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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750151
Report Date: 02/08/2024
Date Signed: 02/08/2024 12:35:12 PM

Document Has Been Signed on 02/08/2024 12:35 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ARK ACADEMYFACILITY NUMBER:
197750151
ADMINISTRATOR:VONDA PERRYFACILITY TYPE:
840
ADDRESS:1146 COMMERCE CENTER DRIVETELEPHONE:
(661) 504-4034
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
02/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:52 AM
MET WITH:Director Vonda Perry TIME COMPLETED:
12:37 PM
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Licensing Program Analyst (LPA) Maddox met with Director Vonda Perry today for the purpose of conducting a case management inspection. Director is requesting to increase her capacity from 15 to 30 PS children. Center is located within a strip mall and occupies Suites ---- . There's also a licensed Inf (197750150) and PS(197750149) component on the same premises, waiver on file to share the play yard. During this inspection, LPA measured Classrooms #3 and 5 which are designated for School-age (SA) children, there's also 1 bathroom that contains 1 sink and 1 toilet, this bathroom provides individual privacy.

Classroom #3 measured 194 sq ft and classroom #5 measured 499 sq ft (for a total of 690 sq ft) , which is enough space to accommodate Director's requested capacity of 15 SA children.

Fire clearance has been received for the capacity increase, the waiver on file will need updating to cover the increase.

An exit interview was conducted with the above items discussed and a copy of this report was provided to the Director, Vonda Perry. Final increase determination will be made upon review of the Licensing Program Manager.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2024
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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