197492943-11-24-2021-12-CC-CBEL-C9RPK7-20211216102239

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197492943
Report Date: 11/24/2021
Date Signed: 11/24/2021 02:09:45 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
09/29/2021 and conducted by Evaluator Brigitte Tsutaoka

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20210929114049

FACILITY NAME:	KIDS TOWN CHILDCARE CENTER, LLC		FACILITY NUMBER:	197492943
ADMINISTRATOR:	ANA GARCIA		FACILITY TYPE:	830
ADDRESS:	1825 WEST AVENUE J, SUITE 125		TELEPHONE:	(661) 951-2070
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	30	CENSUS: 3	DATE:	11/24/2021
		UNANNOUNCED	TIME BEGAN:	09:28 AM
MET WITH:	Jessica Donis		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Allegation 1: Infants sustained rashes while in care.

INVESTIGATION FINDINGS:

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On November 24, 2021 at 9:28AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced complaint inspection to deliver findings on the above allegation. LPA disclosed the purpose of inspection and was granted entry by Assistant Director Jessica Donis. Upon entry, LPA observed 3 infants in care with 2 staff on association list.
During the course of the investigation, LPA conducted interviews with staff and parents and obtained facility records. Based on evidence obtained and interviews conducted, Child 1 would experience diaper rash after leaving the facility weekly. Records indicate Child 1 was not changed for approximately 4 hours from 10:47AM until 3:00PM.
Based on evidence obtained and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found Substantiated. California Code of Regulations, Title 22, Division 12 Chapter 1 101428 Infant Care Personal Services Type A violation is being cited during this inspection. See LIC9099D for deficiency details.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 11/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 4

Control Number 12-CC-20210929114049

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: KIDS TOWN CHILDCARE CENTER, LLC	FACILITY NUMBER: 197492943
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/24/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/25/2021 Section Cited CCR 101428(b)(2)	1 2 3 4 5 6 7	101428 Infant Care Personal Services (b)(2)Each infant's clothing and diapers shall be changed as often as necessary to ensure that the infant is clean and dry at all times. This requirement was not met at evidence by:	1 2 3 4 5 6 7	Director agreed to provide training to all staff on infant care diaper changing procedures and provide a written plan to the department no later than 11/25/2021.
	8 9 10 11 12 13 14	Based on evidence obtained and records reviewed, facility staff failed to change the diaper of Child 1 for approximately 4 hours, which poses an immediate Health and Safety risk to children 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: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 11/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 4

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
09/29/2021 and conducted by Evaluator Brigitte Tsutaoka

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20210929114049

FACILITY NAME:	KIDS TOWN CHILDCARE CENTER, LLC		FACILITY NUMBER:	197492943
ADMINISTRATOR:	ANA GARCIA		FACILITY TYPE:	830
ADDRESS:	1825 WEST AVENUE J, SUITE 125		TELEPHONE:	(661) 951-2070
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	30	CENSUS: 3	DATE:	11/24/2021
		UNANNOUNCED	TIME BEGAN:	09:28 AM
MET WITH:	Ana Garcia		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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9

Allegation 3: Staff gave spoiled milk to infants in care.

INVESTIGATION FINDINGS:

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On November 24, 2021 at 9:28AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced complaint inspection to deliver findings on the above allegation. LPA disclosed the purpose of inspection and was granted entry by Assistant Director Jessica Donis. Upon entry, LPA observed 3 children in care.
During the course of the investigation, LPA conducted interviews with staff and parents. Parent interviews disclosed no knowledge of infants being served expired milk. Facility staff conduct daily refrigerator/expiration date checks to ensure no spoiled food or beverage are being served to the children.
Based on evidence obtained and interviews conducted, the above allegation is deemed unsubstanitated. 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 violations did or did not occur. An exit interview was conducted, this Report, Appeal Rights, and Notice of Site Visit were provided to Assistant Director.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 11/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 4

Control Number 12-CC-20210929114049

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: KIDS TOWN CHILDCARE CENTER, LLC	FACILITY NUMBER: 197492943
	VISIT DATE: 11/24/2021

NARRATIVE

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Director was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. A copy of this licensing report (LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent. A copy of the Acknowledgment of receipt of licensing report (LIC9224) was
provided and must be kept in each child's file. In addition, any child enrolled within the following 12 months must also receive a copy of the Type A Citation.

An exit interview was conducted, a copy of this Report, Appeal Rights, and Notice of Site Visit were provided to Assistant Director.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 11/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 4