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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844539
Report Date: 10/02/2023
Date Signed: 10/02/2023 09:38:34 AM

Document Has Been Signed on 10/02/2023 09:38 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
364844539
ADMINISTRATOR:GARCIA, DEBORAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 965-9534
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
10/02/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Licensee Deborah Garcia TIME COMPLETED:
09:45 AM
NARRATIVE
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On October 2, 2023, at 09:09 a.m., Licensing Program Analyst (LPA) Kendal Zirbes met with Licensee Deborah Garcia. The purpose of the inspection was to conduct an unannounced case management inspection at the licensed facility. LPA disclosed the purpose of the inspection to the Licensee. When LPA arrived to the facility, the Licensee and assistant were providing supervision to nine children.

LPA and Licensee completed a safety tour of the home at approximately 09:12 a.m. During the inspection, Licensee showed LPA where the firearms are stored in the home. Based on LPA observation and conversation with the Licensee, the firearms were stored according to Title 22 regulations, at the time of this inspection.

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 Licensee Deborah Garcia.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 10/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2023
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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