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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700367
Report Date: 11/06/2023
Date Signed: 11/06/2023 05:12:34 PM

Document Has Been Signed on 11/06/2023 05:12 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:RODRIGUEZ FAMILY CHILD CAREFACILITY NUMBER:
367700367
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
11/06/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
04:35 PM
MET WITH:Applicant Alicia RodriguezTIME COMPLETED:
05:15 PM
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On November 6, 2023, at 04:35 p.m Licensing Program Analyst (LPA) Kendal Zirbes, conducted a Pre-Licensing inspection with applicant Alicia Rodriguez. The purpose of the inspection was to ensure the corrections from the October 16, 2023 prelicensing inspection were completed.
LPA and applicant completed a tour of the home. LPA observed the following:
1. A wooden lattice was added to the top of the wrought iron fence. The height of the fence surrounding the in ground pool is 5'7" (67 inches). Plastic greenery has been added to the spaces between the horizontal bars that previously measured more 4 inches. A person can not see through the plastic greenery that was added to the fence. A 5" foot gate that is self closing, self latching and opens away from the pool has been added to the side of the home.
2. The off limits areas have been made inaccessible via sliding latches.
3. The fireplace in the living room has been made inaccessible via a secure mesh barrier secured to the wall. 4. All cleaning compounds are in cabinets equipped with child safety locks.

As a result of this inspection, LPA will need to discuss the fence surrounding the in ground pool with a Licensing Program Manager.



An exit interview was conducted, and a copy of this report and appeal rights were discussed with the Applicant Alicia Rodriguez.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2023
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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