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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360909087
Report Date: 10/08/2024
Date Signed: 10/08/2024 04:58:41 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
08/02/2024 and conducted by Evaluator Andrea Pittman
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240802092403
FACILITY NAME:CAROUSEL OF KIDS PRESCHOOL AND DAY CAREFACILITY NUMBER:
360909087
ADMINISTRATOR:KILMER, O./COSTA, G.FACILITY TYPE:
850
ADDRESS:24929 NATIONAL TRAILS HIGHWAYTELEPHONE:
(760) 243-2273
CITY:HELENDALESTATE: CAZIP CODE:
92342
CAPACITY:34CENSUS: 0DATE:
10/08/2024
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Licensee Olympia KilmerTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
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5
6
7
8
9
Allegation 2: Facility does not have a license posted in a public prominent place
Allegation 3: Facility does not have required documents posted in a public prominant place for parents to review
Allegation 5: Licensee allows unqualified staff to work at facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/8/2024 at 3:15pm, Licensing Program Analyst (LPA) Andrea Pittman completed the complaint report and is unable to conduct an unannounced complaint visit to deliver the findings at the facility as the facility has closed on Friday, September 27th, 2024; LPA Pittman conducted the RO meeting with the Licensee Olympia Kilmer via telephone to discuss the findings of the complaint investigation. The findings and appeal rights will be emailed and mailed to the Licensee at the mailing address provided by the Licensee via regular and certified mail. The facility is undergoing a change in ownership and the licensure is currently in progress.

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.

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

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
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 6
Control Number 12-CC-20240802092403
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: CAROUSEL OF KIDS PRESCHOOL AND DAY CARE
FACILITY NUMBER: 360909087
VISIT DATE: 10/08/2024
NARRATIVE
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Allegations 2 and 3: The second allegation states that the facility does not have a license posted in a prominent, public place and the third allegation states that the facility does not have the required documents posted in a prominent, public place. During the observation, interviews, and record review, the following was revealed: On 8/7/2024, at 9:10am, the LPA arrived at the facility and observed during the walkthrough inspection that the license to operate and other required postings was not posted in any prominent place in the facility. LPA spoke to Staff 1 and they stated that the Licensee had removed the license and other important documents when the Applicant took over control of the facility on 07/01/2024. On 8/9/2024, LPA interviewed the Licensee and they stated that they had removed the license from the facility with their other important documents as they believed the purchase was finalized. LPA informed the Licensee that they are responsible for the facility until the Applicant was able to obtain a license to operate and that although the Applicant was operating the facility under the Licensee’s license, the Licensee was the responsible party for the facility. Additionally, LPA had informed the Licensee that their license and other important documents must be returned to the facility. The Licensee did return the license until after the close of the facility; however, the other required posted documents were later posted by the Applicant of the facility. This is a Type B citation, see the LIC 9099D for the details.

Allegation 5: The fifth allegation states that the facility allowed unqualified staff to work at the facility. During the observation, interviews, and record review, the following was revealed: On 8/7/2024, at 9:10am, the LPA arrived at the facility and observed during the walk through inspection that there was one teaching staff in each preschool classrooms; LPA observed Staff 2 was the only teaching staff in one of the preschool classrooms instructing nine children. LPA observed the personnel records of the staff operating in the classrooms and determined that Staff 2 did not have the qualifications to act as a fully qualified teacher, only as an aide. LPA interviewed Staff 1 and they admitted they had not reviewed the personnel records of the staff and believed that Staff 2 was a fully qualified teacher. LPA informed Staff 1 that Staff 2 cannot be alone in the classroom with the children without a fully qualified teacher present and Staff 1 corrected the violation during the visit by combining the classrooms and having Staff 2 act as an Assistant to the fully qualified teacher in the other preschool classroom and ensured that only fully qualified teachers staffed the preschool classrooms. This is a Type B citation, see the LIC 9099D for the details.

