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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417593
Report Date: 01/12/2022
Date Signed: 01/12/2022 10:13:28 AM

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
10/25/2021 and conducted by Evaluator Liana Stepanyan
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20211025162640
FACILITY NAME:KAI'S JUSTICE LEARNING ACADEMYFACILITY NUMBER:
197417593
ADMINISTRATOR:ADAMS, ALLEAFACILITY TYPE:
850
ADDRESS:2739 W. AVENUE LTELEPHONE:
(661) 718-3614
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY:77CENSUS: 10DATE:
01/12/2022
UNANNOUNCEDTIME BEGAN:
09:44 AM
MET WITH:Allea Adams, ownerTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal rights: Staff hit daycare child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 01/12/2022 Licensing Program Analyst (LPAs) Liana Stepanyan and Monique Ayala conducted a complaint investigation at the facility to deliver complaint investigation findings. LPA met with Allea Adams who guided LPAs on a tour of the facility. Upon arrival LPA observed 10 children in care with 4 staff members.
During this investigation, LPA received pertinent documents related to this investigation, which included Facility Roster and other documentation related to the allegation. LPA interviewed the complainant, Licensees, staff, and children. According to interviews conducted and observations completed the allegation of Personal Rights: Staff hit daycare child is deemed to be UNSUBSTANTIATED, a finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegation occurred.

An exit interview was conducted, a copy of this report, appeal rights and a notice of site visit report were provided to facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2022
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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