<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750104
Report Date: 09/29/2021
Date Signed: 09/29/2021 12:29:28 PM

Document Has Been Signed on 09/29/2021 12:29 PM - 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:SMALL WONDERS DAY CARE & PRESCHOOL INC.FACILITY NUMBER:
197750104
ADMINISTRATOR:VERONICA ROSEFACILITY TYPE:
850
ADDRESS:42537 50TH STREET WESTTELEPHONE:
(661) 816-8563
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 65TOTAL ENROLLED CHILDREN: 0CENSUS: 45DATE:
09/29/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Administrator, Veronica Rose TIME COMPLETED:
12:44 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On September 29, 2021, at 9:05am Licensing Program Analysts (LPAs) Zirbes and Thompson-Miller conducted an unannounced follow-up Case Management inspection. During this inspection, LPA's met with Assistant Director Lindsey McClain and Administrator Veronica Rose. The purpose of the Case Management was to follow-up on a self reported unusual incident report (UIR) submitted to the Department on September 10, 2021. The UIR was regarding a personal rights incident involving staff 1 (S1) and child 1 (C1). (Refer to confidential names list, LIC 811 dated September 29, 2021). Upon arrival, there were 45 children and seven teachers at the facility.
During the investigation of the UIR, staff and children were interviewed, video of the incident was reviewed and relevant documentation was reviewed.
Based on the evidence reviewed it was determined that the personal rights of C1 were violated when S1 grabbed the child by the hand, pulled the child toward S1 and sat the child on the carpet in the presence of other day care children. This was done as a form of punishment due to C1 hitting another child with a toy. Although the Administrator took appropriate action to address S1's conduct, the personal rights violation did occur.
A deficiency is being cited based on interviews and record review, in accordance with California Code of Regulations, Title 22, see LIC 809D.
An exit interview was conducted, where the plan of correction was reviewed and developed with the Assistant Director and Administrator. A copy of this report and appeal rights were discussed with the Assistant Director.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Linda Thompson-Miller
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 09/29/2021 12:29 PM - It Cannot Be Edited


Created By: Linda Thompson-Miller On 09/29/2021 at 11:56 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: SMALL WONDERS DAY CARE & PRESCHOOL INC.
FACILITY NUMBER: 197750104

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/29/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
09/30/2021
Section Cited
CCR
101223(a)(3)

1
2
3
4
5
6
7
101223 (a)(3) Personal Rights, To be free from corporal or unusual punishment....humiliation, intimidation..physical functioning.
This requirement was not meet as evidenced by: Based on confidential interviews and record review, S1 provided unusual punishment when S1 grabbed C1 by the hand
1
2
3
4
5
6
7
Per Assistant Director, S1 was terminated on the same day of the incident. On 9/13/2021, the Administrator conducted a meeting regarding children's behaviors, issues in classroom, and to always treat children with respect. Administrator will provide documentation to CCL by 9/30/2021 regarding the 9/13/2021 meeting.
8
9
10
11
12
13
14
and pulled C1 around a table of C1 peers. S1 responded in this manner due to C1 hitting another child with a toy. This posses an immediate risk to the health and safety of the children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Claretta Yates
LICENSING EVALUATOR NAME:Linda Thompson-Miller
LICENSING EVALUATOR SIGNATURE:
DATE: 09/29/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/29/2021


LIC809 (FAS) - (06/04)
Page: 2 of 2