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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364819492
Report Date: 08/01/2024
Date Signed: 08/01/2024 02:01:12 PM

Document Has Been Signed on 08/01/2024 02:01 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:KIDS DISCOVERY WORLDFACILITY NUMBER:
364819492
ADMINISTRATOR/
DIRECTOR:		MALKANTHI FERNANDOFACILITY TYPE:
850
ADDRESS:15858 BEAR VALLEY ROADTELEPHONE:
(760) 241-2416
CITY:VICTORVILLESTATE: CAZIP CODE:
92395
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: DATE:
08/01/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:32 PM
MET WITH:Mal FernandoTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 8.1.24, Licensing Program Analyst conducted an unannounced Case Management Inspection at the facility. The purpose of the visit was to follow up on a UIR received at the RO on 7.22.24. LPA was greeted by Facility Director, Micha Hendrix, who granted access to the facility. LPA conducted a safety inspection that resulted in zero deficiencies. At the time of the visit there were 36 children present with 3 staff members (one of which was the licensee). There were also 9 infants present with 3 staff. The Director left shortly after LPAs arrival.

During the inspection, LPA conducted interviews with parties related to the UIR. LPA reviewed files for C1 and C2 and attempted to interview the children. The interviews could not be conducted due to the age of the children and their lack of understanding. LPA was able to speak to P1 and P2 and there is no cause for further concern regarding the incident at this time. No action is necessary at this time and no deficiencies were issued.

LPA conducted this inspection in person. LPA read this report with the Licensee, Mal Fernando, and provided a copy. A Notice of Site Visit was provided and must be posted in the facility for 30 days. Failure to comply could result in civil penalty. Licensee was provided a copy of Appeal Rights. Exit interview conducted.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2024
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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