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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360911461
Report Date: 01/11/2023
Date Signed: 01/11/2023 03:45:13 PM

Unsubstantiated


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
11/14/2022 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20221114133741
FACILITY NAME:ZION LUTHERAN PRESCHOOLFACILITY NUMBER:
360911461
ADMINISTRATOR:M'LESS TRIPPLEFACILITY TYPE:
850
ADDRESS:15342 JERALDO DRIVETELEPHONE:
(760) 243-3074
CITY:VICTORVILLESTATE: CAZIP CODE:
92394
CAPACITY:124CENSUS: 11DATE:
01/11/2023
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Lorraine Knapp, Assistant DirectorTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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7
8
9
Allegation #1- Neglect/ Lack of Supervision.
Allegation #2- Personal Rights.
INVESTIGATION FINDINGS:
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2
3
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5
6
7
8
9
10
11
12
13
On January 11, 2023 at 3:00 p.m., Licensing Program Analyst (LPA), Kuliema Calloway, made an unannounced visit to the above facility for the purpose of concluding complaint findings. LPA met Lorraine Knapp, Assistant Director at Zion Lutheran Preschool who granted access. LPA observed 11 kids in care and 3 staff members today.

LPA conducted interviews with staff, parents, and children. The investigation did not reveal enough evidence to corroborate the allegation on the neglect/lack of supervision or personal rights.

Based on record review, and interviews which were conducted, the above allegations are found to be Unsubstantiated, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
See 9099 C.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023
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 2
Control Number 12-CC-20221114133741
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: ZION LUTHERAN PRESCHOOL
FACILITY NUMBER: 360911461
VISIT DATE: 01/11/2023
NARRATIVE
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There are no deficiencies to be cited for this allegation.

A copy of this report and appeal rights were provided to Assistant Director (S1) at the facility.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2