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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492943
Report Date: 05/05/2022
Date Signed: 05/05/2022 05:39:58 PM


Document Has Been Signed on 05/05/2022 05:39 PM - It Cannot Be Edited

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:KIDS TOWN CHILDCARE CENTER, LLCFACILITY NUMBER:
197492943
ADMINISTRATOR:JESSICA DONISFACILITY TYPE:
830
ADDRESS:1825 WEST AVENUE J, SUITE 125TELEPHONE:
(661) 951-2070
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:30CENSUS: 4DATE:
05/05/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:44 PM
MET WITH:Director Jessica DonisTIME COMPLETED:
06:00 PM
NARRATIVE
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On May 5, 2022 at 1:44PM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced complaint inspection to deliver the findings for the complaint 12-CC-20220225082630. LPA disclosed the purpose of inspection and was granted entry by Assistant Director, Ana Garcia, who guided LPA on a tour of the facility. LPA observed 4 infants with 2 staff on association list.

During investigation, LPA observed Staff 1 providing supervision to children in the infant room as lead teacher. Based on record review, Staff 1 has 10 Early Childhood Education (ECE) Units and is enrolled in the Child Growth Infant/Toddler class, but has not yet completed the units. During interview, Staff 1 disclosed she is completing the final 5/4/2022 and will have a total of 13 units once the course has completed.

Based on evidence obtained, it appears a violation to Title 22 Regulations has occurred and a deficiency will be cited during the inspection. California Code of Regulations Title 22 Division 12 Chapter 1 101416.2 Infant Care Teacher Qualifications Type B violation is being cited during this inspection. See LIC809D for deficiency details.

An exit interview was conducted, this Report, Appeal Rights and Notice of Site Visit were provided to Director Jessica Donis.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte TsutaokaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022
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 2


Document Has Been Signed on 05/05/2022 05:39 PM - It Cannot Be Edited

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: KIDS TOWN CHILDCARE CENTER, LLC
FACILITY NUMBER: 197492943

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/27/2022
Section Cited

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101416.2(b) Infant Care Teacher Qualifications and Duties (b)Prior to employment, an infant care teacher shall have completed, with passing grades, ... three postsecondary semester or equivalent quarter units related to the care of infants...This Requirement was not met as evidence by:
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Based on observation and record review, facility staff failed to complete 3 infant specific units prior to appointment to the infant classroom, which poses a potential Health and Safety Risk to 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: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte TsutaokaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022
LIC809 (FAS) - (06/04)
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