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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197750052
Report Date: 07/10/2024
Date Signed: 07/10/2024 12:28:51 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 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
04/30/2024 and conducted by Evaluator Andrea Pittman
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240430094753
FACILITY NAME:IT'S A SMALL WORLDFACILITY NUMBER:
197750052
ADMINISTRATOR:YESENIA CANCHOLAFACILITY TYPE:
830
ADDRESS:44221 10TH ST WESTTELEPHONE:
(661) 802-4734
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:39CENSUS: 7DATE:
07/10/2024
UNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:Director Loannie RamirezTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Allegation 2:Staff did not ensure containers used for drinking were properly sanitized after each use
Allegation 3:Staff did not ensure the needs and services plan was followed for infants in care
Allegation 5:Staff allowed infant to have bottle propped up during feeding while sleeping on their side
Allegation 6:Staff allowed infant to sleep in a swing while in care
Allegation 7:Staff did not ensure cribs were free from all loose articles and objects, including blankets
INVESTIGATION FINDINGS:
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On 7/10/2024, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced complaint visit to deliver the findings at the facility and was met by the Facility Representative who permitted entry to the facility. LPA toured the facility with the Director according to the facility sketch. Upon arrival, LPA observed 7 infants with 2 staff members providing care and supervision.

During this investigation, LPA received pertinent documents related to this investigation, which included the facility’s staff and children’s rosters, personnel records, and other relevant investigation documents. In the time leading up to the complaint, the following represents what transpired at the center. The investigation revealed the following information:

Continue to next page
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
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 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 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
04/30/2024 and conducted by Evaluator Andrea Pittman
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240430094753

FACILITY NAME:IT'S A SMALL WORLDFACILITY NUMBER:
197750052
ADMINISTRATOR:YESENIA CANCHOLAFACILITY TYPE:
830
ADDRESS:44221 10TH ST WESTTELEPHONE:
(661) 802-4734
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:39CENSUS: 7DATE:
07/10/2024
UNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:Director Loannie RamirezTIME COMPLETED:
12:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation 1:Staff do not ensure infant received adequate meal feedings while in care
Allegation 4:Staff allowed infants to use other infants bottles during feedings
Allegation 8:Licensee does not ensure a qualified director is on the premises during the hours the center is in operation
INVESTIGATION FINDINGS:
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3
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On 7/10/2024, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced complaint visit to deliver the findings at the facility and was met by the Facility Representative who permitted entry to the facility. LPA toured the facility with the Director according to the facility sketch. Upon arrival, LPA observed 7 infants with 2 staff members providing care and supervision.

LPA conducted an investigation into the allegation including observations, interviews, and record reviews. LPA interviewed the staff, parents of the program, and any other relevant parties. As part of the investigation, LPA obtained the facility and children’s rosters, personnel files, and other documents relevant to the investigation. The investigation revealed the following evidence:

Continue to next page
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 9
Control Number 12-CC-20240430094753
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: IT'S A SMALL WORLD
FACILITY NUMBER: 197750052
VISIT DATE: 07/10/2024
NARRATIVE
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Allegation 1: the first allegation stated that staff did not ensure infants were receiving adequate meals during feedings while in care. During the investigation, it was revealed that the administration does not follow Title 22 Regulations by not having a needs and services plan for feedings completed for infants at enrollment and do not speak to all parents about feeding needs. And, there was no additional support that the staff does not follow physician prescribed feeding plans. The facility utilizes their own schedule and feeding amounts for the infants but attests that they follow instructions given by parents/authorized representatives when provided an alternative feeding schedule. After interviewing relevant parties, there is no additional support that the facility fed infants inadequately during feedings. After reviewing all the relevant information obtained, there is not a preponderance of the evidence to support the allegation.

Allegation 4: the fourth allegation stated that staff allowed infants to use other infant’s bottles during feedings. During the investigation, on 5/1/2024 at 11:54am, LPA observed an infant roaming the sleeping area and climbed a rocking chair and picked up a used bottle that did not belong to the infant and attempted to drink from the bottle. The LPA intervened before the infant drank from the bottle and notified the staff member the infant had the bottle and they removed the bottle from the infant. After interviewing relevant parties, there is no additional support that the facility fed infants from the other infant’s bottles. After reviewing the relevant information obtained, there is not a preponderance of the evidence to support the allegation.

