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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700770
Report Date: 12/20/2023
Date Signed: 12/20/2023 12:29:08 PM

Document Has Been Signed on 12/20/2023 12:29 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:DELANEY FAMILY CHILD CAREFACILITY NUMBER:
197700770
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/20/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Applicant Yvonne DelaneyTIME COMPLETED:
12:40 PM
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On 12/20/2023 at 10:05am, Licensing Program Analyst (LPA) Andrea Pittman conducted an announced prelicensing inspection visit to check for inefficiency corrections. The LPA disclosed the purpose of the inspection and was granted entry by Applicant, Yvonne Delaney, who guided the LPA on a tour of the home. Upon entry to the facility, the LPA observed 0 child in care and the Applicant ready to provide care and supervision.

The Applicant needed to correct the following inefficiencies:
  • Making the backyard off-limits until the following has been corrected: stabilizing the swing set, placing a cover over the accessible AC Unit, making the backyard inaccessible to the neighbors, installing cushioning material underneath and around the perimeter of the swing set, fencing off/barricading the pipes protruding from the ground, making the fire pit inaccessible, and making the shed inaccessible
  • Proof of acquiring at least seven additional bedding of cots/mats/playpens/cribs up to the capacity of 14

The Applicant has made the following corrections to clear all inefficiencies. The Applicant has secured and stabilized the swing set to the ground and covered the ground with adequate cushioning material underneath and around the perimeter of the swing set and other play equipment in the backyard. The fire pit has been placed in an inaccessible area to the children in care. The AC has been covered all around making it inaccessible to children in care. The gate has been installed preventing access of the backyard to the neighbors living on the property and making the neighbors inaccessible to the children in care. The Applicant completed the LIC 855 Declaration stating that she will ensure that the gate separating the backyard outdoor play area from the side yard belonging to the neighbors will stay locked and secured preventing the neighbors that are not associated to the license from having access to the backyard outdoor play area. The Applicant has placed a lock on the shed in the backyard making it inaccessible to children in care.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2023
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 2
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: DELANEY FAMILY CHILD CARE
FACILITY NUMBER: 197700770
VISIT DATE: 12/20/2023
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The Applicant has barricaded the pipes protruding from the ground in the backyard area nearest the building and the swing set by placing a basket over the pipes and securing it to the ground so that it cannot be lifted or removed; however, the Applicant completed the LIC 855 Declaration stating that she will provide supervision when children are in the backyard outdoor play area to monitor and stay away from the barricaded pipes and from the ledge while having outdoor play in the backyard.

Additionally, the Applicant has acquired 7 additional cots to add up to the previously acquired cots in order to meet the capacity of 14 and the requirements for napping.

Upon inspection of the home, the Applicant Yvonne Delaney has made the corrections to the home to address the inefficiencies. The home now meets Title 22 Regulations and is now ready for licensure.

All licensing reports are recommended to be kept for 3 years.

An exit interview was conducted, a copy of the report and the Notice of Site visit was read and provided to the Applicant. The Notice of Site visit is to be posted and visible to parents for 30 days.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
LIC809 (FAS) - (06/04)
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