<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843322
Report Date: 05/11/2023
Date Signed: 05/11/2023 03:18:17 PM

Document Has Been Signed on 05/11/2023 03:18 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:OCS OUR LADY OF THE ASSUMPTION PRESCHOOLFACILITY NUMBER:
364843322
ADMINISTRATOR:SUSAN LONGFACILITY TYPE:
850
ADDRESS:796 W. 48TH STREETTELEPHONE:
(909) 475-5437
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: DATE:
05/11/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Acting Director, Tish GodsyTIME COMPLETED:
03:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Maddox met with Acting Director, Tish Godsy today for the purpose of conducting a Plan of Correction inspection to clear citations issued on 3/15/2023. During this inspection, LPA reviewed staff and children files for completion. Files reviewed today contained the required forms according to Title 22 Regulations. In addition, staff provided LPA with a copy of their lead testing that was conducted on 5/11/2023, Acting Director stated the water fountains on the yard have not been used since the COVID-19 pandemic.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 05/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1