197492945-3-3-2022-12-CC-SHEG-CEAPGS-20220510111843

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197492945
Report Date: 03/03/2022
Date Signed: 03/03/2022 06:08:43 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-20220225081115

FACILITY NAME:	KIDS TOWN CHILDCARE CENTER, LLC		FACILITY NUMBER:	197492945
ADMINISTRATOR:	ANA GARCIA		FACILITY TYPE:	840
ADDRESS:	1825 WEST AVENUE J, SUITE 125		TELEPHONE:	(661) 951-2070
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	45	CENSUS: 24	DATE:	03/03/2022
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Director Ana Garcia		TIME COMPLETED:	06:10 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Allegation 5: Facility van in disrepair.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On March 3, 2022 at 12:45PM, Licensing Program Analysts (LPAs) Brigitte Tsutaoka and Donna Maddoz conducted an unannounced complaint inspection of the above allegation. LPAs disclosed the purpose of inspection and were granted entry by Director, Ana Garcia, who guided LPAs on a tour of the facility. Upon entry, LPA observed 1 school-age child in care. At 3:50PM, 23 school age children arrived for a total of 24 school age children in care.

At 1:50PM, LPAs were escorted outside by Assistant Director (AD) to inspect facility van. LPAs observed all seats had appropriate seat belts, no flat tires, current registration (Expires 10/2022), and current insurance (Expires 3/17/2022). LPAs requested AD press on the break to turn on the break lights. LPAs observed the break light on the driver's side is out and did not illuminate when AD pressed on break.

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: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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 4

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: 03/03/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/18/2022 Section Cited CCR 101225(c)	1 2 3 4 5 6 7	101225 Transportation (c) Motor vehicles used to transport children shall be maintained in a safe operating condition. This requirement was not met as evidence by:	1 2 3 4 5 6 7	Director agreed to have break light repaired and provide Department copy of receipt of repair no later than 03/18/2022.
	8 9 10 11 12 13 14	Based on observation, facility van's driver side break light is not working, which poses a potential 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: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 4

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: 03/03/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

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 101225 Transportation 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, Ana Garcia.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC9099 (FAS) - (06/04)

Page: 4 of 4