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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419412
Report Date: 06/28/2021
Date Signed: 06/28/2021 05:29:42 PM



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
06/23/2021 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210623153351
FACILITY NAME:KAI'S JUSTICE CHILDCARE CENTERFACILITY NUMBER:
197419412
ADMINISTRATOR:JONES, AKEMIEFACILITY TYPE:
840
ADDRESS:2307 E. PALMDALE BLVD.TELEPHONE:
(661) 947-5247
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY:54CENSUS: 19DATE:
06/28/2021
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Akemie JonesTIME COMPLETED:
04:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Physical Plant: Physical Plant
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 6/28/2021 at 4:00p.m., Licensing Program Analyst(LPA) Isabel Ortega conducted inspection at the above facility to conduct a 10 day initial complaint investigation related to the allegation above. LPA disclosed the purpose of the investigation and was granted entry into the facility by the Director Akemie Jones. A tour of the facility was conducted, a total of 2 classrooms were toured. LPA verified a census of 19 children and a total of 2 Staff.
During today's investigation, LPA obtained copies of the current facility roster and toured the Child Care Center. LPA conducted child and staff interviews. During tour of facility the kitchen area was observed to be clean and sanitary, no dirty dishes, counter top was cleared and food was properly stored. Kitchen area was clean and organized. A cleaning log was provided demonstrating all areas for sanitization and disinfecting were checked off and initialed by staff after each daily cleaning. It was determined that allegation under physical plant has been Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegation occurred.
An exit interview was conducted, a copy of this report and a notice of site visit report were provided to the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2021
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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