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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801952
Report Date: 07/21/2026
Date Signed: 07/21/2026 01:27:51 PM

Document Has Been Signed on 07/21/2026 01:27 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 CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:IMMANUEL CHRISTIAN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801952
ADMINISTRATOR/
DIRECTOR:		RAJARATNAM, RATNAFACILITY TYPE:
830
ADDRESS:1201 N. CHINA LAKE BLVD.TELEPHONE:
(760) 446-4507
CITY:RIDGECRESTSTATE: CAZIP CODE:
93555
CAPACITY: 29TOTAL ENROLLED CHILDREN: 29CENSUS: 31DATE:
07/21/2026
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:54 PM
MET WITH:Veronica SylviaTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On July 21, 2026, at 12:53 PM, Licensing Program Analyst (LPA) Calloway, conducted an unannounced case management inspection for the purpose of responding to lead exceedance at the facility. LPA met with Veronica Sylvia; facility representative was granted access and toured the facility with the representative. LPA observed thirty-one (31) infants and toddler day care children and nine staff in care. The water lead testing results were received from the California Rural Water Association (CRWA) indicating exceedance in (V)- Drinking Fountain Toddler Playground.

On May 5, 2026, the CRWA collected water samples for lead testing and the facility's lead testing results reported (V)-Drinking Fountain Toddler Playground with 97.00 ppb with Action Level Exceedance (ALE). During the inspection, LPA disclosed the ALE provided by CRWA indicating the facility had elevated levels of lead in (V)- Drinking Fountain Toddler Playground. At 12: 55 PM, LPA toured the outside playground with the representative and observed two water faucets according to facility sketch to the left of the exit door. Both faucets had a new fixture and the faucet used for drinking water was covered with a plastic bag and was placed out of service. The representative stated the faucet is not being utilized for drinking water at this time.

On July 10, 2026, the lead exceedance was viewed on the State Water Resource Control Board’s (SWRCB) website, and a copy was emailed to the site director, Ratna Rajaratnam who stated CRWA will retest (V)- Drinking Fountain- Toddler Playground within 20 days from the date it went on the SWCRB website. LPA discussed the regulations with the representative and they understand why the deficiency is being cited.

Based on observation and record review there is one Type B deficiency cited during this inspection, for Written Directives, 101700.3. See LIC 809D page attached to this report.

Francisco Pedroza
Kuliema Calloway
DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2026
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: IMMANUEL CHRISTIAN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801952
VISIT DATE: 07/21/2026
NARRATIVE
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An exit interview was conducted, a copy of this report, a Notice of Site Visit (LIC 9213) and Appeal Rights were given to Veronica Sylvia, the facility representative, during this inspection. The Notice of Site Visit must remain posted for thirty (30) consecutive days. Removal of the posting will result in a $100 civil penalty.
NAME OF LICENSING PROGRAM MANAGER: Francisco Pedroza
NAME OF LICENSING PROGRAM ANALYST: Kuliema Calloway
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/21/2026 01:27 PM - It Cannot Be Edited


Created By: Kuliema Calloway On 07/21/2026 at 01:01 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: IMMANUEL CHRISTIAN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801952

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2026
Section Cited

101700.3

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Written Directives section 101700.3 when documenting an ALE deficiency, which states in subsection (b)(2) Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements... for the health and safety of children..this requirement was not met as evidenced by:
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We are waiting for the state system and the water lead testing portal to sync together before a retest can be scheduled. Once the systems sync, we will schedule the water retest and submit proof of the results to Licensing by the POC date.
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On May 5, 2026, a lead water test revealed licensee failed to maintain a lead value at or below the Action Level for water lead testing resulting with values of 97 ppb for V- Drinking Fountain Toddler Playground faucet. The water testing results identified with Action Level Exceedance(ALE) of 5.5 ppb or greater and are not deemed safe to drink.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Francisco Pedroza
NAME OF LICENSING PROGRAM MANAGER:
Kuliema Calloway
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2026


LIC809 (FAS) - (06/04)
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