364840739-3-5-2020-12-CC-MRAN-BML2ER-20200310172021

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364840739
Report Date: 03/05/2020
Date Signed: 03/05/2020 03:22:43 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
12/13/2019 and conducted by Evaluator Jazelle Neal

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20191213143652

FACILITY NAME:	PSD/NORTHGATE HEAD STAR/STATE PRESCHOOL		FACILITY NUMBER:	364840739
ADMINISTRATOR:	SHAWANDA CHEATHAM		FACILITY TYPE:	850
ADDRESS:	17251 DANTE STREET		TELEPHONE:	(760) 951-1425
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92392
CAPACITY:	32	CENSUS: 25	DATE:	03/05/2020
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Stephanie Hernandez		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Allegation #1: Personal Rights - Staff speak inappropriately to day care children.
Allegation #2: Personal Rights - Staff handle day care children in a rough manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Neal met with Director, Stephanie Hernandez, for the purpose of following up on a complaint investigation of the above allegations. During this investigation, LPA Neal conducted interviews with children, staff, parents and other relevant complaint parties and reviewed staff files. Based on information obtained, complaint is 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 allegations occurred.

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

Exit interview was conducted, report was read and a copy of this report was given to the director.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

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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