367750077-10-6-2025-12-CC-KZIS-DM7USH-20251006155021

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367750077
Report Date: 10/06/2025
Date Signed: 10/06/2025 03:50:30 PM

Document Has Been Signed on 10/06/2025 03:50 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:	KNOTT SKY CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	367750077
ADMINISTRATOR/ DIRECTOR:	KIMBERLY ZZYZX		FACILITY TYPE:	860
ADDRESS:	6897 EL SOL AVENUE		TELEPHONE:	(760) 206-6026
CITY:	TWENTYNINE PALMS	STATE: CA	ZIP CODE:	92277
CAPACITY: 20	TOTAL ENROLLED CHILDREN: 20	CENSUS: 3	DATE:	10/06/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:15 PM
MET WITH:	Facility Representative Kimberly Zzyzx		TIME VISIT/ INSPECTION COMPLETED:	03:55 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 10/6/25, at 2:15pm, Licensing Program Analyst (LPA) Zirbes met with Facility Representative Kimberly Zzyzx for the purpose of conducting an unannounced Annual/Random inspection. LPA toured and inspected the facility in accordance with the facility sketch. There were three preschool age children, one teacher and the director on site during the inspection. Based on LPAs observation the facility was meeting the capacity/ratio requirements. The preschool program is operated out of one building, with two classrooms, one children's restroom, staff office, kitchen, storage area and an outdoor activity space. The facility operates Monday through Thursday for two session 9-12 and 12 -3, on Wednesday the Center is only open 9-12. The Center takes a fall, winter, spring and summer breaks. Indoor/Children's Area: Child care center was observed to be clean, sanitary, and in good repair; all outdoor and indoor passageways, stair ways, incline ramps, open porches and other areas of potential hazard are kept free of obstruction; floors of all rooms have a surface that is safe and clean. Cleaning compounds were stored in cabinets equipped with magnetic locks in the staff restroom, and kitchen. Per facility representative poisons were stored in a cabinet equipped with a magnetic lock under the kitchen sink. In addition the door leading to the kitchen is locked and inaccessible to the children. LPA observed the indoor furniture/equipment was in good condition. Classroom was free of flies, other insects and rodents. The classrooms had tables and chairs to meet the children's needs. LPA observed the Center had a variety of art supplies, blocks, and books. Children's belongings are kept in cubbies/shelves labeled with the children's names. Trash cans for solid waste have tight fitting lids. Drinking water is readily available indoors via children water bottles. All materials and surfaces are toxic free, window screens in good repair and free of debris. LPA observed the Director test the carbon monoxide detector located in a classroom. An audible beep was heard therefore the carbon monoxide was in working order at this time. Report continued on page two

NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/06/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KNOTT SKY CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 367750077
	VISIT DATE: 10/06/2025

NARRATIVE

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Report continued from page one
Restroom: The Center has one children's restroom which was equipped with two toilets and two sinks. Toilets and sinks were functioning properly, sanitary and are age appropriate. Only cold water is available to the children. Paper towels and soap were available to the children. The Center has one staff restroom as well which was inaccessible to the children in care.
Meals: At the time of this inspection all meals and snacks are provided by the families of the enrolled children.
Napping: At this time the children do not nap at the Center however the Center provides areas for rest.

Outdoor: LPA inspected the outdoor play space for health, safety, cushioning material, good repair and age appropriateness. The space contained climbing structures and swings which were placed on wood chips and were anchored to the ground. The area also had tables for art activities, mud kitchen and additional materials. The area was fully enclosed by a fence. Zero hazards were present.

Due to time constraints LPA was unable to complete the entire inspection.
As a result of this inspection, zero citations were issued.

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 Kimberly Zzyzx.

NAME OF LICENSING PROGRAM MANAGER: Lady King
NAME OF LICENSING PROGRAM ANALYST: Kendal Zirbes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/06/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2025

LIC809 (FAS) - (06/04)

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