197750047-9-1-2021-12-CC-CBEL-C8KVC5-20211108151829

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197750047
Report Date: 09/01/2021
Date Signed: 09/01/2021 05:46:11 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
08/27/2021 and conducted by Evaluator Brigitte Tsutaoka

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20210827111236

FACILITY NAME:	KIDS N COLORS DAYCARE, INC		FACILITY NUMBER:	197750047
ADMINISTRATOR:	MORENO, ISRAEL		FACILITY TYPE:	840
ADDRESS:	44405 FIG ST		TELEPHONE:	(661) 802-1672
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	25	CENSUS: 6	DATE:	09/01/2021
		UNANNOUNCED	TIME BEGAN:	11:43 AM
MET WITH:	Director Marsha Jones and Licensee Israel Moreno		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

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Allegation 2: Uncleared adults supervising and caring for children

INVESTIGATION FINDINGS:

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On September 1, 2021 at 11:43AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced complaint inspection on the above allegation. Upon entry, LPA was greeted by Staff 1, LPA disclosed the purpose of inspection and was permitted entry. Facility Director Marsha Jones greeted LPA upon entry and LPA disclosed the purpose of inspection. LPA counted 2 children in care with 2 staff.

LPA reviewed association list and determined Staff 1 is not associated to facility. LPA contacted the Palmdale Regional Office front desk and determined she does not have active fingerprint clearance for childcare on record. Licensee disclosed Staff 1 has worked at the faclity since approximately August 2020 exceeding 5 days. During inspection, Staff 1 left the facility and conducted her fingerprint clearance. Based on evidence obtained, record review, and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found Substantiated. California Code of Regulations, Title 22, Division 12 Chapter 1 101170 Criminal Record Clearance Type A violation is being cited. See LIC9099D for deficiency details.

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: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 12-CC-20210827111236

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: 09/01/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/02/2021 Section Cited CCR 101170(e)(1)	1 2 3 4 5 6 7	101170 Criminal Record Clearance (e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working... (1)Obtain a California clearance. This requirement was not met as evidence by:	1 2 3 4 5 6 7	During inspection, Licensee sent Staff 1 to complete a criminal record clearance. Licensee provided completed live scan form during inspection.
	8 9 10 11 12 13 14	Based on interview and record review, Licensee failed to have Staff 1 complete a criminal record fingerprint clearance prior to working at the facility, which poses an immediate 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: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

LIC9099 (FAS) - (06/04)

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Control Number 12-CC-20210827111236

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
	VISIT DATE: 09/01/2021

NARRATIVE

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Licensee 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 was provided to Director.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

LIC9099 (FAS) - (06/04)

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