<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700367
Report Date: 12/15/2023
Date Signed: 12/15/2023 04:05:08 PM

Document Has Been Signed on 12/15/2023 04:05 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: 0CENSUS: 0DATE:
12/15/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Applicant Alicia RodriguezTIME COMPLETED:
04:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On December 15, 2023, at 03:15 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. The in ground pool is surrounded by a wrought iron fence with a secured mesh screening attached to the top which make the fence at least 5'. The fence is mounted on cement and grass. The bottom of the fence is no more than 4” from the concrete.  The bars of the fence are no more than 4” apart.  There are two gates that access the pool which swing away from the pool and are equipped with a self-closing, self-latching mechanism that is not more than 6” from the top of the gate.  There are no items around the perimeter of the fence that would allow the fence to be climbable.
2. The one window from the home which provided access to the pool has been replaced with a fixed window.
Prior to final approval of the family child care license, LPA will discuss the outdoor space 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: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1