Allegation 8: The eighth allegation states that the facility does not ensure a qualified director is on premises during the hours of operation. During the investigation, it was revealed by observations, interviews, and record review that the Licensee has not completed the required documentation to change the administrator from the Licensee to the current director; however, the current director has completed all the courses, training, and experience to be the director at the facility and has been acting as the Director at the facility since 2019. Additionally, after reviewing records, there is not sufficient evidence that there wasn’t a substitute teacher or the director, per Title 22 Regulations, not acting in the facility, at all times. After reviewing the relevant information obtained, there is not a preponderance of the evidence to support the allegation.

After observations, record reviews, and interviews, it was determined that there was insufficient evidence that the facility was not ensuring infants were receiving adequate meals during feedings, that infants were allowed to use other infant's bottles, and there wasn't a qualified director on the facility premises at all times. The allegations could not be corroborated with the evidence found during the investigation. Therefore, the

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 9
Control Number 12-CC-20240430094753
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: IT'S A SMALL WORLD
FACILITY NUMBER: 197750052
VISIT DATE: 07/10/2024
NARRATIVE
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allegations have been found unsubstantiated. Although, the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the facility operated in violation of policy in this circumstance.

An exit interview was conducted, and a copy of this report was provided to Director along with the Notice of Site Visit and Appeal Rights.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 8 of 9
Control Number 12-CC-20240430094753
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: IT'S A SMALL WORLD
FACILITY NUMBER: 197750052
VISIT DATE: 07/10/2024
NARRATIVE
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Allegations 2: The second allegation states that the facility’s staff does not ensure the containers used for drinking were properly sanitized after use. During the observation, interviews, and record review, the following was revealed: On 5/1/2024, at 11:50am, the LPA observed used bottles that appeared to be sitting out on a cabinet behind the rocking chair, the LPA spoke to Staff 1 and 2 who admitted that they were unaware of when the bottles were placed on the cabinet but they were not from that day and they had been sitting there from a prior day. This is a Type B citation, see the LIC 9099D for the details.

Allegation 3: The third allegation states that the facility does not ensure that the needs and services plan was followed for an infant in care. During the investigation, it was revealed by observations, interviews, and record review that the facility does not complete the Needs and Services Plan as required prior to the admission of an infant into the child care facility. The Director did not know of the Needs and Services Plan and admitted that the facility does not use the Needs and Services Plan during the admission process. This is a Type B citation, see the LIC 9099D for the details.

Allegation 5: The fifth allegation states that the staff allowed infants to have propped bottles during feedings while infants slept on their side. During the investigation, it was revealed by observations and interviews that the staff did allow infants to have bottles propped while sleeping in the cribs and also the infants were allowed to sleep on their side without medical exemptions. On 5/1/2024 at 11:26am, LPA observed there were two infants sleeping in cribs with blankets propped under the bottle; the staff removed the blankets and bottles immediately once the violation was brought to their attention. Also, on 5/1/2024 at 11:26am, the LPA observed that as the two infants were propped with the bottles, they were asleep and they were sleeping on their side, not on their back, per the regulations. LPA asked the staff about their knowledge of the Safe Sleep Regulations and they did not mention the requirement of infants sleeping on their back unless there is a medical exemption on file; additionally, the staff stated they did not believe the two infants sleeping on their side had any medical exemption in place to allow an alternative sleeping position. LPA informed them of the infants having to sleep on their back unless there is a medical exemption for an alternative sleeping position and that at no time is an infant allowed to have a bottle propped while drinking. This is a Type A violation, see the LIC 9099D for the details.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 9
Control Number 12-CC-20240430094753
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: IT'S A SMALL WORLD
FACILITY NUMBER: 197750052
VISIT DATE: 07/10/2024
NARRATIVE
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Allegation 6: The sixth allegation states that the staff allowed an infant to sleep in the swing while in care. During the investigation, it was revealed by observations, interviews, and record review that infants were permitted to sleep in the swings. The LPA was able to speak to relevant complaint parties and it was revealed that staff allowed infants to sleep in the swing on multiple occasions when the infants were not used to sleeping in cribs on their backs and would not sleep in the cribs on their back. LPA spoke with Staff 1 and 2 about their knowledge of the Safe Sleep Regulations and they did not know the requirements for equipment that infants are permitted to sleep in, LPA provided that information to the staff. This is a Type A violation, see the LIC 9099D.

