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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
364808373
Report Date:
03/22/2023
Date Signed:
03/22/2023 10:34:07 AM
Document Has Been Signed on
03/22/2023 10:34 AM
- 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:
SBCSS PARK VIEW STATE PRESCHOOL
FACILITY NUMBER:
364808373
ADMINISTRATOR:
NANCY ALVARADO
FACILITY TYPE:
850
ADDRESS:
13427 CAHUENGA STREET
TELEPHONE:
(760) 843-3893
CITY:
VICTORVILLE
STATE:
CA
ZIP CODE:
92395
CAPACITY:
24
TOTAL ENROLLED CHILDREN:
24
CENSUS:
DATE:
03/22/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
10:04 AM
MET WITH:
TIME COMPLETED:
10:30 AM
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SUPERVISORS NAME
:
Mariela Ramon
LICENSING EVALUATOR NAME
:
Barbara Beneroso
LICENSING EVALUATOR SIGNATURE
:
DATE:
03/22/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/22/2023
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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