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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364808468
Report Date: 01/17/2020
Date Signed: 01/17/2020 02:55:19 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/18/2019 and conducted by Evaluator Jazelle Neal
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20191118092545
FACILITY NAME:KALEIDOSCOPE CHILDREN'S CENTERFACILITY NUMBER:
364808468
ADMINISTRATOR:SUZANNE SILVAFACILITY TYPE:
850
ADDRESS:12883 AMETHYST ROADTELEPHONE:
(760) 952-1146
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:54CENSUS: 10DATE:
01/17/2020
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Tina SifuentesTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Allegation #1: Lack of Supervision - Daycare children are not properly supervised.
Allegation #2: Food Service - Adequate food storage is not provided.
Allegation #3: License - Operating out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Neal met with Lead Teacher, Tina Sifuentes and conducted a follow-up complaint investigation of above allegations. LPA observed 10 children and 2 staff present during this inspection. During this investigation, LPA Neal spoke with staff, children and other relevant complaint parties.
Findings were determined as follows:
Allegation #1: Day care child was observed falling off a bike in the playground. Child resumed riding bike without injury or need for medical attention. Based on statements obtained, a staff member was present on the playground at the time.
Allegation #2: LPA Neal observed where lunches are stored and reviewed the parent handbook, which states, "Parents must provide a lunch. Your child's lunch must be balanced and contain at least 3 food groups. Please do not send items that need to be warmed." Per director, parents are informed upon enrollment that ice packs are advised for cold lunches.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Jazelle NealTELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
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-20191118092545
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: KALEIDOSCOPE CHILDREN'S CENTER
FACILITY NUMBER: 364808468
VISIT DATE: 01/17/2020
NARRATIVE
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Allegation #3: LPA Neal reviewed sign in/out sheets for each class during the month of November 2019. LPA Neal observed ratio on 2 random occasions. Based on information obtained, facility ratio meets regulations.

Based on the information obtained and interviews conducted the allegations are deemed Unsubstantiated. 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 occurred.

Notice of Site Visit was given to be posted for 30 days.

Exit interview was conducted, report was read and a copy was given to the lead teacher.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Jazelle NealTELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2