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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419730
Report Date: 08/03/2022
Date Signed: 08/03/2022 05:24:52 PM

Unsubstantiated


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
05/11/2022 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220511123357
FACILITY NAME:LEARNING TREE BEFORE AND AFTER SCHOOL CAREFACILITY NUMBER:
197419730
ADMINISTRATOR:MARCELLINE, NIORAM & AARONFACILITY TYPE:
840
ADDRESS:17873 SIERRA HIGHWAYTELEPHONE:
(661) 877-2130
CITY:SANTA CLARITASTATE: CAZIP CODE:
91351
CAPACITY:52CENSUS: 25DATE:
08/03/2022
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Niroma MarcellineTIME COMPLETED:
05:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation: Personal Rights; Staff hit child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/03/2022 Licensing Program Analyst (LPA) Isabel Ortega conducted an investigation inspection to deliver complaint investigation findings. LPA met with facility Director, who guided LPA on a tour of the facility including Classroom 1, 2, and 3. Upon arrival LPA observed 25 children in care.

During this investigation, LPA received pertinent documents related to this investigation, which included Facility Roster and other documentation related to the allegation including a Police report. LPA interviewed the staff, parents and children and completed an observation at the facility. According to interviews conducted, observations completed, and documentation, there were no disclosures of staff hitting a day care child. Allegation of Personal Rights: Staff hit child is deemed to be 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 allegations occurred.

An exit interview was conducted, a copy of this report, a notice of site visit and appeal rights were provided.
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: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022
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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