197405988-2-24-2022-12-CC-CYAS-CCZRCY-20220330125504

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197405988
Report Date: 02/23/2022
Date Signed: 02/24/2022 02:47:05 PM

Unsubstantiated

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
01/14/2022 and conducted by Evaluator Carol Heath

COMPLAINT CONTROL NUMBER: 12-CC-20220114084418

FACILITY NAME:	JUST PLANE KIDS		FACILITY NUMBER:	197405988
ADMINISTRATOR:	KAUR, KAMALJIT		FACILITY TYPE:	850
ADDRESS:	2555 E. AVENUE P		TELEPHONE:	(661) 267-1304
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93550
CAPACITY:	72	CENSUS: 56	DATE:	02/23/2022
		UNANNOUNCED	TIME BEGAN:	09:31 AM
MET WITH:	KAUR, KAMALJIT		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Daycare child sustained unexplained injuries while in care

INVESTIGATION FINDINGS:

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On 2/23/2022, Licensing Program Analyst Carol Heath conducted an unannounced follow-up complaint investigation at the Just Plane Kids and met with Director Kamaljit Kaur. The purpose of the visit is to deliver the complaint finding for the above allegation. That C1 sustained unexplained injuries while in care. During today's inspection, LPA observed 56 Day Care Children present.
During the course of the investigation of this injury, LPA Heath conducted interviews with Director, staff, and Parents. LPA Heath obtained and reviewed the medical records and video, which did not corroborate the information obtained from Parent #1 interviewed (See LIC 811) Confidential Names List date (2/16/2022).

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that C1 was left unsupervised at the time the injury occurred or what caused the injury; therefore, the above allegation is unsubstantiated.

No deficiencies were cited.

An exit interview was conducted and a copy of the report was left with Director Kamaljit Kaur.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022

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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