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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750057
Report Date: 03/20/2023
Date Signed: 03/20/2023 03:16:05 PM

Document Has Been Signed on 03/20/2023 03:16 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:LITTLE MOUNTAIN PRESCHOOLFACILITY NUMBER:
367750057
ADMINISTRATOR:APRIL DOGEROFACILITY TYPE:
850
ADDRESS:2915 LITTLE MOUNTAIN DRIVETELEPHONE:
(909) 882-1100
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92405
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: DATE:
03/20/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:April Dogero, DirectorTIME COMPLETED:
12:36 PM
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Licensing Program Analyst (LPA) Maddox conducted an announced site visit to the facility. The purpose of the inspection was to conduct a Pre-Licensing/Change of Ownership Inspection. LPA met with the applicant, April Dogero. The applicant is also going to assume the duties of the facility Director/Licensee. LPA was guided on a tour of the facility inside and outside.

This will be a combination center with a Infant and SA component which applicant has also submitted applications for licensure.

Room are numbered according to the facility sketch

(3) 17 X 21 = 357/35 = 11
(4) 26 X 17 = 442/35 = 13
(5) 27 x 18 = 486/35 = 14
(7) 19 X 18 = 342/35 = 10
(8) 20 X 16 = 320/35 = 10
(9) 27 X 20 = 540 = 13 X 7 = 91/540+ 91 = 631/35 = 18
Total Indoor Space allows for : 76 children
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LITTLE MOUNTAIN PRESCHOOL
FACILITY NUMBER: 367750057
VISIT DATE: 03/20/2023
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There are 5 bathrooms to be used for children only. Each bathroom was equipped with 1 toilet/urinal/1 sink (with exception of Rooms 3 &4 which has 2 sinks).
5 X 15 = 75 preschoolers.

There is a staff/adult bathroom in the hallway that will be used by sick children as well.
The outdoor area was observed to have trees for shade, swing set, a climbing structure, sand for cushioning. It is completely fenced and gated in and there are no bodies of water observed. The area was measured to be:
(149 x 40) = 5.960 Sq Ft / 75 = 79 children.

Based on the availability of toilets, sinks, indoor and outdoors spaces, the facility can accommodate 75 preschoolers. Fire Clearance has been approved for the requested capacity. Director has current CPR and First Aid training (exp 2024).

Drinking water will be made available for children both indoors and outdoors through water pitchers with disposable cups. Center has complied with the water testing, LPA observed 2 drinking water fountains made inaccessible.

The indoor areas were set up with sufficient age appropriate toys and equipment in good repair. The required posted information was posted in the classrooms, The menus were posted and a fully charged fire extinguisher was observed and smoke detectors and carbon monoxide detectors were operable.

Facility will be licensed for the requested capacity of 75 PS children.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023
LIC809 (FAS) - (06/04)
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