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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364813742
Report Date: 05/19/2021
Date Signed: 05/19/2021 06:36:31 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
03/01/2021 and conducted by Evaluator Aaron Mabika
COMPLAINT CONTROL NUMBER: 12-CC-20210301132723
FACILITY NAME:ANDERSON COUNTRY PRESCHOOLFACILITY NUMBER:
364813742
ADMINISTRATOR:BEVERLY ANDERSONFACILITY TYPE:
850
ADDRESS:1023 PARADISE WAYTELEPHONE:
(909) 505-7112
CITY:BIG BEAR CITYSTATE: CAZIP CODE:
92314
CAPACITY:45CENSUS: 31DATE:
05/19/2021
UNANNOUNCEDTIME BEGAN:
03:32 PM
MET WITH:Katie AndersonTIME COMPLETED:
04:28 PM
ALLEGATION(S):
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Facility has a lot of clutter
Fencing is not adequate
Facility closet in disrepair
INVESTIGATION FINDINGS:
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On 05/20/2021 at about 03:32 PM, Licensing Program Analyst (LPA) Aaron Mabika, met virtually with the Assistant Director, Katie Anderson today for the purpose of delivering the findings of the above complaint investigations.
The census during today’s contact was recorded as 31 children in care and 4 staff. LPA reviewed relevant documents, carried out some onsite observations and interviewed staff and found the allegations to be accurate. LPA observed that the lobby was cluttered with boxes, a laundry basket and piles of lose clothing items near or on top of the fridge. LPA also observed a vacuum cleaner by the parking lot. The 2-and-a-half-foot decorative picket fencing is indeed barely 2 feet from the busy road whose speed limit is posted at 35 MPH, but cars zoom past at double the posted speed posing a serious danger to children in the playground. The white closet in the Fours Classroom had missing louvres with some sticking out. Licensee had acknowledged it and stated her plans to fix it and the correction image was submitted to the department on 05-19-2021

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2021
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 3
Control Number 12-CC-20210301132723
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ANDERSON COUNTRY PRESCHOOL
FACILITY NUMBER: 364813742
VISIT DATE: 05/19/2021
NARRATIVE
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Based on the information obtained during the interviews conducted and LPA’s own observations, the preponderance of evidence has been met on all three allegations; therefore, the above allegations have been substantiated.
Licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. A copy of this licensing report (LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.
Deficiencies Cited: See LIC 9099D
An exit interview was conducted, a copy of this report read out, and notice of site visit sent out to Assistant Director, Katie Anderson.
See Complaint Investigation Report LIC9099C for additional information
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20210301132723
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ANDERSON COUNTRY PRESCHOOL
FACILITY NUMBER: 364813742
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/19/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/19/2021
Section Cited
CCR
101238(a)
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101238 Buildings and Grounds
The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement was not met as evidenced by;
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Licensee submitted images of correction to the department on 05/19/2020
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Licensee failed to fix broken down fixtures on time and did not clear clutter in the lobby area. This causes a potential danger to children in care.
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Type B
05/19/2021
Section Cited
CCR
101238.2(g)
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101238.2 (g) Outdoor Activity Space
The playground shall be enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence shall be at least four feet high.
This requirement was not met as evidenced by;
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Licensee shal forthwith cease using the playground adjacent to the busy road until the fence situation is adressed and the RO consulted.
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Licensee failed to ensure there is a fence at least 4 ft high separating the busy road from the children's playground.
This poses a potential risk to children in care.
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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.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3