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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364843306
Report Date: 01/10/2020
Date Signed: 01/10/2020 04:36:55 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
10/24/2019 and conducted by Evaluator Jazelle Neal
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20191024104259
FACILITY NAME:BONANZA SCHOOL, LLCFACILITY NUMBER:
364843306
ADMINISTRATOR:MELISSA WOJCIKFACILITY TYPE:
830
ADDRESS:14624 BONANZA ROADTELEPHONE:
(760) 241-5335
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: 0DATE:
01/10/2020
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Maria RodriguezTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Allegation #1: Personal Rights - Staff speaks inappropriately to children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Neal met with Director, Maria Rodriguez for the purpose of delivering findings for the above complaint allegation. During this investigation, LPA obtained a copy of the facility roster and conducted interviews with children and other relevant complaint parties. Based on information obtained, there is insufficient evidence to conclude that the alleged allegation occurred, therefore, allegation is deemed unsubstantiated.

A finding that the complaint is unsubstantiated means that there was not a preponderance of evidence to meet the standards of evidence.

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: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
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 3
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
10/24/2019 and conducted by Evaluator Jazelle Neal
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20191024104259

FACILITY NAME:BONANZA SCHOOL, LLCFACILITY NUMBER:
364843306
ADMINISTRATOR:MELISSA WOJCIKFACILITY TYPE:
830
ADDRESS:14624 BONANZA ROADTELEPHONE:
(760) 241-5335
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: DATE:
01/10/2020
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Maria Rodriguez TIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Allegation #2: Physical Plant - Facility not adequately cleaned.
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Neal conducted a follow-up compliant inspection and met with Maria Rodriguez, Center Director. The purpose of the inspection is to deliver the compliant finding on the above allegation. During this investigation, LPA Neal toured the facility for cleanliness and repair. Invoices regarding the Center's last floor cleaning (Clean carpet, hard floor and rugs) was obtained. Based on the invoices dated April 5, 2019 and November 24, 2019 the amount of time between carpet cleanings was more than 6 months as per Title 22 regulations, therefore the complaint regarding Allegation #2 is substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.
Deficiency cited: See LIC 9099D. Notice of Site Visit was given to be posted for 30 days. Appeal Rights were also given.
Exit interview conducted, report was read and a copy given to the director.
Substantiated
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: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20191024104259
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: BONANZA SCHOOL, LLC
FACILITY NUMBER: 364843306
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/17/2020
Section Cited
CCR
101438.1(c)(2)
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Infant Care General Sanitation: Carpeted floors and large
throw rugs that cannot be washed
shall be vacuumed at least daily and
cleaned at least every six months, or more often if necessary.
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Director submitted invoice for floor cleaning (Clean carpet, hard floor and rugs) dated Nov. 24, 2019.
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This requirement not met as evidenced by: Center's Carpet has not been cleaned in more than 6 months (btwn Apr 5 2019 - Nov. 24 2019) which is a potential health and safety 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: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Jazelle NealTELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 3