197414003-8-26-2025-12-CC-LKIG-DLVV2B-20250926160251

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197414003
Report Date: 08/26/2025
Date Signed: 08/26/2025 12:12:27 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/25/2025 and conducted by Evaluator Mayra Rivera

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20250825104724

FACILITY NAME:	VOA GRANTEE/CARRISO PARK HEAD START		FACILITY NUMBER:	197414003
ADMINISTRATOR:	PATRICK BALL		FACILITY TYPE:	850
ADDRESS:	13100 HUBBARD STREET		TELEPHONE:	(818) 362-8140
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	37	CENSUS: 18	DATE:	08/26/2025
		UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Francisca Rockson, Director		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Staff do not ensure the facility has running water

INVESTIGATION FINDINGS:

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On Tuesday, August 26, 2025, Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced complaint investigation in regards the above allegation. Upon arrival, LPA toured the facility with director and observed a total of 18 preschool children, with staff #1, staff #2, staff #3 and staff #4 present providing care and supervision. LPA observed the facility to be within ratio and present staff fingerprinted cleared.

During today's investigation/inspection LPA interviewed staff and observed running water in the classrooms.

During the course of this investigation, licensing program analyst LPA Rivera conducted confidential interviews with staff and reviewed documentation. Based on the interviews, staff noticed no running water upon arrival. First staff arrived at 7:45 am and noticed no running water when staff was about to prepare the bleach/water bottles solution. Staff notified maintenance and checked the water valve and the valve was on. Staff spoke with a park maintenance who informed staff the whole park has no running water.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 12-CC-20250825104724

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: VOA GRANTEE/CARRISO PARK HEAD START	FACILITY NUMBER: 197414003
	VISIT DATE: 08/26/2025

NARRATIVE

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Staff notified upper management, and were told to close the school for the day, but still offer the children breakfast and leave after they are done with their breakfast. The children were provided hand sanitizer wipes and hand sanitizer solution for hands. Based on the signed in and out, the hours show children did not stay more than an hour at the facility. Staff #2 observed the incident when child pee outside the school. Staff #2 informed parent that it's not appropriate, there's cameras, and this is a public area. Parent replied with "oh I'm sorry." Staff #2 also heard someone from the park distance saying you shouldn't be peeing outside and mom replying with " he needed to pee."

Based on the information provided, the facility did not have running water The preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated, however no Title 22 or health and safety code violations were violated. Staff notified the parents about no running water, school closure, and it was a parent not staff member. Based on the sign in and out, the children who stayed for breakfast, did not stay at the facility for more than one hour and hand sanitizers were provided for the hands.
No deficiency given at this time.

Exit interview was conducted with director Francisca Rockson. The director was provided a copy of the appeal rights (LIC 9058) and her signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025

LIC9099 (FAS) - (06/04)

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