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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419412
Report Date: 12/22/2021
Date Signed: 12/22/2021 02:27:27 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 CENTERFACILITY NUMBER:
197419412
ADMINISTRATOR:JONES, AKEMIEFACILITY TYPE:
840
ADDRESS:2307 E. PALMDALE BLVD.TELEPHONE:
(661) 947-5247
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY:54CENSUS: 22DATE:
12/22/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:43 PM
MET WITH:Akemie Jones facility director TIME COMPLETED:
02:29 PM
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On December 22, 2021, Licensing Program Analyst (LPA) King-Lewis conducted a Case Management inspection for the purpose to provide a health and safety check. LPA met with facility director Akemie Jones to discuss the following. On 12-03-21 at around 3:15 LPAs King-Lewis and Stepanyan arrived at the facility and no staff was available to greet LPAs. LPAs walked into the school age classroom and observed 13 school age children being care by 1 (teacher/assistant). 4 school age children were in the outdoor play area without staff supervision. LPAs questioned staff #3 where the additional staff were. Staff # 3 responded; the additional staff including the director were out on school pickups. At approximately 4:00 p.m., facility director arrived at the facility and licensee arrived shortly after.

Licensee disclosed the facility director approved 8 staff members to go on vacation without her approval causing the facility to be short staff. Licensee stated she was not aware of the staff shortage situation until LPA King called licensee.

On 12/03/21, LPAs observed the facility to be out of staff to child ratio resulting in 4 school age children to be left without adult supervision. A Type A citation is being cited. above center. Upon receipt, of a Type A deficiency licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 568-8933
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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
VISIT DATE: 12/22/2021
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12 months.

Exit interview conducted and a copy of this report, Appeal Rights, was provided to facility director Akemie Jones A Notice of Site Visit was posted and must remain posted for 30 days. Removal of posting is subject to a $100 civil penalty

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 568-8933
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 12/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/23/2021
Section Cited

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Teacher-Child Ratio: There shall be a staffing ratio of one teacher and one aide present to every 28 children in attendance (1) A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. This requirement was not met as evidenced by on 12/03/21,
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LPAs observed 4 school age children in the outdoor play area without adult supervision. This poses an immediate risk to the health and safety of children in care
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Type A
12/23/2021
Section Cited

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Responsibility for Providing Care and Supervision. No children shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidence by;
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 4 school children were in the play yard without adult supervision on 12-03-21. This poses an immediate risk to the health and safety of children in care
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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: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 568-8933
LICENSING EVALUATOR SIGNATURE:
DATE: 12/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/22/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3