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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750156
Report Date: 06/07/2023
Date Signed: 06/07/2023 05:06:47 PM

Document Has Been Signed on 06/07/2023 05:06 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:AUNTIE JESSIE PRESCHOOLFACILITY NUMBER:
197750156
ADMINISTRATOR:JESSICA FONSECAFACILITY TYPE:
830
ADDRESS:321 EAST AVENUE K4TELEPHONE:
(661) 483-1947
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 0DATE:
06/07/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH: Jaime FonsecaTIME COMPLETED:
05:21 PM
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Licensing Program Analyst (LPA) Maddox met with Jessica Fonseca and her husband Jaime Fonseca today for the purpose of conducting a 2nd Pre-Licensing inspection for the Infant component. This 2nd inspection is conducted to re-measure the outside play yard, during the 1st inspection, the outside play yard could only accommodate 3 children. During this inspection, the outside measurements were as follows:

41 X 12.5 = 513/75 = 7

25 X 7.5 = 188/75 = 3

Total outdoor space can accommodate 10 Infants.

A waiver is required due to the outside area not large enough to accommodate the total capacity of 20. An exit interview was conducted, a copy of this report was left with Jessica Fonseca.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023
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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