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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364814430
Report Date: 04/03/2023
Date Signed: 04/03/2023 03:59:41 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
01/25/2023 and conducted by Evaluator Kendal Zirbes
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20230125141845
FACILITY NAME:PSD YUCCA VALLEY HEAD STARTFACILITY NUMBER:
364814430
ADMINISTRATOR:LUGENE SPRINGFIELDFACILITY TYPE:
850
ADDRESS:56389 PIMA TRAILTELEPHONE:
(760) 369-7424
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:48CENSUS: 21DATE:
04/03/2023
UNANNOUNCEDTIME BEGAN:
03:01 PM
MET WITH:Facility Representative Edna Day TIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Staff did not meet child's diapering needs
INVESTIGATION FINDINGS:
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On April 3, 2023, Licensing Program Analyst (LPA) Zirbes conducted a follow-up complaint inspection to PSD Yucca Valley Head Start. LPA met with facility representative Edna Day. The purpose of the inspection was to deliver the findings for the above complaint allegation.
The Department received an allegation alleging unknown staff member(s) left child 1 (C1) in the same diaper that C1 was dropped off in. The alleged incident occurred on January 18, 2023 and January 19, 2023. Over the course of the investigation, LPA conducted confidential interviews with staff, children and parents. In addition, LPA reviewed child, staff and facility records. Staff interviews confirmed C1 was observed in a soiled diaper on January 19, 2023. Staff 1 (S1) and Staff 2 (S2) denied C1 was left in the same diaper that C1 was dropped off in at approximately 12:30pm. S1 and S2 recalled C1 was changed around 2:40pm and could not recall if C1 was changed again prior to pick up at 4:00pm. S1 reported C1 was changed into a diaper provided by another family and not a diaper from C1 supplies. Confidential interviews reported the expectation of the Center is a child should not be left in a soiled diaper at any time.
Report continued on page two
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023
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-20230125141845
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: PSD YUCCA VALLEY HEAD START
FACILITY NUMBER: 364814430
VISIT DATE: 04/03/2023
NARRATIVE
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Report continued from page one

At the time of this incident, C1s classroom did not record any child’s diapering activity. The Department received photographic evidence documenting C1 at 4:19pm on January 19, 2023. The evidence shows a diaper drooping almost to C1s knees. The investigation could not conclude that C1 was left in the same diaper that C1 was dropped of in. However, based on confidential interviews, and record review, even though C1 may have been changed at 2:40pm, interviews confirmed C1 was observed in a soiled diaper at 4:00pm. Therefore, the staff did not meet C1 diapering needs. The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, regulation 101223 (a)(2) Personal Rights, is being cited on the attached LIC 9099D.

An exit Interview was conducted, and a copy of the report and Notice of the Site Visit were read and provided to the facility representative, Edna Day.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20230125141845
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: PSD YUCCA VALLEY HEAD START
FACILITY NUMBER: 364814430
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/17/2023
Section Cited
CCR
101223(a)(2)
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101223(a) (2) Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations... to meet his/her needs.
This was not met as evidenced by:
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Per facility representative, since the incident the staff must record the time of the changing, childs names, the type of diaper on a classroom log. The log is provided to the office at the end of each day. A training was provided to the staff members. A copy of the traiing will be provided to the Department.
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 Based on record review and interviews conducted C1's diaper was not checked or changed at intervals that met the need of the child. C1s diaper was soiled when C1 parent arrived to pick C1. The staff was not aware C1 had a soiled the diaper until parent informed the staff. This poses a potential risk to the health and safety of children 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: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3