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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750104
Report Date: 10/04/2021
Date Signed: 10/04/2021 04:11:28 PM

Document Has Been Signed on 10/04/2021 04:11 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: 65TOTAL ENROLLED CHILDREN: 0CENSUS: 21DATE:
10/04/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:07 PM
MET WITH:Assistant Director, Linsay McClainTIME COMPLETED:
04:18 PM
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Upon arrival LPA Maddox and LPM Bell met with Linsay McClain who identified herself as the Assistant Director. During this unannounced inspection, LPA's observed 21 children with 2 teachers, Ms. Jenna and Calista along with cook, Ms. Adriana. During this inspection, Stephanie Roberts was not present. Assistant Director states Stephanie has not been present since the UIR was received.

The California Department of Social Services (CDSS) has determined that Stephanie Roberts continued or future contact with clients or presence in any community care facility, child day care facility, residential care facility for the elderly, or any other facility licensed by CDSS, constitutes a threat to the health, welfare or safety of the clients in care.

Upon receipt of the immediate exclusion order, Stephanie Roberts, must remove herself from any contact with clients and not be physically present in any facility.

The order to Immediately Exclude Stephanie Roberts was discussed in detail with Ms. Linsay who is aware that Stephanie Roberts must not be physically present in the facility nor can she have contact with children in care.

Ms. Linsay acknowledges the receipt of the Immediate Exclusion Order served today.

An exit interview was conducted with Linsay McClain and a copy of this report was provided along with the appeal rights.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2021
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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