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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408813
Report Date: 10/23/2026
Date Signed: 10/23/2026 02:37:47 PM

Document Has Been Signed on 10/23/2026 02:37 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:YMCA-NORTH VALLEY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
197408813
ADMINISTRATOR/
DIRECTOR:		CARILLO, ROCIOFACILITY TYPE:
830
ADDRESS:1200 N. MACLAY ST.TELEPHONE:
(818) 365-6881
CITY:SAN FERNANDOSTATE: CAZIP CODE:
91340
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 15DATE:
10/23/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Rocio Gomez, TIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On Friday, October, 23, 2026, Licensing Program Analyst (LPA) Evelyn Garcia conducted an unannounced annual inspection and met with Site Director, Rocio Gomez who guided LPA Garcia on a tour of the facility.

This is an infant program that serves children ages 0-24 months. This program operates Monday to Friday 7-5:30pm. Sign in and out takes place at the entrance of each classroom. All areas identified on the facility sketch were toured and inspected both indoors and outdoors. Teacher and child ratio were observed, and present staff are fingerprinted cleared. There was one volunteer present and is supervised by staff and not left unattended with children and does not exceed more than 16 hours per week. During the inspection, there were 8 infants and 9 toddlers present, 6 teachers providing care and supervision. This facility also has a preschool license.

LPA entered the “Infant” Classroom and observed 6 children and 3 staff present supervising the infants. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cubbies for children to store their personal belongings. LPA observed 1 hand washing station and diaper changing station within arms reach of a sink. The hand washing stations were equipped with paper towels and hand soap to follow proper hand washing procedures after each diaper change. LPA Garcia observed a step trash bin with a lid. LPA observed 1 crib for each infant. LPA Observed feeding bottles to be refrigerated and individually labeled. Heating, lighting and ventilation were evaluated by LPA Garcia. LPA observed Central Heating and A/C with vents on the ceiling. LPA observed the thermostats located in the classrooms and the lobby; temperatures read at 70 degrees.

Mariela Ramon
Evelyn Garcia
DATE: 10/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2026
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 CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: YMCA-NORTH VALLEY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 197408813
VISIT DATE: 10/23/2026
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LPA entered the “Toddler” Classroom and LPA Garcia did not observe the toddlers as they were outdoors for gross motor activities. LPA later observed 9 children and 3 staff present supervising the infants. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed cubbies for children to store their personal belongings. LPA observed, 1 hand washing station and diaper changing station within arms reach of a sink. The hand washing stations were equipped with paper towels and hand soap to follow proper hand washing procedures after each diaper change. LPA Garcia observed a step trash bin with a lid. LPA observed cots for the toddlers. Heating, lighting and ventilation were evaluated by LPA Garcia. LPA observed Central Heating and A/C with vents on the ceiling. LPA observed the thermostats located in the classrooms and the lobby; temperatures read at 70 degrees.

LPA observed fire extinguishers located in each classroom and in the lobby of the facility. The valve for the fire extinguisher on the required 3A-40-BC fire extinguishers indicating fully charged and serviced on August 6, 2026. The carbon monoxide detector was not tested during this visit due to the children sleeping. The last emergency drill was conducted on October 20, 2026. LPA observed napping equipment (cribs/ cots) to be in good condition and stored in the classrooms. First aid kit supplies is kept inside the classroom in a metal locked storage cabinets that are serviced monthly by a supplies company, it was observed to be made inaccessible to the children and LPA observed the kits to be fully equipped. During this visit, per Site Director, Rocio Carillo, stated there are no children with medication or allergies. LPA Garcia asked if there were any poisons, firearms, weapons or bodies of water. Site Supervisor stated no firearms, weapons, no poisons nor bodies of water. LPA did not observe firearms or weapons, poisons, nor bodies of water. Site Director, Rocio Carillo, stated the ill isolation area takes place in the corner of the classroom away from the other infants.

LPA Garcia entered the outdoor play area. The outdoor play area is surrounded by fencing and is over 5 ft tall. LPA Garcia observed the equipment to be in a safe condition, free of sharp, no loose or pointed parts. The surface of the outdoor activity space (concrete, poured in rubber and artificial turf) is maintained in a safe condition and is free of hazards. LPA Garcia observed play structure and equipment to be age appropriate for ages 0-24 months and areas around or under climbing equipment, are cushioned with poured in rubber that may absorb a fall. For adequate shade, LPA Garcia observed a patio structure for shade. For outdoor water drinking, staff bring out water jugs and disposable cups and are re-filled as needed, and infants under 12 months are on flexible schedule.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2026
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: YMCA-NORTH VALLEY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 197408813
VISIT DATE: 10/23/2026
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LPA Garcia reviewed the children’s roster, children’s files and staff files and observed the files to be complete.

LPA Garcia observed Site supervisors Pediatric First Aid/CPR certification dated 6/5/26, Preventative Health and Safety certification dated10/5/19. Director has proof of immunization against Pertussis, MMR and Influenza. Director has completed the mandated reporter (AB 1207) training dated 2/3/26. Director has been advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

Criminal Record Clearance - Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child

Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2026
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: YMCA-NORTH VALLEY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 197408813
VISIT DATE: 10/23/2026
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Site Director, Rocio Gomez.

NAME OF LICENSING PROGRAM MANAGER: Mariela Ramon
NAME OF LICENSING PROGRAM ANALYST: Evelyn Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2026
LIC809 (FAS) - (06/04)
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