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

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 12-CC-20240802092403
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: CAROUSEL OF KIDS PRESCHOOL AND DAY CARE
FACILITY NUMBER: 360909087
VISIT DATE: 10/08/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
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Based on information obtained, observations, and interviews with relevant complaint parties, the Allegations are deemed substantiated for allegations 2, 3, and 5; as a result, two 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 result of the investigation, the facility was found to be in noncompliance with Title 22 Regulations and has been cited deficiencies, see the LIC 9099D for the details.

An exit interview was conducted via telephone, a copy of this report and appeal rights were provided to the Licensee via email, regular, and certified mail.

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

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 12-CC-20240802092403
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: CAROUSEL OF KIDS PRESCHOOL AND DAY CARE
FACILITY NUMBER: 360909087
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/22/2024
Section Cited
CCR
101160(a)
1
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3
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7
101160 Posting of License
(a) The license shall be posted in a prominent, publicly accessible location in the center.
This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee previously corrected the issue on 8/9/2024 by re-posting the license and required documents were later reposted by Staff 1.
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 removing the license from a prominent, public place and other required posting documents which poses a potential health, safety or personal rights risk to persons in care.
8
9
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14
Type B
10/22/2024
Section Cited
CCR
101216.1(b)(1)
1
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7
101216.1 Teacher Qualifications...(b) To be a fully qualified teacher, a teacher shall have …:(1) Twelve post-secondary… units in early childhood education… with passing grades, at an accredited… college or university…This requirement was not met as evidenced by:
1
2
3
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5
6
7
The Licensee previously corrected the violation by combining the classrooms and allowing Staff 2 act only as an assistant in the preschool classrooms.
8
9
10
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12
13
14
Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by allowing Staff 2 to work alone in the preschool classroom without meeting the teacher qualifications which poses a potential health, safety, or personal rights risk to persons in care.
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9
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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: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6
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
08/02/2024 and conducted by Evaluator Andrea Pittman
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240802092403

FACILITY NAME:CAROUSEL OF KIDS PRESCHOOL AND DAY CAREFACILITY NUMBER:
360909087
ADMINISTRATOR:KILMER, O./COSTA, G.FACILITY TYPE:
850
ADDRESS:24929 NATIONAL TRAILS HIGHWAYTELEPHONE:
(760) 243-2273
CITY:HELENDALESTATE: CAZIP CODE:
92342
CAPACITY:34CENSUS: 0DATE:
10/08/2024
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Licensee Olympia KilmerTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation 1: Facility is operating beyond the terms of the license
Allegation 4: Facility is operating out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/8/2024 at 3:15pm, Licensing Program Analyst (LPA) Andrea Pittman completed the complaint report and is unable to conduct an unannounced complaint visit to deliver the findings at the facility as the facility has closed on Friday, September 27th, 2024; LPA Pittman conducted the RO meeting with the Licensee Olympia Kilmer via telephone to discuss the findings of the complaint investigation. The findings and appeal rights will be emailed and mailed to the Licensee at the mailing address provided by the Licensee via regular and certified mail. The facility is undergoing a change in ownership and the licensure is currently in progress.

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
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 12-CC-20240802092403
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: CAROUSEL OF KIDS PRESCHOOL AND DAY CARE
FACILITY NUMBER: 360909087
VISIT DATE: 10/08/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
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25
26
27
28
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30
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Allegation 1: the first allegation stated that the facility is operating beyond the terms of the license. During the investigation, it was revealed that Child 1 had recently enrolled in the facility and there was a question to the age of the child when they started at the facility. After conducting interviews and reviewing records, Parent 1 stated that Child 1 started on a date after Child 1’s second birthday and the provided information supports that Child 1 enrolled after their second birthday and was eligible to be enrolled into the facility while they were present and attending the facility. 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 the facility operated out of ratio. During the investigation, LPA conducted interviews, record review, and observations of relevant complaint documents including sign-in sheets, timesheets, and other documents. There was no supporting evidence that the facility operated out of ratio during the timeframe reported in the preschool classrooms. 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 operated beyond the terms of its license and that it operated out of ratio. The allegations could not be corroborated with the evidence found during the investigation. Therefore, the 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 via telephone, a copy of this report and appeal rights were provided to the Licensee via email, regular, and certified mail.

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

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 6