360911461-9-14-2021-12-CC-CYAS-C79VHR-20210927162735

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360911461
Report Date: 09/14/2021
Date Signed: 09/14/2021 03:45:30 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
07/20/2021 and conducted by Evaluator Linda Thompson-Miller

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20210720084155

FACILITY NAME:	ZION LUTHERAN PRESCHOOL		FACILITY NUMBER:	360911461
ADMINISTRATOR:	M'LESS TRIPPLE		FACILITY TYPE:	850
ADDRESS:	15342 JERALDO DRIVE		TELEPHONE:	(760) 243-3074
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92394
CAPACITY:	124	CENSUS: 7	DATE:	09/14/2021
		UNANNOUNCED	TIME BEGAN:	03:27 PM
MET WITH:	M'Less Tripple		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Allegation: Personal Rights--Staff are not providing adequate food service to day care children.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Thompson-Miller and Zirbes conducted an unannounced complaint inspection for the purpose of delivering finding for the above allegation and met with Director, M'Less Tripple. There are 7 preschool children and 2 staff along with the Director present.

Based on interviews conducted with staff, children and parents the above allegation is Unsubstantiated. There is not enough evidence or witnesses to substantiate, therefore, allegation is rendered Unsubstantiated at this time. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegation occurred. At this time LPA unable to make a determination that any violation(s) occurred.

An exit interview was conducted and a copy of this report was read and provided to the Director, M'Less Tripple on this date.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2021

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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