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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750170
Report Date: 03/06/2025
Date Signed: 03/06/2025 12:52:04 PM

Document Has Been Signed on 03/06/2025 12:52 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:CCRC 10TH STREET HEAD STARTFACILITY NUMBER:
197750170
ADMINISTRATOR/
DIRECTOR:
BEATRIZ ZAMORANO-PEDREGONFACILITY TYPE:
850
ADDRESS:44236 10TH ST WESTTELEPHONE:
(661) 494-7999
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 55DATE:
03/06/2025
TYPE OF VISIT:Case Management - Infectious Disease OutbreakUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Leah Sotto - SupervisorTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On Thursday March 6th 2025., Licensing Program Analysts (LPA) Braddock met with Licensee/facility representative, Joyce Hart and Leah Sotto who granted access to the facility. The purpose of the inspection was to conduct an unannounced case management inspection for a UIR received at Palmdale RO on 03/4/2025. LPA disclosed the purpose of the inspection to the facility representative. When LPA arrived at the facility there were 55 children in care with 10 staff. The hours of operation for the program are Monday through Friday 7:00 am to 5:30 pm.

During the inspection LPA interviewed staff present. While conducting the interview with supervisor Leah Sotto she received an email from DPH stating that the cases do not meet outbreak criteria since there are in different classes. LPA obtained a copy of the email and completed a safety inspection of the facility.

Based on LPAs observations zero citations were observed or issued today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the facility representative.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Sherell Braddock
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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