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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750029
Report Date: 11/30/2023
Date Signed: 11/30/2023 01:23:51 PM

Document Has Been Signed on 11/30/2023 01:23 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:CADENCE ACADEMY PRESCHOOLFACILITY NUMBER:
197750029
ADMINISTRATOR:KEELAN PRATTFACILITY TYPE:
850
ADDRESS:23720 WILEY CANYON ROADTELEPHONE:
(661) 254-6855
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY: 148TOTAL ENROLLED CHILDREN: 148CENSUS: 88DATE:
11/30/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Director Keelan Pratt TIME COMPLETED:
02:00 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 11/30/2023 Licensing Program Analyst (LPA) Andrew Alemoh met with Director Keelan Pratt, for a case management incident, inspection involving an Unusual Incident Report (UIR) received by email on 11/22/2023; the incident was reported timely by the center. LPA toured the facility and took a census of the children. Upon arrival, there were 88 children and 21 staff with the director and assistant director present today.

Description of the incident: The incident occurred on 11/22/2023 at approximately around 5:41PM. Teacher #1 reminded Child #1 to use the bathroom by the end of the day. As child #1 was heading to the restroom he tripped and hit his head on the corner of the wall. This resulted in child #1, getting injured. Teacher #1 promptly administered aid to child #1, by applying an ice pack with pressure to the injured area. The child's parents were contacted immediately and child #1 was taken to the doctors office and received two staples to the head. The facility was closed the following Thursday/Friday due to the holiday break of Thanksgiving. Parents were notified and informed the facility that they will return to the hospital for staple removal, within in 7 days of the incident. Per director statements parents informed the director that Child #1 will return to the facility once the staples are removed. During today's inspection child #1 was not present at the facility during the time of the visit. It appears that at the time of the incident staff were in ratio and capacity. Based on the information obtained, it does not appear that a violation of Title 22 Regulations occurred due to the incident being an accident.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CADENCE ACADEMY PRESCHOOL
FACILITY NUMBER: 197750029
VISIT DATE: 11/30/2023
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
26
27
28
29
30
31
32
LPA observed video evidence of the child falling on the corner of the wall. In the video it was observed that Teacher #1 was observed to be heading towards to restroom area to ensure no other children were in the restroom. Child #1 proceeded to follow Teacher #1 to the restroom in a swift manner. It was than when child #1 tripped on his own feet and hit his head on the corner of the wall. Teacher #1 acted swiftly and provided first aid by observing the bump on the child head and applying an ice pack.

No citations are being issued on this date. Proper supervision was being taken in account on the day of the incident. This Unusual Incident was reported timely to the Palmdale Regional Office. Director has met with staff to ensure that preventative measures are being taken to ensure the safety of children in care. An exit interview was conducted and a copy of this report was read and provided to the Director on 11/30/2023

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2