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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700080
Report Date: 02/15/2023
Date Signed: 02/15/2023 10:18:07 AM

Document Has Been Signed on 02/15/2023 10:18 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:BRASSFIELD FAMILY CHILD CAREFACILITY NUMBER:
367700080
ADMINISTRATOR:BRASSFIELD, LINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 202-2829
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
02/15/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Licensee Linda Brassfield TIME COMPLETED:
10:25 AM
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On February 15, 2023 at 9:15am, Licensing Program Analyst (LPA) Zirbes conducted an unannounced Plan of Correction (POC) inspection. The purpose POC inspection was to clear deficiencies cited on January 27, 2023. Present during today’s inspection were four children ages 11 months, 6 months, and two 3 year olds and two staff members (Licensee and Staff 1).

A tour of the facility was conducted at 9:36am. LPA observed the following:
1. Child 1 and child 2 were observed playing on the floor with toys. LPA observed one play yard which was free from all loose article and objects. LPA and Licensee discussed the safe sleep regulations. Prior to this inspection, Licensee confirmed via email that the safe sleep regulations and safe sleep informational videos were reviewed.
2. Zero hazards were observed in the outdoor play space

LPA conducted a review of staff and child files. Based on the LPAs file review the following was noted:
1. Staff members have current mandated reporter training
2. Child files have immunization records
3. Current roster listing current enrolled children and physicians contact information.


Based on LPAs observations and record review all deficiencies except for one are cleared. A extension was requested for one pending citation regarding staff member immunization's.
No deficiencies were observed during todays inspection.

An exit interview was conducted, a copy of this report, and notice of site visit were provided to Licensee Linda Brassfield.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2023
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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