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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197750170
Report Date: 04/22/2024
Date Signed: 04/22/2024 05:15:02 PM

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
01/31/2024 and conducted by Evaluator Andrea Pittman
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240131143309
FACILITY NAME:CCRC 10TH STREET HEAD STARTFACILITY NUMBER:
197750170
ADMINISTRATOR:BEATRIZ ZAMORANO-PEDREGONFACILITY TYPE:
850
ADDRESS:44236 10TH ST WESTTELEPHONE:
(661) 494-7999
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:80CENSUS: 17DATE:
04/22/2024
UNANNOUNCEDTIME BEGAN:
04:36 PM
MET WITH:Center Director Carla MoralesTIME COMPLETED:
05:35 PM
ALLEGATION(S):
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Personal Rights
Ratio
INVESTIGATION FINDINGS:
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On 4/22/2024 at 4:36pm, Licensing Program Analysts (LPAs) Andrea Pittman and Crystal Ali conducted an unannounced complaint visit to deliver the findings at the facility and was met by the Facility Representative who permitted entry to the facility. LPAs toured the facility with the Center Director according to the facility sketch. Upon arrival, LPAs observed 17 children with 8 staff members providing care and supervision.

During this investigation, LPA received pertinent documents related to this investigation, which included the facility’s staff and children’s rosters, personnel records, and other relevant investigation documents. In the weeks leading up to the complaint, the following represents what transpired at the center. The investigation revealed the following information:
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
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 4
Control Number 12-CC-20240131143309
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: CCRC 10TH STREET HEAD START
FACILITY NUMBER: 197750170
VISIT DATE: 04/22/2024
NARRATIVE
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Allegation 1: The first allegation states that staff spoke inappropriately to children in care. During the investigation, the LPA was able to discover that two staff have spoken directly to or about Child 1 inappropriately including yelling at the child. Child 1 has reacted to the conversations had with the staff by endangering or harming other children in care. One of the staff has been moved to another classroom; however, the second staff is still in place in this classroom. This is a Type B citation, see the LIC 9099D for the details.

Allegation 2: The second allegation states that there is inadequate staff in the classrooms. During the investigation, the LPA was able to determine that although there is a substitute list for the facility; all interviewed staff confirmed that the use of substitutes comes from other classrooms at the facility and not the substitute listing that was provided to the LPA during the investigation. The time of being out of ratio span from a few minutes to over 30 minutes. Additionally, multiple staff have stated that there have been several occurrences when the classrooms are out of ratio when teachers go on breaks, lunches, and covering absences due to not having enough staff at the facility to provide ratio coverage in the classrooms. Staff have stated that they have brought it up to management; however, it still occurs any time there is inadequate coverage in the facility’s staff. This is a Type A citation, see the LIC 9099D for the details.

Based on information obtained, observations, and interviews with relevant complaint parties, the Allegation is deemed substantiated for allegation 2; as a result, a Type A citation and a Type B for allegation 1 will be issued. A finding of substantiated means that allegations were valid because the preponderance of the evidence standard has been met. As a Type A deficiency has been cited, a copy of the citation and licensing report must be posted for 30 days. The same report must be provided to Parents/Guardians and the Acknowledgment of Receipt of Licensing Reports LIC 9224 must be signed by Parents/Guardians of all enrolled children and any newly enrolled children in the next 12 months following the citation. If these requirements are not met, civil penalties per violation will be assessed.

An exit interview was conducted, a copy of this report read and provided to the Center Director, and the Notice of Site Visit and Appeal Rights was explained and given to the Center Director.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 12-CC-20240131143309
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: CCRC 10TH STREET HEAD START
FACILITY NUMBER: 197750170
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
04/23/2024
Section Cited
CCR
101216.3(a)
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101216.3 Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance…

This requirement is not met as evidenced by
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Director will create a plan to ensure observance of ratios in all classrooms sent via e-mail no later than 4/23/2024.
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by not ensuring observation of the teacher-child ratio on multiple occasions which poses 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: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 12-CC-20240131143309
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: CCRC 10TH STREET HEAD START
FACILITY NUMBER: 197750170
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
05/06/2024
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights
(a) The licensee shall ensure that each child…
(1) To be accorded dignity in his/her personal relationships with staff and other persons.

This requirement is not met as evidenced by
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Director will create a plan to ensure children are accorded dignity in their relationships with staff sent via e-mail no later than 5/6/2024.
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by two staff speaking to Child 1 inappropriately which poses a potential 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: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4