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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364817862
Report Date: 12/01/2021
Date Signed: 12/01/2021 12:20:18 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
09/10/2021 and conducted by Evaluator Linda Thompson-Miller
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210910133845
FACILITY NAME:SMART START ACADEMYFACILITY NUMBER:
364817862
ADMINISTRATOR:DESIREE DUPONTFACILITY TYPE:
850
ADDRESS:21482 YUCCA LOMA RDTELEPHONE:
(760) 247-1029
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92307
CAPACITY:128CENSUS: 96DATE:
12/01/2021
UNANNOUNCEDTIME BEGAN:
11:52 AM
MET WITH:Melissa MoonTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Allegation #2: Personal Rights – Staff and children do not wear mask
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Thompson-Miller conducted an unannounced complaint inspection for the purpose of delivering finding for the above allegation and met with Director, Melissa Moon. There are 96 children and 13 staff along with the Director present.
A tour of the center was provided, interviews were conducted with staff, parents and children which determined the following allegation finding. LPA investigation has determined the staff nor children were wearing facial covering and continued to not wear facial coverings per California Department of Public Health Guidance. Director did not ensure the personal rights of persons in care to safe and healthful accommodations and engaged in conduct inimical to the health, welfare, and safety of persons/children in care, in that facility staff and children did not wear face coverings while in the facility, as required by the California Department of Public Health Guidance on the Use of Face Coverings issued on June 18, 2020 and updated November 16, 2020 and an individual mask exception did not apply. LIC9099D issued. An exit interview was conducted, a copy of this report was read and provided to the Director, Melissa Moon on this date.

Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-MillerTELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
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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Control Number 12-CC-20210910133845
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: SMART START ACADEMY
FACILITY NUMBER: 364817862
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/03/2022
Section Cited
CCR
101223(a)
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Personal Rights – 101223(a)(2) The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by: Center did not
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Center will ensure children and staff wear facial coverings during activities, except during napping and eating. NOTE: LPA observed facial coverings on staff and children during the inspection. Declaration provided. Deficciency cleared during today's inspection.
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ensure staff and children wore facial covering (mask) during indoor settings (exception: sleeping and eating).
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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: Linda Thompson-MillerTELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC9099 (FAS) - (06/04)
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