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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197750047
Report Date: 11/08/2021
Date Signed: 11/08/2021 04:18:47 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
08/13/2021 and conducted by Evaluator Justin Dorsey
COMPLAINT CONTROL NUMBER: 12-CC-20210813110158
FACILITY NAME:KIDS N COLORS DAYCARE, INCFACILITY NUMBER:
197750047
ADMINISTRATOR:MORENO, ISRAELFACILITY TYPE:
840
ADDRESS:44405 FIG STTELEPHONE:
(661) 802-1672
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:25CENSUS: 3DATE:
11/08/2021
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Israel MorenoTIME COMPLETED:
04:33 PM
ALLEGATION(S):
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Staff commingle school-age children with other age group children
INVESTIGATION FINDINGS:
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On 11/08/21 Licensing Program Analysts (LPA) Justin Dorsey conducted an complaint investigation at the facility to deliver complaint investigation findings. Upon arrival LPA met with Staff #1, Owner Israel Moreno later arrived to assist with the investigation. Upon arrival LPA observed 3 children in care with 1 staff member. All staff are fingerprint cleared and associated to the facility.
During this investigation, LPA received pertinent documents related to this investigation, which included the facility childrens roster. LPA also interviewed the complainant, center staff, parent and children of the program. According to interviews and observation it was found that school age and preschool children do comingle at the center. Based on information obtained, interviews with relevant complaint parties, licensee, parents and children the allegations are deemed SUBSTANTIATED and a citation will be issued. A finding of substantiated means that allegations were valid because the preponderance of the evidence standard has been met.
An exit interview was conducted, a copy of this report read out, notice of site visit and appeal rights was given to Owner Israel Moreno.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021
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 2
Control Number 12-CC-20210813110158
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 N COLORS DAYCARE, INC
FACILITY NUMBER: 197750047
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/22/2021
Section Cited
CCR
101161(a)
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101161 Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement is not met as evidenced by:
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Per Owner Israel Moreno a written plan on how to prevent commingling will be written. A staff training will also be conducted which covers how the commingling plan will be carried out. Per Owner the written plan and staff training sign in sheet will be provided to LPA Dorsey by POC due date 11/22/21.
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Based on interview and observation preschool and school age children at times comingle at the center, which poses a potential Health, Safety or Personal Rights 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: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021
LIC9099 (FAS) - (06/04)
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