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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700396
Report Date: 01/10/2024
Date Signed: 01/10/2024 09:46:36 AM

Document Has Been Signed on 01/10/2024 09:46 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:AGUIRRE FAMILY CHILD CAREFACILITY NUMBER:
367700396
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/10/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Applicant Tamara Aguirre TIME COMPLETED:
10:00 AM
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On January 10, 2024, at 09:05 a.m Licensing Program Analyst (LPA) Kendal Zirbes, conducted a follow up Pre-Licensing inspection with applicant Tamara Aguirre. The purpose of the follow up inspection was to ensure the corrections from the initial inspection on January 3, 2024 were completed.

LPA and Applicant completed a tour of the home at approximately 09:15 a.m. LPA observed the following:

1. The in-ground pool is surrounded by a 5’ wooden fence that is mounted on concrete. 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 have access to the pool. Both gates 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.  One of the gate is placed on dirt and is not more that 2" inches from the dirt. There are no items around the perimeter of the fence that would allow the fence to be climbable.

Based on LPA observation the fence surrounding the in-ground pool meets the Title 22 regulations. No further corrections are required.

LPA advised the Applicant that final approval of the family child care license is pending review by a licensing program manager.



An exit interview was conducted, and a copy of this report and appeal rights were discussed with the Applicant Tamara Aguirre.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2024
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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