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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700348
Report Date: 08/30/2023
Date Signed: 08/30/2023 10:23:43 AM

Document Has Been Signed on 08/30/2023 10:23 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:THOMPSON FAMILY CHILD CAREFACILITY NUMBER:
367700348
ADMINISTRATOR:MISSY THOMPSONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(442) 242-2071
CITY:OAK HILLSSTATE: CAZIP CODE:
92344
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
08/30/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Missy Thompson, Applicant TIME COMPLETED:
10:30 AM
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On August 30, 2023, Licensing Program Analyst (LPA), Kuliema Calloway conducted a follow up Pre-Licensing Visit to Thompson Family Child Care. LPA met with Applicant who granted access.

LPA and Applicant toured the home inside and outside and observed the window screens on the day care area windows, Bathroom #1 window and toilet were repaired, and the back yard is off limits temporarily. Applicant provided a written declaration stating the backyard is off limits and will notify Licensing once the yard will be in use. Licensee is aware that fees are due to previous facility number and cannot be licensed until those fee are paid.

Applicant was given the Pre-Licensing packet with licensing forms.

As a result of this inspection, Applicant was informed the childcare license is pending LPM approval.

Exit interview conducted: A copy of this report was read, a Notice of Site Visit were discussed and left with Missy Thompson, Applicant.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2023
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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