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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197750058
Report Date: 06/11/2025
Date Signed: 06/11/2025 11:20:57 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 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
04/28/2025 and conducted by Evaluator Joselito DelMundo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20250428093144
FACILITY NAME:KIDS AND KRAYON INFANTS AND TODDLERSFACILITY NUMBER:
197750058
ADMINISTRATOR:MARIA ELENA VALDOVINOSFACILITY TYPE:
830
ADDRESS:43137 VENTURE ST SUITE 103TELEPHONE:
(661) 839-5252
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:15CENSUS: 8DATE:
06/11/2025
UNANNOUNCEDTIME BEGAN:
10:14 AM
MET WITH:Director Maria Elena ValdovinosTIME COMPLETED:
11:18 AM
ALLEGATION(S):
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Allegation: Staff did not provide adequate supervision, resulting in infant sustaining injuries
INVESTIGATION FINDINGS:
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On June 11, 2025, Licensing Program Analyst (LPA) Joselito L. Del Mundo conducted a follow up complaint inspection to Kids and Krayon Infant and Toddlers. The purpose of the inspection was to deliver the findings for the above complaint allegation. Upon arrival, LPA met with the director, Maria Elena Valdovinos, and was granted access to the facility. During this visit, LPA observed seven infants with two staff providing care supervision.

The investigation consisted of interviews with the director, staff, parents, and reviews of relevant documents. Based on confidential interviews conducted and reports gathered, the incident happened between 10:30 A.M. to 11:00 A.M inside the infant classroom when staff #1 left child #1 on the floor mat for approximately five minutes while changing the diaper of child #2. The position of the diaper changing table is located inside the bathroom of the infant room which does not allow staff #1 to conduct visual observation and supervision to child #1. Unknown to staff #1, child #3 crawled and went toward child #1 where child #1 sustained deep scratches from child #3. It was only when child #1 cried that staff #1
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
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-20250428093144
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS AND KRAYON INFANTS AND TODDLERS
FACILITY NUMBER: 197750058
VISIT DATE: 06/11/2025
NARRATIVE
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Pg 2

noticed the injuries on child #1. Staff #1 called for help and the parent was contacted.

Based on the information obtained, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. Type A deficiency was cited per California Code of Regulations Title 22, Division 12, Chapter 1, regulation 101429 Responsibility for Providing Care and Supervision for Infants. See attached LIC 9099D.

Upon receipt of a Type A deficiency, a copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. Copies of the reports must be provided to each parent when a Type A violation is cited along with Acknowledgment of Receipt of Licensing Reports LIC 9224. If these requirements are not met, civil penalties per violation will be assessed.

An exit interview was conducted, and a copy of this report was provided to the director, Maria Elena Valdovinos along with Notice of Site Visit and Appeal Rights.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20250428093144
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KIDS AND KRAYON INFANTS AND TODDLERS
FACILITY NUMBER: 197750058
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/11/2025
Section Cited
CCR
101429
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101429 Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.
This requirement is not met as evidence by:
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Staff will visually observe every infant in care to meet their daily needs.Procedures for diaper changing shall be carefully planned and implemented.
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Based on confidential interviews, the facility did not comply with the section cited above by failing to provide care and supervision to child #1 which posed an immediate Health, Safety or Personal Rights risk to persons 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: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3