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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750104
Report Date: 01/20/2023
Date Signed: 01/20/2023 05:58:35 PM

Document Has Been Signed on 01/20/2023 05:58 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:SMALL WONDERS DAY CARE & PRESCHOOL INC.FACILITY NUMBER:
197750104
ADMINISTRATOR:VERONICA ROSEFACILITY TYPE:
850
ADDRESS:42537 50TH STREET WESTTELEPHONE:
(661) 816-8563
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 67TOTAL ENROLLED CHILDREN: 67CENSUS: 0DATE:
01/20/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:Veronica Rose, Director TIME COMPLETED:
06:15 PM
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On 01/20/23, Licensing Program Analyst (LPA) Justeene Tamayo met with Director Veronica Rose to conduct a Case Management inspection for the purpose to assess the structural damage of the licensed facility. Upon arrival, LPA observed 0 preschool children in care. The center is currently closed. LPA was unable to access and tour the inside of the center due to mold present. Per Director, the environmentalist will be going to the facility on Monday 01/23/23 to inspect the facility. At this time, the anticipated repairs of the licensed facility is in pending status. Director Veronica Rose is requesting a temporary relocation waiver until February 28,2023. The waiver request is currently under review.

This report has been read to Director Veronica Rose and she understands the request must be reviewed by management before the waiver is approved or denied. A copy of this report was provided to the Director, as well as her appeal rights and Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/20/2023
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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