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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197408073
Report Date: 10/18/2022
Date Signed: 10/18/2022 11:44:15 AM

Substantiated


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
09/06/2022 and conducted by Evaluator Justeene Tamayo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220906120524
FACILITY NAME:LANDERS FAMILY CHILD CAREFACILITY NUMBER:
197408073
ADMINISTRATOR:LANDERS, KARLENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 618-1333
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY:14CENSUS: 4DATE:
10/18/2022
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Karlene Landers, LicenseeTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Personal Rights: Licensee used inappropriate discipline for day care child.
INVESTIGATION FINDINGS:
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On 10/18/22 Licensing Program Analysts (LPAs) Justeene Tamayo and Annelise Villa met with licensee Karlene Landers for the purpose of concluding an investigation concerning the above complaint allegation. Upon arrival, LPAs toured the facility and observed 2 infants and 2 preschool children in care, along with assistant #1.

The investigation consisted of interviews with staff, children, and other complaint relevant parties including the review of supportive documentation. The investigation revealed licensee used inappropriate discipline for child #1. After review of supportive documents, the licensee admitted that staff #1 placed child #1 in timeout and did not allow child #1 to play with toys for approximately twenty minutes due to disrupting napping children. Child #1 was not provided an alternate activity during napping time. Based on the information obtained, 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 102423(a)(1).

Please see contiuation page 9099-C for additional information.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022
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
Control Number 12-CC-20220906120524
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: LANDERS FAMILY CHILD CARE
FACILITY NUMBER: 197408073
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/18/2022
Section Cited
CCR
102423(a)(1)
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Personal Rights 102423 (a)(1): Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization…To be treated with dignity in his/her personal relationship with staff and other persons.
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Licensee disclosed she has talked with staff #1 on alternate activities to assist children that do not want to take a nap.
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This requirement was not met as evidence by staff #1 placed child #1 in timeout for approximately 20 minutes because child #1 disrupted napping children. This is a type B deficiency which poses a potential risk to the health and safety of 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: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20220906120524
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LANDERS FAMILY CHILD CARE
FACILITY NUMBER: 197408073
VISIT DATE: 10/18/2022
NARRATIVE
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Please see 9099-D for additional information.

An exit interview was conducted, and a copy of this report was read and provided to the Licensee on this date, along with a copy of her appeal rights.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3