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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419412
Report Date: 01/11/2022
Date Signed: 01/21/2022 11:26:14 AM

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: DATE:
01/11/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Allea Adams TIME COMPLETED:
02:00 PM
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An office meeting was held by Regional Manager (RM) Scott Herring, Licensing Program Manager (LPM) Mariela Ramon, Licensing Program Analyst (LPA) Lady King-Lewis, and Licensee/Administrator Allea Adams via telephone on January 11, 2022.

The purpose of the meeting was to discuss the department’s concerns regarding a substantiated finding of Personal Right, Reporting Requirements and Staff to Child Ratio not being maintained on inspection dated 12/03/21. This office meeting will address concerns with regards to all 5 licenses being held by the licensee Allea Adams.

On 12/02/21, the Palmdale Regional Office (RO) received a complaint on the Palmdale site school age license for Personal Rights, and Reporting Requirements. It was determined staff grabbed child roughly resulting in redness on both child's arms, and facility did not report unusual incident that threatened the physical or emotional health or safety of child to the department. The complaint was substantiated, 1 Type A and 1 Type B violations were cited. On 12/03/2021, an
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 568-8933
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2022
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: 01/11/2022
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unannounced inspection LPAs observed 4 children at the facility not being supervised by staff.

Licensee stated she has corrected the above concerns, developed a better system for communication, all staff are being trained to prevent these types of violations from reoccurring. Licensee stated the facilities are using Brightwheel to provide better communication with parents and staff.

RM Herring discussed the importance of reporting unusual incidents to the parent and to the Department. Licensee stated she understands the importance of the reporting requirements regulations and will remain in compliance of these requirements.

RM Herring mentioned the non-compliance with teacher to child ratio violations in the past. RM informed licensee violations of teacher to child ratio jeopardizes to meet the needs of children in care by failing to provide adequate care and supervision.

RM Herring provided information regarding Technical Support Program (TSP), and he explained the program is a non-cost benefit to assist licensees to come into compliance. The TSP consultant assistant is a neutral party that determines some areas of improvement and guides licensees to assist in operating within the bounds of regulations and statutes, developing systems for implementation, and providing best practice suggestions.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 568-8933
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2022
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
VISIT DATE: 01/11/2022
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Licensee has accepted and has been contacted by TSP. Licensee stated she is looking forward to work with TSP.

LPM Ramon discussed the responsibility of the Licensee to ensure staff are fingerprint cleared and associated prior to their first day of employment at the facility; explained that it is the Licensee's responsibility to ensure staff are qualified, have all required training, forms and documents are in the employee file prior to appointing into their position. Licensee stated she is in the process of hiring new staff and will ensure that all staff received all the necessary training to meet the children’s needs and follow all Title 22 Regulations.

An exit interview was conducted. This report was reviewed with the licensee, and a copy of this report was emailed to licensee.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 568-8933
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2022
LIC809 (FAS) - (06/04)
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