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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700349
Report Date: 03/27/2024
Date Signed: 03/27/2024 03:44:15 PM

Document Has Been Signed on 03/27/2024 03:44 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:THOMPSON FAMILY CHILD CAREFACILITY NUMBER:
197700349
ADMINISTRATOR:THOMPSON, KENDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 471-9236
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
03/27/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Kendra ThompsonTIME COMPLETED:
03:45 PM
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On 03/2/2024, at 2:45 P.M., Licensing Program Analyst (LPA) Joselito L. Del Mundo conducted an unannounced annual inspection at Thompson Family Child Care Home to assess its ability to meet compliance with California Code of Regulations (CCR) Title 22, Health, and Safety requirements. LPA Del Mundo met with Licensee, Kendra Thompson and stated the reason for the inspection. LPA was granted access to the facility. The LPA provided copies of the LIC 126 Entrance Checklist Form, LIC 311D Forms/Records to Keep in the Family Child Care Home, and all records/forms that need to be maintained in the facility. Licensee guided the analyst on a tour of the day care areas. The day care takes place in the following areas of the home: bedroom 1 (daycare room) and bathroom 1.

Licensee states the day care hours of operation is Monday to Friday, from 7:00 A.M. to 5:00 P.M. Currently living in the home is licensee, and minor children (16, 12, and 7). The licensee is currently not providing transportation to children in care. However, the licensee has current California Driver’s License, vehicle registration, and car insurance. During this visit, LPA observed four children present in the facility.



LPA inspected the day care room, bathroom, and the outdoor play area. LPA observed four children in the day care room. Currently, the outdoor play area is off limits to children in care. LPA observed one dog (German Sheperd) inside the kennel at the side yard of the facility. Licensee provided the shot records of the pet. LPA also observed a slide and playhouse at the outdoor play area.

Bathroom: Toilet, sink and faucet were clean and operable. During the inspection, LPA observed step stool, paper towel, potty seat cover, and liquid soap inside the bathroom. LPA did not observed razors and/or sharp objects, shampoo, mouthwash, medications, perfumes, air freshener, nail polish and nail remover that will pose a health and safety risk to children in care.

Licensee stated that one of her children had a doctor’s appointment and will be leaving the facility at 3:40
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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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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: THOMPSON FAMILY CHILD CARE
FACILITY NUMBER: 197700349
VISIT DATE: 03/27/2024
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P.M. LPA was not able to complete the annual inspection. LPA told licensee that he will conduct the continuation of the inspection at an unannounced date.

During the exit interview the licensee Kendra Thompson confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Notice of Site Visit: A Notice of Site Visit (LIC 9213 was given and must remain posted for 30 days.
Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

A copy of this Report was reviewed, and Appeal Rights were also provided to Licensee, Kendra Thompson.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC809 (FAS) - (06/04)
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