197419412-2-3-2023-12-CC-CYAS-CPNRHK-20230306120229

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419412
Report Date: 02/01/2023
Date Signed: 02/03/2023 10:36:45 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/12/2022 and conducted by Evaluator Carol Heath

COMPLAINT CONTROL NUMBER: 12-CC-20221212121839

FACILITY NAME:	KAI'S JUSTICE CHILDCARE CENTER		FACILITY NUMBER:	197419412
ADMINISTRATOR:	JONES, AKEMIE		FACILITY TYPE:	840
ADDRESS:	2307 E. PALMDALE BLVD.		TELEPHONE:	(661) 947-5247
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93550
CAPACITY:	54	CENSUS: 0	DATE:	02/01/2023
		UNANNOUNCED	TIME BEGAN:	10:54 AM
MET WITH:	Akemie Jones.		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff are comingling children in care

INVESTIGATION FINDINGS:

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On 2/1/2023, Licensing Program Analyst Carol Heath conducted an unannounced follow-up complaint investigation at Kai’s Justice Childcare Center and met with Director,Akemie Jones. The purpose of the visit is to deliver the complaint finding for the above allegations: the Staff is comingling children in care. During today’s visit, LPA observed 0 Day Care Children present and 2 Staff (Director and her assistant).
During the course of investigating this complaint, LPA Heath conducted interviews with Licensee and other related parties (See LIC 811, Confidential Names List). Based on interviews and physical evidence, it was determined that the staff is comingling childcare children.
Based on the information obtained, there is a preponderance of evidence to prove that the center failed to meet Title 22 Regulations. Therefore the above allegations are Substantiated.
Deficiencies were cited.
An exit interview was conducted, and A copy of this report was discussed and left with Director, Akemie jones.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol Heath	TELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

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-20221212121839

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: KAI'S JUSTICE CHILDCARE CENTER	FACILITY NUMBER: 197419412
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/01/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/03/2023 Section Cited CCR 101538.3(b)	1 2 3 4 5 6 7	ndoor Activity Space for School-Age Children(b) In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from space provided for infant care and child care center children. The requirement is not met as evidenced by:	1 2 3 4 5 6 7	The center surrender the preschool age license.
	8 9 10 11 12 13 14	Based on observations and interviews obtained It is determined that the center failed to be keep different age children separated, which poses an Potential Health, Safety, or personal Rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol Heath	TELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

LIC9099 (FAS) - (06/04)

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