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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191201899
Report Date: 08/01/2024
Date Signed: 08/01/2024 04:10:38 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 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
05/07/2024 and conducted by Evaluator Andrea Pittman
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240507134149
FACILITY NAME:LANCASTER UNITED METHODIST CHURCH PRE SCHOOLFACILITY NUMBER:
191201899
ADMINISTRATOR:MEDINA, NICOLEFACILITY TYPE:
850
ADDRESS:918 WEST AVENUE JTELEPHONE:
(661) 942-0812
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:58CENSUS: 0DATE:
08/01/2024
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Lead Teacher TammyTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Unqualified staff supervising children
Staff do not adequately supervise children in care
Director is not at the childcare center a sufficient amount of time to manage the daily operations of the center
INVESTIGATION FINDINGS:
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On 8/1/2024, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced complaint visit to deliver the findings at the facility and was met by the Facility Representative who permitted entry to the facility. LPA toured the facility with the Director according to the facility sketch. Upon arrival, LPA observed 0 children in care as the
facility has been closed for the day.

LPA conducted an investigation into the allegations including observations, interviews, and record reviews. LPA interviewed the children, staff, and any other relevant parties. As part of the investigation, LPA obtained the facility staff and children’s rosters, sign-in sheets, personnel records, and other documents relevant to the investigation. The investigation revealed the following evidence:

Continue to next page
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
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 5
Control Number 12-CC-20240507134149
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LANCASTER UNITED METHODIST CHURCH PRE SCHOOL
FACILITY NUMBER: 191201899
VISIT DATE: 08/01/2024
NARRATIVE
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Allegation 1: the first allegation stated that unqualified staff was supervising preschoolers. During the investigation, it was revealed that staff are meeting the requirements to be a fully qualified teacher. LPA reviewed complaint documents and no discrepancies were found within the documents that staff do not meet the required education minimums under Title 22 Regulations. After reviewing all the relevant information obtained, there is not a preponderance of the evidence to support the allegation.

Allegation 2: the second allegation stated that staff are not adequately supervising preschoolers. During the investigation, it was revealed that staff are meeting the requirements of 100% care and supervision. LPA reviewed relevant complaint materials and no discrepancies were found that staff do not ensure 100% care and supervision of children while in care. After reviewing all the relevant information obtained, there is not a preponderance of the evidence to support the allegation.

Allegation 4: the fourth allegation stated that the Director was not present the required minimum time in the facility. During the investigation, it was revealed that the Director or other acting lead were present at the facility. LPA reviewed relevant complaint materials and no discrepancies were found that there was no Director or acting person present the minimum required time stated in Title 22 Regulations. After reviewing all the relevant information obtained, there is not a preponderance of the evidence to support the allegation.

After observations, record reviews, and interviews, it was determined that there was insufficient evidence that the facility was not ensuring staff were qualified to be teachers nor that there was not a Director present at the facility or other representative. The allegations could not be corroborated with the evidence found during the investigation. Therefore, the allegations have been found unsubstantiated. Although, the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the facility operated in violation of policy in this circumstance.

An exit interview was conducted, and a copy of this report was provided to Director along with the Notice of Site Visit and Appeal Rights.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 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
05/07/2024 and conducted by Evaluator Andrea Pittman
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240507134149

FACILITY NAME:LANCASTER UNITED METHODIST CHURCH PRE SCHOOLFACILITY NUMBER:
191201899
ADMINISTRATOR:MEDINA, NICOLEFACILITY TYPE:
850
ADDRESS:918 WEST AVENUE JTELEPHONE:
(661) 942-0812
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:58CENSUS: 0DATE:
08/01/2024
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Lead Teacher TammyTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Personal Rights: Staff yell at children in care
INVESTIGATION FINDINGS:
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On 8/1/2024, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced complaint visit to deliver the findings at the facility and was met by the Facility Representative who permitted entry to the facility. LPA toured the facility with the Director according to the facility sketch. Upon arrival, LPA observed 0 children in care as the
facility has been closed for the day.

LPA conducted an investigation into the allegations including observations, interviews, and record reviews. LPA interviewed the children, staff, and any other relevant parties. As part of the investigation, LPA obtained the facility staff and children’s rosters, sign-in sheets, personnel records, and other documents relevant to the investigation. The investigation revealed the following evidence:

Continue to next page
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 12-CC-20240507134149
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LANCASTER UNITED METHODIST CHURCH PRE SCHOOL
FACILITY NUMBER: 191201899
VISIT DATE: 08/01/2024
NARRATIVE
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Allegation 3: the third allegation stated that staff yelled at children in care. During the investigation, it was revealed that two staff that was employed with the facility at the time did yell at children in care that caused them to be emotional after the staff yelled at them which is a violation of Title 22 Regulations. After reviewing all the relevant information obtained, there is a preponderance of the evidence to support the allegation.

Based on information obtained, observations, and interviews with relevant complaint parties, the Allegation is deemed substantiated for allegation 3; as a result, one Type B citation will be issued for the allegation. A finding of substantiated means that allegation was valid because the preponderance of the evidence standard has been met.

An exit interview was conducted, and a copy of this report was provided to the Director along with the Notice of Site Visit and Appeal Rights.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 12-CC-20240507134149
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: LANCASTER UNITED METHODIST CHURCH PRE SCHOOL
FACILITY NUMBER: 191201899
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/15/2024
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded...personal rights:
(1) To be accorded dignity in his/her personal relationships with staff... This requirement was not met as evidenced by:
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Licensee plans to e-mail proof of training no later than 8/15/2024.
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by staff yelling at children which caused emotional distress which poses a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5