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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417593
Report Date: 09/08/2022
Date Signed: 09/08/2022 10:39:03 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
07/28/2022 and conducted by Evaluator Justeene Tamayo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220728113448
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: 27DATE:
09/08/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Adrienne Tolliver, DirectorTIME COMPLETED:
10:38 AM
ALLEGATION(S):
1
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9
Allegation: Staff force child(ren) to nap for long periods of time
INVESTIGATION FINDINGS:
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13
On 09/07/2022, Licensing Program Analyst (LPA) Justeene Tamayo met with Director Adrienne Tolliver for the purpose of concluding the investigation concerning the above complaint allegation. LPA toured the facility and observed 27 preschool children in care, along with 5 teachers.

The investigation consisted of interviews with staff, children, and other complaint relevant parties including the review of supportive documentation. It was alleged that staff force children to nap for long periods of time. Child #1, Child #2, and Child #3 were unable to disclose any information during their interviews due to their young age. During the interviews with staff members, it was disclosed children are not forced to sleep, but they must engage in a quiet activity while the other children are resting.

Based on interviews conducted, there is not enough evidence or witnesses to corroborate the above allegation, therefore, the allegation is rendered Unsubstantiated at this time.

Please see Complaint Investigation Report LIC9099C for additional information.




Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022
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 2
Control Number 12-CC-20220728113448
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: KAI'S JUSTICE LEARNING ACADEMY
FACILITY NUMBER: 197417593
VISIT DATE: 09/08/2022
NARRATIVE
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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, and a copy of this report was read and provided to the Director on this date, along with a copy of her appeal rights.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2