Allegation 7: The seventh allegation states that the staff did not ensure the cribs were free from all loose articles and objects, including blankets. During the investigation, it was revealed by observations, interviews, and record review that the facility permitted objects in the crib while infants slept. On 5/1/2024 from 11:27am to 11:50am, the LPA observed the infants were sleeping with toys, blankets, and other various objects in the cribs. LPA asked the staff about their knowledge of the Safe Sleep Regulations and they did not mention the requirement of not having loose articles, objects, and blankets in the crib while infants are sleeping. This is a Type B violation, see the LIC 9099D for the details.

Based on information obtained, observations, and interviews with relevant complaint parties, the Allegation is deemed substantiated for allegations 2, 3, 5, 6, and 7; as a result, two Type A citations and three Type B citations will be issued for the allegations. A finding of substantiated means that allegations were valid because the preponderance of the evidence standard has been met. As a Type A deficiency has been cited, a copy of the citation and licensing report must be posted for 30 days. The same report must be provided to Parents/Guardians and the Acknowledgment of Receipt of Licensing Reports LIC 9224 must be signed by Parents/Guardians of all enrolled children and any newly enrolled children in the next 12 months following the citation. If these requirements are not met, civil penalties per violation will be assessed.

An exit interview was conducted, a copy of this report read and provided to the Director, and the Notice of Site Visit and Appeal Rights was explained and given to the Director.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 9
Control Number 12-CC-20240430094753
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: IT'S A SMALL WORLD
FACILITY NUMBER: 197750052
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/11/2024
Section Cited
CCR
101427(h)
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101427 Infant Care Food Service
(h) …At no time shall a bottle be propped for an infant…

This requirement is not met as evidenced by
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Licensee states they will e-mail the agenda training no later than 7/11/2024
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by allowing staff to prop up a bottle during feedings with blankets and allowing the infants to sleep on their back which poses an immediate health, safety or personal rights risk to persons in care.
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Type A
07/11/2024
Section Cited
CCR
101430(a)(3)(E)
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101430 Infant Care Activities
(a) …the following shall apply: (3) All infants shall… (E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.
This requirement is not met as evidenced by
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Licensee states they will e-mail the agenda training no later than 7/11/2024
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by staff allowing infants to sleep in equipment not permitted for sleeping which poses an immediate health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 9
Control Number 12-CC-20240430094753
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: IT'S A SMALL WORLD
FACILITY NUMBER: 197750052
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2024
Section Cited
CCR
101427(j)(3)
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101427 Infant Care Food Service
(j) …(3) Bottles and dishes provided by the authorized representative shall be rinsed and returned to the authorized representative for sanitizing at the end of each day. This requirement is not met as evidenced by
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Licensee states they will e-mail the new process ensuring bottles are cleaned daily no later than 7/24/2024
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by staff allowing formula bottles to sit out for more than a day and did not rinse and return to parents by the end of the day which poses a potential health, safety or personal rights risk to persons in care.
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Type B
07/24/2024
Section Cited
CCR
101427(b)
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101427 Infant Care Food Service
(b) There shall be an individual feeding plan for each infant.

This requirement is not met as evidenced by
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Licensee states they will e-mail the completed forms no later than 7/24/2024
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by not completing a Needs and Service Plan at intake with parents & authorized representatives which poses a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 9
Control Number 12-CC-20240430094753
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: IT'S A SMALL WORLD
FACILITY NUMBER: 197750052
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2024
Section Cited
CCR
101439.1(f)
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2
3
4
5
6
7
 101439.1 Infant Care Center Sleeping Equipment
(f) Cribs shall be free from all loose articles and objects, including blankets and pillows.

This requirement is not met as evidenced by:
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5
6
7
Licensee states they will e-mail the agenda training no later than 7/24/2024
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by staff allowing toys, blankets, and other objects in the cribs while infants slept which poses a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 9 of 9