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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419982
Report Date: 06/14/2022
Date Signed: 06/14/2022 04:19:06 PM

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
06/09/2022 and conducted by Evaluator Brigitte Tsutaoka
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220609122516
FACILITY NAME:ALL MY CHILDREN LEARNING INSTITUTEFACILITY NUMBER:
197419982
ADMINISTRATOR:ELESIA SESSIONFACILITY TYPE:
850
ADDRESS:43835 10TH STREET WESTTELEPHONE:
(661) 951-7377
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:23CENSUS: 11DATE:
06/14/2022
UNANNOUNCEDTIME BEGAN:
02:17 PM
MET WITH:Licensee Edrenia WilliamsTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Allegation: Facility no following COVID-19 safety protocols.
INVESTIGATION FINDINGS:
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On June 14, 2022 at 2:17PM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced complaint inspection on the above allegation. LPA disclosed the purpose of inspection and was granted entry by Licensee, Edrenia Williams. LPA observed 11 preschool children in care with staff on association list.

During inspection, LPA interviewed Director, Licensee, and obtained facility records. Based on interviews, it was disclosed Staff 1 tested positive for COVID-19, Licensee informed parents, and took the weekend to disinfect the facility. Staff 1 experienced no symptoms excluding loss of smell, and took an at-home COVID-19 test as a safety precaution which came back positive. The following day, Staff 1 went to Kaiser to verify accuracy of test results, and received the positive test on Friday, 6/10/22. After Staff 1 delivered Kaiser test result, Licensee disclosed to parents the possible exposure. Children and staff are required to wear masks in the classroom. LPA observed all staff and children present wearing masks. Staff 1 quaratined for 6 days from the center and returned 6/14/2022. Staff 1 did not exhibit any flu-like symptoms during incubation period.
Substantiated
Estimated Days of Completion: 5
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022
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-20220609122516
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: ALL MY CHILDREN LEARNING INSTITUTE
FACILITY NUMBER: 197419982
VISIT DATE: 06/14/2022
NARRATIVE
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No other children or staff have exhibited symptoms, nor have any staff or children come forward with positive test results. Additionally, Licensee showed LPA the VitalOxide cleaning solution and the cleaning tools utilized to spray the the solution in the facility during the weekend outside of day care hours.

The facility failed to notify Licensing of the COVID-19 positive case within the required time frame specified in the regulation (within 24 hours or by the next business day). During inspection Licensee completed the written report and submitted to LPA.

Based on evidence collected and interviews conducted, the preponderance of evidence standard has been met and the above allegation is deemed substantiated. California Code of Regulations, Title 22, Division 12 Chapter 1 101212 Reporting Requirements Type B violation is being cited during inspection. See LIC9099D for deficiency details.

An exit interview was conducted, a copy of this Report, Appeal Rights, and Notice of Site Visit were provided to Licensee, Edrenia Williams.
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20220609122516
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: ALL MY CHILDREN LEARNING INSTITUTE
FACILITY NUMBER: 197419982
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2022
Section Cited
CCR
101212(d)
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101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center ... a report shall be made to the Department by telephone or fax within the Department's next working day. This requirement was not met as evidence by:
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During inspection, Licensee completed and submitted the Unusual Incident Report (LIC624) detailing the incident details. Deficiency cleared during inspection.
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Based on interview, Licensee failed to notify the Department of the COVID-19 positive by the next business day, which poses a potential Health and Safety risk to 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: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3