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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750057
Report Date: 02/09/2024
Date Signed: 02/09/2024 11:47:16 AM

Document Has Been Signed on 02/09/2024 11:47 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: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: 70CENSUS: 42DATE:
02/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Administrator April Dogero TIME COMPLETED:
11:45 AM
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 February 9, 2024, at 08:25 a.m., Licensing Program Analyst (LPA) Zirbes met with Administrator April Dogero to conduct an unannounced case management inspection. The purpose of the case management was to follow up on a self-reported unusual incident report (UIR) submitted to the Department on February 2, 2024. The unusual incident report was regarding a potential supervision incident involving child 1 (C1). Upon arrival, there were 42 preschool age children, six teachers, and additional administrator/support staff at the facility.

During this inspection, an interview was conducted with staff 1 (S1). In addition, LPA completed a review of the facility records and child files. At approximately 09:45 a.m,LPA and facility representative conducted a tour of the Center, no deficiencies were observed.

Based on the information obtain through interviews and facility records, the incident does not appear to have been the result of a violation of the Title 22 regulations at this time. However, if additional information is obtained the incident may be re-evaluated by the Department.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative April Dogero.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2024
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