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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700147
Report Date: 03/21/2024
Date Signed: 03/21/2024 03:58:47 PM

Document Has Been Signed on 03/21/2024 03:58 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:MENDOZA FAMILY CHILD CAREFACILITY NUMBER:
367700147
ADMINISTRATOR:MENDOZA, YAMILETHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 954-8145
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92405
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
03/21/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Licensee Yamileth MendozaTIME COMPLETED:
04:10 PM
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On March 21, 2024 at 2:20 p.m., Licensing Program Analyst (LPA) Zirbes met with Licensee Yamileth Mendoza who guided analyst on a tour of the home for a Annual/Random inspection. This is single story home with three bedrooms, two bathrooms, kitchen, dining room, living room, laundry room, front/backyard and detached garage. Per Licensee the living room, dining room, hallway bathroom, and backyard are utilized for the family child care activities. Per licensee off-limit areas of the home are all three bedrooms, the bathroom located in the primary bedroom, the laundry room, kitchen, detached garage, front yard and a portion of the backyard. When LPA arrived, the child safety gate preventing children from accessing the off limit kitchen was missing, therefore the kitchen was accessible to the children in care. LPA toured the kitchen, no safety hazards were present. LPA reminded the Licensee that all off limit area must remain inaccessible to the children in care. LPA and Licensee discussed the process for making the kitchen an on limit area. All other off limit spaces were inaccessible via key locked door knobs and child safety covers on the door knobs. Upon arrival, LPA observed seven children in care (six preschool age and one school age) with the Licensee providing supervision. Currently living in the home are the Licensee, three adult household members and one minor child. All adults are associated and have eligible clearances. Current days and hours of operation are Monday through Friday 7:00 am to 4:30pm.
Physical Plant: The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds, medicines and hazardous items that can pose a danger to children. Per conversation with the Licensee, all cleaning products are stored in the off limits laundry room. Household medications are stored in the kitchen in a locked cabinet. The fire extinguisher was serviced in March 2024. Safe and age appropriate toys, play equipment and materials were present. LPA observed the pull down fire alarm, smoke detector and carbon monoxide detector in the home. The home has heating and air conditioning and was a comfortable temperature at the time of this inspection. There is one fireplace located in the living room. A storage container was placed in front of the fireplace therefore the fire place was inaccessible to the children in care. Report continued on page
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MENDOZA FAMILY CHILD CARE
FACILITY NUMBER: 367700147
VISIT DATE: 03/21/2024
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Report continued from page one
LPA did not observe baby bouncers/saucer chairs, or any recalled and or prohibited toys were observed on the premises

Per Licensee, there are zero firearms stored on the property.

Bathroom (located in the hallway of the home): Toilet, sink, shower, tub were clean and operable. LPA reminded the Licensee to ensure all shampoos and personal hygiene materials are inaccessible to the children in care.

Outdoor: The backyard is divided into off limit and on limit areas. The off limit areas were made inaccessible via a gate. At the time of this inspection, Licensee stated there are zero bodies of water on the premises. LPA did not observed bodies of water on the premises. The on limit outdoor play area was inspected and play equipment was observed to be free of hazards. LPA observed dramatic play house, and tiny tikes climbing equipment. LPA reminded the Licensee to regularly monitor the play equipment for potential hazards. LPA observed two locks storage sheds in the outdoor play space.

Per Licensee, the family has two dogs who are current on shots. Per Licensee, the dogs do not interact with the child care children.

LPA was unable to complete all components of the Annual/Random inspection on this date. Therefore, LPA will return to the child care on a future date to complete the inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Yamileth Mendoza.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
LIC809 (FAS) - (06/04)
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