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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197404424
Report Date: 03/08/2024
Date Signed: 03/08/2024 11:48:21 AM

Substantiated


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
12/15/2023 and conducted by Evaluator Annelise Villa
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20231215134016
FACILITY NAME:OLMEDO FAMILY CHILD CAREFACILITY NUMBER:
197404424
ADMINISTRATOR:OLMEDO, FLORESMILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 449-8464
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:14CENSUS: DATE:
03/08/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Floresmila Olmedo, LicenseeTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
Neglect/Lack of Supervision: Licensee does not supervise children while playing outside
INVESTIGATION FINDINGS:
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On 3/8/2024, Licensing Program Analyst (LPA) Annelise Villa met with licensee Floresmila Olmedo for the purpose of concluding an investigation concerning the above complaint allegation. Upon arrival, LPA toured the facility and observed 3 infants and 9 preschool children in care, with Licensee and 2 assistants caring for them.

The investigation consisted of interviews with staff, children, and other complaint relevant parties including the review of supportive documentation. The investigation revealed licensee allows daycare children to play in the back yard without supervision. Based on the information obtained through interviews, the above allegation is substantiated. A finding of substantiated means that allegation is valid. The facility has been cited a Type B deficiency: Personal Rights 102417(a).
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024
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 2
Control Number 12-CC-20231215134016
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: OLMEDO FAMILY CHILD CARE
FACILITY NUMBER: 197404424
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/08/2024
Section Cited
CCR
102417(a)
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The licensee shall be present in the home and shall ensure that children in care are supervised at all times…This requirement is not met as evidenced based on interviews conducted by LPA
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Licensee shall ensure at least one staff member is outside and supervising children during outdoor play.
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Licensee did not ensure that Children were supervised while playing outside which poses a potential Health, Safety, and personal rights 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.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2