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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700229
Report Date: 05/24/2023
Date Signed: 05/24/2023 11:43:23 AM

Document Has Been Signed on 05/24/2023 11:43 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:CENDEJAS FAMILY CHILD CAREFACILITY NUMBER:
367700229
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
05/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Licensee, Krystal CendejasTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Maddox met with Licensee, Krystal Cendejas today for the purpose of conducting a Case Management inspection for a capacity increase. Present today were 7 children, Licensee, and her spouse. This is a two-story home with 3 bedrooms, 3 bathrooms, kitchen, dining area, living room, family room, garage and laundry room. The main area of care is conducted in the living room, children use 1 bathroom located downstairs, and the front yard (licensee states she takes children for daily walks). Today LPA observed 5 dogs present, Licensee states 1 dog belongs to her daughter, dogs are kept in dog cages and separated from children (kept in the family room). LPA verified Licensee has current CPR exp 4/2025 and Mandated Reporter exp 8/2023. Licensee's spouse, Frank Quijada will be her assistant. Frank has a fingerprint clearance, required immunization's, and current CPR (exp 4/2025). Fire Clearance was approved as of 5/19/2023. LPA verified the fire extinguisher is fully charged, the carbon monoxide and smoke detector are operable. LPA inspected the backyard and verified the mesh fencing surrounding the swimming pool is at least 5 ft high, the entrance gate opens away from the pool and there is a spring closure that allows the gate to close automatically once opened. There is a child gate in place on the stairs and between the living room and Kitchen area. Cleaning supplies and sharp knives are kept in a high cabinets in the kitchen. The bathroom is toured and there were no hazardous items were found under the sink cabinet, no medicine cabinet present. Home was found to be incompliance with Title 22 Regulations, capacity increase will be approved and effective Friday, May 26, 2023.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2023
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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