197750053-12-20-2024-12-CC-MRAN-DC5QSA-20241220112514

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197750053
Report Date: 11/19/2024
Date Signed: 12/20/2024 08:56:00 AM

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
11/15/2024 and conducted by Evaluator Andrea Pittman

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20241115141801

FACILITY NAME:	IT'S A SMALL WORLD CHILD CARE		FACILITY NUMBER:	197750053
ADMINISTRATOR:	YESENIA CANCHOLA		FACILITY TYPE:	850
ADDRESS:	44221 10TH ST. WEST		TELEPHONE:	(661) 802-4734
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	24	CENSUS: 10	DATE:	11/19/2024
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Director Loannie Ramirez		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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Allegation 1: Licensee did not ensure reporting requirements were followed

INVESTIGATION FINDINGS:

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On 12/20/2024, LPA amended the report to reflect the update of the status from confidential to public.

On 11/19/2024, 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 10 children with 4 staff members providing care and supervision.

During this investigation, LPA received pertinent documents related to this investigation, which included the children’s rosters and other relevant investigation documents. The investigation revealed the following information:

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Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrea Pittman	TELEPHONE: 661-202-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024

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-20241115141801

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 CHILD CARE	FACILITY NUMBER: 197750053
	VISIT DATE: 11/19/2024

NARRATIVE

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Allegation 1: the allegation stated that staff did not ensure reporting requirements were followed. During the investigation, it was revealed that there was a child that showed signs of illness. Staff sent the child home the same day the child showed signs of illness. The second child was kept home and staff was not notified of the child having a contagious illness by the authorized representative until November 12th, 2024. Licensing should have been notified of the report of children showing signs of illness within 24 hours of the suspected infectious illness of the two children. The Licensee sent an e-mail inquiring about the form needed to submit a report; however, the Licensee did not complete the telephone contact within 24 hours per the reporting requirements. Followed by a report to the local health authority to report the outbreak within 24 hours of being notified of the suspected infectious illness of the two children. There were no other children on the preschool license reportedly showing signs of illness. The facility was sanitized by staff and the authorized representatives of the children were notified of the outbreak. Technical assistance was provided to the Director and Licensee regarding reporting requirements, screening of children upon arrival, and signs of illness. After reviewing all the relevant information obtained, there is a preponderance of the evidence to support the allegation, this is a Type B violation.

Based on information obtained, observations, and interviews with relevant complaint parties, the Allegation is deemed substantiated for allegation 1; as a result, one Type B citation 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 result of the investigation, the facility was found to be in noncompliance with Title 22 Regulations and has been cited deficiency, see the LIC 9099D for the details.

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.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrea Pittman	TELEPHONE: 661-202-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024

LIC9099 (FAS) - (06/04)

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Control Number 12-CC-20241115141801

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 CHILD CARE	FACILITY NUMBER: 197750053
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/19/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/03/2024 Section Cited CCR 101212(d)	1 2 3 4 5 6 7	101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center...a report shall be made to the Department by telephone or fax within the Department's next working day... This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee will send a written statement once staff have completed a training on reporting requirements no later than 12/3/2024 via e-mail.
	8 9 10 11 12 13 14	Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by not notifying Licensing by telephone or fax within the next working day when notified of two children showing illness which poses a potential health, safety or personal rights risk to persons 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: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrea Pittman	TELEPHONE: 661-202-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024

LIC9099 (FAS) - (06/04)

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