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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492943
Report Date: 05/05/2022
Date Signed: 05/05/2022 05:43:31 PM

Substantiated


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
02/25/2022 and conducted by Evaluator Brigitte Tsutaoka
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220225082630
FACILITY NAME:KIDS TOWN CHILDCARE CENTER, LLCFACILITY NUMBER:
197492943
ADMINISTRATOR:ANA GARCIAFACILITY TYPE:
830
ADDRESS:1825 WEST AVENUE J, SUITE 125TELEPHONE:
(661) 951-2070
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:30CENSUS: 4DATE:
05/05/2022
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Assistant Director Ana GarciaTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Allegation 2: Facility not adhering to ratio.
INVESTIGATION FINDINGS:
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On May 5, 2022 at 1:44PM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced complaint inspection to deilver the findings on the above allegation. 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 associations list.
During investigation, LPA interviewed staff, parents, and obtained facility records. Based on record review, on 2/18/2022, Staff 3 was alone with 5 infants while Staff 4 was on lunch. Additionally, based on evidence obtained during interviews, it was disclosed facility staff are left alone with between 4 to 5 infants at one time.
Based on evidence obtained and observations conducted, the preponderance of evidence standard is met and the above allegation is substantiated. California Code of Regulations, Title 22, Division 12 Chapter 1 101416.5
Staff-Infant Ratio Type B violation is being cited during this inspection. See LIC9099D for deficiency details. An exit interview was conducted, this Report, Appeal Rights, and Notice of Site Visit were provided to Director, Jessica Donis.
Substantiated
Estimated Days of Completion: 69
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.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 12-CC-20220225082630
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: 05/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/13/2022
Section Cited
CCR
101416.5(a)(b)
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101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidence by:
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Director agreed to submit a plan to ensure ratios will be manitained in the infant room no later than 5/13/2022.
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Based on interview and record review, facility staff were alone with 5 infants for 1 hour, which is 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
LIC9099 (FAS) - (06/04)
Page: 2 of 2