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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492945
Report Date: 05/05/2022
Date Signed: 05/05/2022 05:54:15 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
02/25/2022 and conducted by Evaluator Brigitte Tsutaoka
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220225081115
FACILITY NAME:KIDS TOWN CHILDCARE CENTER, LLCFACILITY NUMBER:
197492945
ADMINISTRATOR:ANA GARCIAFACILITY TYPE:
840
ADDRESS:1825 WEST AVENUE J, SUITE 125TELEPHONE:
(661) 951-2070
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:45CENSUS: 22DATE:
05/05/2022
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Assistant Director Ana GarciaTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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9
Allegation 1: Faciltiy transported children in an unsafe manner.
INVESTIGATION FINDINGS:
1
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3
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9
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13
On May 5, 2022 at 1:35PM, 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 Ana Garcia, who guided LPA on a tour of the facility. Upon entry, LPA observed 1 child with 2 staff on association list. LPA observed school age room decorated for Cinqo de Mayo, a table museum set up for the children, and the staff engaging in the La Raspa dance with the child in attendance. LPA observed 1 child be picked up early by parent. At 2:20, Director Jessica Donis arrived at the facility. At 4:00PM, 22 children arrived at the facility after school.

During the course of the investigation, LPA conducted interviews with staff, children, parents, and obtained facility records. Evidence collected determined children ride in the facility van with approximately 6 children, are all required to utilize seat belts, and the smaller children sit in a booster seat. Interviews indicated no children are permitted to sit on the floor. Additionally, LPA confirmed staff have current valid driver's licenses that have not yet met the expiration date.
Unsubstantiated
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 6
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-20220225081115

FACILITY NAME:KIDS TOWN CHILDCARE CENTER, LLCFACILITY NUMBER:
197492945
ADMINISTRATOR:ANA GARCIAFACILITY TYPE:
840
ADDRESS:1825 WEST AVENUE J, SUITE 125TELEPHONE:
(661) 951-2070
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:45CENSUS: 22DATE:
05/05/2022
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Assistant Director Ana GarciaTIME COMPLETED:
06:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation 2: Staff commingle children
Allegation 3: Facility is operating out of ratio
Allegation 4: Staff failed to pick up daycare children from school in a timely manner
INVESTIGATION FINDINGS:
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2
3
4
5
6
7
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9
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12
13
On May 5, 2022 at 1:35PM, 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 Ana Garcia, who guided LPA on a tour of the facility. LPA observed 22 children with 2 staff on association list.

During investigation, LPA conducted interviews with staff, children, parents, and obtained facility records. Based one interviews conducted with staff and parents, it was disclosed the children are commingled during weekends and late in the evenings when child enrollment has decreased. Additionally, based on record review, LPA observed facility staff time sheets and child sign-in sheets. During October 2021, LPA determined the facility was out of ratio on the following dates after 6:00PM: 10/12 (1:17), 10/13 (1:16), 10/14 (1:16), 10/15 (1:17), 10/19 (1:19), 10/25 (1:17), 10/27 (1:18), and 10/28 (1:15). The facility was out of ratio by between 1 to 4 children on the before mentioned dates.

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: 2 of 6
Control Number 12-CC-20220225081115
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: 197492945
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/06/2022
Section Cited
CCR
101538.3(b)
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2
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7
101538.3 Indoor Activity Space for School Aged Children (b) In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from... child care center children. This requirement was not met as evidence by:
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Director agreed to submit written plan describing how she intends to maintain age components separated to the Department no later than 5/06/2022.
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14
Based on interview and record review, facility staff failed to keep school aged and preschool children separate which poses an immediate health and safety risk to children in care.
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9
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14
Type A
05/06/2022
Section Cited
CCR
101516.5(b)(1)
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5
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7
101516.5 Teacher-Child Ratio (b) (1) A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. This requirement was not met as evidence by:
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Director agreed to submit a plan detailing how she will maintain at minimum 1 staff to 14 children in the school age room no later than 5/06/2022.
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Based on interview and record review, facility staff supervised between 15 to 19 children without an assistant present which posed an immediate Health and Safety risk to children in care.
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14
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: 3 of 6
Control Number 12-CC-20220225081115
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: 197492945
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2022
Section Cited
CCR
101223(a)(2)
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7
01223 Personal Rights (a) The licensee shall ensure that each child is accorded...(2)... safe, healthful and comfortable accommodations. This requirement was not met as evidence by:
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Director agreed to submit plan detailing new procedure she implemented regarding after school pick ups to the Department no later than 5/20/2022.
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Based on interview, facility staff failed to pick up day care children in a timely manner, which poses a potential Health and Safety risk to children in care.
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14
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7
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7
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7
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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 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: 4 of 6
Control Number 12-CC-20220225081115
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: 197492945
VISIT DATE: 05/05/2022
NARRATIVE
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LPA also determined on 10/14, 10/15, and 10/21, the preschool and school age children were commingled in the same class after 8:00PM when the school age teacher has left for the day.

Additionally, based on interviews with children and parents, facility staff were late to conduct pick ups with children in a timely manner. Children disclosed the facility staff were approximately 30 minutes late to pick them up from school. Parents disclosed the facility has been late to pick up their children on multiple occasions, which resulted in the parent having to conduct the pick up from their child's school.

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 101538.3 Indoor Activity Space for School-Age Children and 101516.5 Teacher-Child Ratio Type A violations are being cited during this inspection. California Code of Regulations, Title 22, Division 12 Chapter 1 101223 Personal Rights Type B violation is being cited during inspection. See LIC9099D for deficiency details.

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 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
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 12-CC-20220225081115
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: 197492945
VISIT DATE: 05/05/2022
NARRATIVE
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3
4
5
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Based on evidence obtained and interviews conducted, the above allegations are deemed 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 violation did or did not occur.

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
LIC9099 (FAS) - (06/04)
Page: 6 of 6