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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197750129
Report Date: 07/18/2024
Date Signed: 07/18/2024 12:42:39 PM

Unsubstantiated


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
06/28/2024 and conducted by Evaluator Joselito DelMundo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240628131259
FACILITY NAME:PURE & SIMPLE ACADEMY INCFACILITY NUMBER:
197750129
ADMINISTRATOR:SANDRA LONA AGUIRREFACILITY TYPE:
850
ADDRESS:43301 DIVISION ST, SUITE 101TELEPHONE:
(661) 524-1042
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:60CENSUS: 28DATE:
07/18/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Sandra Lona AguirreTIME COMPLETED:
12:42 PM
ALLEGATION(S):
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Allegation: Licensee allowed an uncleared adult to work or volunteer at the license day care.
INVESTIGATION FINDINGS:
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On July 18, 2024, at 11:00 A.M., Licensing Program Analyst (LPA) Joselito L. Del Mundo made an unannounced complaint inspection to the Pure & Simple Academy Inc. The purpose of the visit was to deliver findings for the above allegation. LPA Del Mundo met with Director Sandra Lona Aguirre who granted access to LPA. LPA observed 27 children in total (Rooms 3, 4, and D) with 4 staff providing care supervision.

Based on confidential interviews conducted and evidence gathered regarding the allegation: Licensee allowed an uncleared adult to work or volunteer at the above license day care. It was determined that the allegation could not be corroborated. Therefore, the allegation has been found Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that there was an uncleared adult working or volunteering at the premises. No deficiencies were cited as a result of this inspection.

An exit Interview was conducted, and a copy of this report was read, appeal rights were provided a Notice
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
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 2
Control Number 12-CC-20240628131259
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: PURE & SIMPLE ACADEMY INC
FACILITY NUMBER: 197750129
VISIT DATE: 07/18/2024
NARRATIVE
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Pg 2

of Site Visit, was discussed, and left with director Sandra Lona Aguirre at the facility. Failure to maintain the posting of the Notice of Site visit will result in a $100 Civil Penalty.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2