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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197411391
Report Date: 06/25/2024
Date Signed: 06/26/2024 08:20:01 AM

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
06/20/2024 and conducted by Evaluator Andrea Pittman
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240620112416
FACILITY NAME:LANCASTER UNITED METHODIST CHILDRENS CENTERFACILITY NUMBER:
197411391
ADMINISTRATOR:MEDINA, NICOLEFACILITY TYPE:
840
ADDRESS:918 W. AVE. JTELEPHONE:
(661) 942-0812
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:41CENSUS: 18DATE:
06/25/2024
UNANNOUNCEDTIME BEGAN:
08:49 AM
MET WITH:Director Nicole MedinaTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Staff did not prevent a physical altercation between school age children in care
INVESTIGATION FINDINGS:
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On 6/26/2024 at 8:49am, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced complaint visit to conduct an investigation at the facility and was met by the Facility Representative who permitted entry to the facility. LPA toured the facility with the Director Nicole Medina according to the facility sketch. Upon arrival, LPA observed 18 children with 3 staff members providing care and supervision.

LPA conducted an investigation into the allegation 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 and children’s rosters, timesheets, and other documents relevant to the investigation. The investigation revealed the following evidence:

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2024
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-20240620112416
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 CHILDRENS CENTER
FACILITY NUMBER: 197411391
VISIT DATE: 06/25/2024
NARRATIVE
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Allegation 1: the first allegation stated that on Thursday, June 20th, 2024, staff did not prevent school age children from having a physical altercation with one another. During the investigation, it was revealed that although the staff spoke to the children about playing roughly there was no disclosure from any interviewed party of any physical altercation occurring on the premises involving the school age children. Additionally, LPA observed camera surveillance that did not show a physical altercation between the school age children. After reviewing 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’s staff allowed school age children to engage in a physical altercation. 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: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2