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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492945
Report Date: 11/24/2021
Date Signed: 11/24/2021 02:30:19 PM

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
10/01/2021 and conducted by Evaluator Brigitte Tsutaoka
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20211001145831
FACILITY NAME:KIDS TOWN CHILDCARE CENTER, LLCFACILITY NUMBER:
197492945
ADMINISTRATOR:ANA GARCIAFACILITY TYPE:
840
ADDRESS:1825 WEST AVENUE J, SUITE 125TELEPHONE:
(661) 951-2070
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:45CENSUS: 11DATE:
11/24/2021
UNANNOUNCEDTIME BEGAN:
09:28 AM
MET WITH:Jessica DonisTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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9
Allegation 1: Facility not following COVID-19 masking requirements.
INVESTIGATION FINDINGS:
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On November 24, 2021 at 9:28AM, 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 Assistant Director Jessica Donis. Upon entry, LPA counted 11 child in care with 1 staff on association list.
During investigation, LPA interviewed staff and children. Children disclosed they wear masks at all times while at the facility, but are not required to wear the masks at home or outside. Staff stated children are required to wear masks at all times except during meal times. LPA observed children wearing masks during this inspection and throughout the course of the investigation.
Based on evidence obtained and interviews conducted, the above allegation is deemed 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 violation did or did not occur. An exit interview was conducted, this Report, Appeal Rights, and Notice of Site Visit were provided to Assistant Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021
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 5
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
10/01/2021 and conducted by Evaluator Brigitte Tsutaoka
COMPLAINT CONTROL NUMBER: 12-CC-20211001145831

FACILITY NAME:KIDS TOWN CHILDCARE CENTER, LLCFACILITY NUMBER:
197492945
ADMINISTRATOR:ANA GARCIAFACILITY TYPE:
840
ADDRESS:1825 WEST AVENUE J, SUITE 125TELEPHONE:
(661) 951-2070
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:32CENSUS: 11DATE:
11/24/2021
UNANNOUNCEDTIME BEGAN:
09:28 AM
MET WITH:Jessica DonisTIME COMPLETED:
02:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation 2: Facility has gum underneath tables and does not maintain facility cleanliness.
Allegation 3: Facility is not following admission agreement.
Allegation 4: Director intimidates children.
INVESTIGATION FINDINGS:
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On November 24, 2021 at 9:28AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced complaint inspection on the above allegations. LPA disclosed the purpose of inspection and was granted entry by Assistant Director Jessica Donis, who guided LPA on a tour of the facility. Upon entry, LPA counted 11 children with 1 staff on association list.
During initial inspection, LPA observed gum stuck to the bottom of tables in the school age room. Director required staff to clean gum from beneath tables. During inspection at 10:55AM, LPA observed gum removed from under the tables during initial inspection, but gum still under table in the middle of the school age room.
During investigation, LPA conducted interviews with staff, children, and obtained/reviewed facility records. Based on evidence obtained, the Admission Agreement stipulates famlies are provided a two week notice prior to termination from the program.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 12-CC-20211001145831
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: KIDS TOWN CHILDCARE CENTER, LLC
FACILITY NUMBER: 197492945
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/24/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/08/2021
Section Cited
CCR
101238(a)
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101238 Building and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times... This requirement was not met as evidence by:
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Facility staff greed to remove gum from beneath tables and provide pictures to the Department no later than 12/08/2021
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Based on observation, facility staff failed to remove gum from under the tables, which poses a potential Health and Safety risk to children in care.
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Type B
12/24/2021
Section Cited
CCR
101219(f)
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101219 Admission Agreement (f) The licensee shall comply with all terms and conditions set forth in the admission agreement. This requirement was not met as evidence by:
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Director agreed to update Admission Agreement to clarify termination agreement.
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Based on interview and record review, Director failed to uphold the two week's notice requirement agreed upon in the Admission Agreement.
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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: 11/24/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 12-CC-20211001145831
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: KIDS TOWN CHILDCARE CENTER, LLC
FACILITY NUMBER: 197492945
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/24/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/25/2021
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded...(3)To be free from ... intimidation. This requirement was not met as evidence by:
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Director agreed to enroll in training on caring for children with challenging behaviors no later than 11/25/2021. Director agreed to provide training certificate to Department once completed.
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Based on interview, Director failed to protect personal rights of children by yelling close to their face which is an immediate 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: 11/24/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 12-CC-20211001145831
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: KIDS TOWN CHILDCARE CENTER, LLC
FACILITY NUMBER: 197492945
VISIT DATE: 11/24/2021
NARRATIVE
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LPA reviewed 2 (two) separate termination letters from families which provide less than the 2 week's notice as agreed upon with the facility. One letter was provided the day after termination of care, and the other letter provides only 4 days notice. LPA additionally reviewed facility files of children who were terminated from care and did not observe a termination letter in the files.

During child interviews, it was disclosed Director intimidates children by yelling in close proximity to their face during discipline.

Based on evidence obtained and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are substantiated. California Code of Regulations, Title 22, Division 12 Chapter 1 101238 Buildings and Grounds and 101219 Admission Agreement Type B violations are being cited during this inspection. California Code of Regulations, Title 22, Division 12 Chapter 1 101223 Personal Rights Type A violations is being cited during this inspection. See LIC9099D for deficiency details

Director was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. A copy of this licensing report (LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent. A copy of the Acknowledgment of receipt of licensing report (LIC9224) was
provided and must be kept in each child's file. In addition, any child enrolled within the following 12 months must also receive a copy of the Type A Citation.

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

DATE: 11/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5