Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492944
Report Date: 11/15/2017
Date Signed 11/15/2017 10:34:49 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME:KIDS TOWN CHILDCARE CENTER, LLCFACILITY NUMBER:
197492944
ADMINISTRATOR:KIMBERLY MCKINNEYFACILITY TYPE:
850
ADDRESS:1825 WEST AVENUE J, SUITE 123TELEPHONE:
(661) 951-2070
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:36CENSUS: 8DATE:
11/15/2017
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Kimberly McKinneyTIME COMPLETED:
10:45 AM
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Licensing Progam Analyst (LPA ) Maddox met with Director, Kimberly McKinney today for the purpose of conducting a Plan of Correction inspection. During this inspection, LPA verified the flooring in the pre-school area has been re-finished (epoxy has been re-done). Citation issued on 11/2/17 has been cleared.
SUPERVISOR'S NAME: Burnett MageeTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2017
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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