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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418426
Report Date: 01/11/2022
Date Signed: 01/21/2022 11:34:25 AM

Document Has Been Signed on 01/21/2022 11:34 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 ACADEMYFACILITY NUMBER:
197418426
ADMINISTRATOR:TOLLIVER, ADRIENNEFACILITY TYPE:
830
ADDRESS:2739 W. AVENUE LTELEPHONE:
(661) 718-3614
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: DATE:
01/11/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Allea AdamsTIME COMPLETED:
02:00 PM
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An office meeting was held by Regional Manager (RM) Scott Herring, Licensing Program Manager (LPM) Mariela Ramon, Licensing Program Analyst (LPA) Lady King-Lewis, and Licensee/Administrator Allea Adams via telephonic on January 11, 2022.

The purpose of this meeting was to discuss the Department’s concerns regarding a substantiated complaint finding:

10/16/19, allegation of facility failed to ensure that the Infant Center was within the ratio of one staff member to four infants. A type B deficiency was issued. An immediate civil penalty of $500 dollars was assessed.

Licensee stated she has corrected the above concerns, developed a better system for communication, all staff are being trained to prevent these types of violations from reoccurring. Licensee stated the facilities are using Brightwheel to provide better communication with parents and staff.

RM Herring mentioned the non-compliance with teacher to child ratio violations in the past. RM informed licensee violations of teacher to child ratio jeopardizes to meet the needs of children in care by failing to provide adequate care and supervision.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Lady King
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.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 197418426
VISIT DATE: 01/11/2022
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RM Herring provided information regarding Technical Support Program (TSP), and he explained the program is a non-cost benefit to assist licensees to come into compliance. The TSP consultant assistant is a neutral party that determines some areas of improvement and guides licensees to assist in operating within the bounds of regulations and statutes, developing systems for implementation, and providing best practice suggestions.

Licensee has accepted and has been contacted by TSP. Licensee stated she is looking forward to work with TSP.

LPM Ramon provided safe sleep website below and recommend licensee and all director to review CCLD website and training videos to better inform and assist in informing staff on the regulations.

Safe Sleep website information: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep

An exit interview was conducted. This report was reviewed with the licensee, and a copy of this report was emailed to licensee.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Lady King
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
LIC809 (FAS) - (06/04)
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