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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841958
Report Date: 02/09/2023
Date Signed: 02/09/2023 01:31:02 PM

Document Has Been Signed on 02/09/2023 01:31 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:MARQUEZ FAMILY CHILD CAREFACILITY NUMBER:
364841958
ADMINISTRATOR:MARQUEZ, HEIDIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 713-5144
CITY:VICTORVILLESTATE: CAZIP CODE:
92395
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
02/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Heidi Marquez TIME COMPLETED:
11:20 AM
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On February 09, 2023 at 10:45 AM, Licensing Program Analyst (LPA) Beneroso arrived at the facility for the purpose to conduct a case management incident inspection to follow-up on an unusual incident that occurred on or about February 2023 and was reported to the Department on 2/6/23. Upon arrival, LPA was greeted by Rosalyn Flores, assistant. Licensee, Mrs. Marquez arrived shortly after.

The Unusual Incident Report indicates that on or about February 2023 child #1 had inappropriate contact with child #2. During this case management inspection LPA obtained a copy of the facility’s roster, children’s records and other relevant documents pertaining to the unusual incident. LPA informed Mrs. Marquez the department’s investigator Ryan Miles will be following up on the unusual incident. At this time, further follow up is needed.

An exit interview was conducted, and a copy of the report was provided to Licensee, Mrs. Marquez.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2023
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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