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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197750165
Report Date: 06/10/2025
Date Signed: 06/10/2025 12:38:02 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
04/23/2025 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20250423143505
FACILITY NAME:NOTRE DAME CHILDREN'S ACADEMY OF CASTAICFACILITY NUMBER:
197750165
ADMINISTRATOR:EDNA HERNANDEZFACILITY TYPE:
860
ADDRESS:31814 CASTAIC ROADTELEPHONE:
(661) 255-0053
CITY:CASTAICSTATE: CAZIP CODE:
91384
CAPACITY:77CENSUS: 10DATE:
06/10/2025
UNANNOUNCEDTIME BEGAN:
12:04 PM
MET WITH:Edna HernandezTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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9
Allegation #1 – Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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On June 10, 2025, Licensing Program Analyst (LPA) Calloway made an unannounced inspection to the facility. The purpose of the inspection was to deliver findings regarding the above allegation. LPA met with representative who granted access. LPA observed ten day children and five staff in care.
On April 29, 2025, LPA observed the staff to child ratio was compliant. During the investigation, LPA conducted confidential interviews with all relevant parties involved. Based on interviews and infant Child 1 (C1) was being moved to the preschool classroom to comply with the ratio of four infants and one teacher in the infant classroom, and there was a teacher brought in to cover the classroom periodically when a fifth infant was in the classroom. Based on interviews there are one to two staff observed in the evening with two to four children. Therefore, Allegation #1 Facility is operating out of ratio is Unsubstantiated, meaning although the allegation may have occurred there is not a preponderance of evidence to prove the alleged violation occurred.
There are no deficiencies cited during this inspection.
An exit interview was conducted, and a copy of this report was read, a Notice of Site Visit, and this report were provided to the Edna Hernandez, Facility Representative at the facility. A Notice of Site Visit must remain posted for 30 days. Removal of the posting is subject to a $100 civil penalty.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
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 4
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
04/23/2025 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20250423143505

FACILITY NAME:NOTRE DAME CHILDREN'S ACADEMY OF CASTAICFACILITY NUMBER:
197750165
ADMINISTRATOR:EDNA HERNANDEZFACILITY TYPE:
860
ADDRESS:31814 CASTAIC ROADTELEPHONE:
(661) 255-0053
CITY:CASTAICSTATE: CAZIP CODE:
91384
CAPACITY:77CENSUS: 10DATE:
06/10/2025
UNANNOUNCEDTIME BEGAN:
12:04 PM
MET WITH:Edna HernandezTIME COMPLETED:
12:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation #2 – Licensee does not ensure that there is Director at the facility.
Allegation #3 - Staff are co-mingling day care children in care.

INVESTIGATION FINDINGS:
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5
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13
On June 10, 2025, Licensing Program Analyst (LPA) Calloway made an unannounced inspection to the above facility. The purpose of the visit was to deliver findings regarding the above complaint allegations. LPA met with representative who granted access. LPA observed ten-day care children and five staff in care.
During the complaint investigation, LPA conducted confidential interviews with all relevant parties involved.

Allegation #2- On April 29, 2025, LPA observed the owner of the facility as acting director and four additional staff present during inspection. Based on the interviews and record reviews the closing staff are left alone for two hours in the evening without the presence of a director caring for three-to-four-day care children. Based on the interviews and record reviews the qualified, designated director never worked at the facility and Licensing was not made aware the facility has been operating without a qualified director.
Therefore, the allegation, Licensee does not ensure that there is a Director at the facility corroborates with the evidence.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
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 4
Control Number 12-CC-20250423143505
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: NOTRE DAME CHILDREN'S ACADEMY OF CASTAIC
FACILITY NUMBER: 197750165
VISIT DATE: 06/10/2025
NARRATIVE
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Allegation #3- the interviews revealed there were four-day care children: C1, C2, C3, and C4 at the day care in the evening from 4:30-6:00 PM with one to two staff members. The staff provide care by combining infant children in the same areas with the preschool and school-aged children either strapping them in a multi- seated stroller in the lobby, putting them inside one classroom, or outside on the same play yard until the parents could pick up the children. Based on interviews, the infants under twenty-four months are being moved to the toddler and preschool room. Therefore, the allegation, Staff are co-mingling day care children in care, corroborates with the evidence.

Based on interviews and record reviews the two allegations above are Substantiated, meaning the Preponderance of the evidence standard has been met.

There is one Type A deficiency cited for Limitations on Capacity and one Type B deficiency for Reporting Requirements cited during this inspection. See LIC 809D pages attached to this report.

Upon receipt of a Type A deficiency licensee shall post the report for 30 days in addition to the Notice of Site Visit and provide copies of the licensing report to parents/guardians of all children in care at the facility. This report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months. The representative will obtain a signed acknowledgment of Licensing Reports (LIC9224) from parent/guardians and place it in each of the children’s file (remain for three years) as there is an immediate risk to the health, safety, or personal rights of the persons in care. If these requirements are not met, civil penalties will be assessed.

An exit interview was conducted, and a copy of this report was read, the Notice of Site Visit, and Appeal Rights, and this report were provided to Edna Hernandez, Facility Representative at the facility. A Notice of Site Visit must remain posted for 30 days. Removal of the posting is subject to a $100 civil penalty.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 12-CC-20250423143505
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: NOTRE DAME CHILDREN'S ACADEMY OF CASTAIC
FACILITY NUMBER: 197750165
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/11/2025
Section Cited
CCR
101161(a)
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101161 (a) Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidenced by:
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I have changed the schedule to make sure there are two teachers at all times and I will not co mingle the children. I will provide a copy of the updated staffing schedule to Licensing by POC date.
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Based on interviews, in the evening, the infant day care children are co-mingled with the preschool and school aged children. The children are strapped inside a multi-seated stroller in the lobby, or put in one classroom, or outside on the same play yard which is an immediate health, safety, or personal rights risks to the persons in care.
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Type B
06/24/2025
Section Cited
CCR
101212(b)
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101212(b)- Reporting Requirements (b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).
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I will submitted my packet of papers for review to qualify as the new director and any changes in the Director I will notify licensing.
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Based on interviews and record reviews the original, designated director never worked at the facility and the Licensee did not notify Licensing of the changes with the Director which is a potential health, safety, or personal rights risk to the 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: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4