior Director Lalanie Herath as the new Director replacing Karen Jones. The requirements of the documents needed to change Karen Jones over into the Director is no longer needed as they have not replaced the Director.

Completed the POC Clearance Letter and provided a written copy of the letter to the Director, in person. A copy of the POC Clearance Letter will be mailed via both certified and regular mail.

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.

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

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrea PittmanTELEPHONE: 661-202-3375
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2023
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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