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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197750163
Report Date: 05/15/2025
Date Signed: 05/15/2025 10:37:09 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 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
03/21/2025 and conducted by Evaluator Sherell Braddock
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20250321113815
FACILITY NAME:ACADEMY OF EXCELLENCEFACILITY NUMBER:
197750163
ADMINISTRATOR:BEVERLY MOODYFACILITY TYPE:
840
ADDRESS:1324 WEST AVENUE J SUITE 5TELEPHONE:
(661) 206-9344
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:30CENSUS: 23DATE:
05/15/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Chauncy Smith- Director TIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff left a day care child inside of a parked vehicle
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Thursday, May 15, 2025, Licensing Program Analyst (LPA), Braddock conducted an unannounced complaint inspection to Academy of the Excellences. LPA met with Director, Chauncy Smith who granted access. The purpose of the inspection was to deliver findings for above allegation. LPA discussed the allegation details with Director. LPA toured the facility and observed 6 infants, 17 preschool and 0 school age children in care with 6 teachers , assistant director and director.

The investigation consisted of interviews with relevant parties and a review of supporting documentation. The Department has investigated the complaint alleging that Facility staff left C1 inside of a parked vehicle. Around the beginning of the year (2025), the Licensee (S1) had knowledge of the allegation that C1 was left in parked van after school pick-up. S1 stated from the inquire, S2 reported C1 belongings was left inside of the parked van, adding, S2 reported, C1 was not left in the van. Upon LPA inquire, S2 did not recall any incident involving C1, stating nothing happen. C1, the legal guardian of C1, and S3 stated C1 was sleep inside parked vehicle when the guardian of C1 arrived at the center for pick up.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Sherell Braddock
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
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-20250321113815
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750163
VISIT DATE: 05/15/2025
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
26
27
28
29
30
31
32
Based on the interviews and documentation received the allegation staff left C1 in parked vehicle is deemed substantiated. A finding that the complaint is substantiated means that the allegation happened or is valid, there is preponderance of evidence to prove that the alleged occurred.

LPA Braddock informed the Director to provide a copy of this licensing report dated May 15, 2025, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.



A Notice of Site Visit was given and must remain posted for 30 days. An exit interview was conducted, and the report was reviewed with Director. Appeal rights and a copy of the report were provided to Director.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Sherell Braddock
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20250321113815
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750163
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/16/2025
Section Cited
CCR
101229(a)(1)
1
2
3
4
5
6
7
(a) The licensee shall provide care and supervision as necessary to meet...(1) No child(ren) shall be left without the supervision of a teacher at any time except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director states the children will be counted before they enter the facilty after van pick up. The children will stand in one line until they are cleared to enter the facility. Director states they now physically check the van to ensure no children are left behind. The ratio of the children will be given to the teacher. The directir will send declaration to LPA.
8
9
10
11
12
13
14
Based on interviews conducted, staff failed to ensure that all children were removed from the van after school pick up. C1 was left alone outside the facility sleep in the van which poses an immediate health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Sherell Braddock
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3