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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364840739
Report Date: 06/20/2024
Date Signed: 06/20/2024 03:24:39 PM

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
06/20/2024 and conducted by Evaluator Sherell Braddock
COMPLAINT CONTROL NUMBER: 12-CC-20240620115220
FACILITY NAME:PSD/NORTHGATE HEAD STAR/STATE PRESCHOOLFACILITY NUMBER:
364840739
ADMINISTRATOR:IRMA SANTOSFACILITY TYPE:
850
ADDRESS:17251 DANTE STREETTELEPHONE:
(760) 951-1425
CITY:VICTORVILLESTATE: CAZIP CODE:
92394
CAPACITY:32CENSUS: 6DATE:
06/20/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Irma Santos-Assitant DirectorTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Physical Plant- Facility had a power outage
INVESTIGATION FINDINGS:
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On June 20th 2024, Licensing Program Analyst (LPA) Braddock made an unannounced inspection to the Northgate Headstart. The purpose of the inspection was to conduct investigation and deliver findings regarding the above allegation. LPA met with Irma Santos who granted access. LPA observed 6 children and 2 staff in care.

During the investigation, LPA conducted confidential interviews. Based on the interviews with staff, the evidence corroborates with the allegation that there was a power outage meaning the Preponderance of the evidence standard has been met.

The director ensured LPA during the power outage the safety & well-being of the children in care were being addressed the entire morning. No deficiency was issued.There was no health and safety threat to the children in care. The facility outage was between 9 and 11am.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Sherell Braddock
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
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-20240620115220
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: PSD/NORTHGATE HEAD STAR/STATE PRESCHOOL
FACILITY NUMBER: 364840739
VISIT DATE: 06/20/2024
NARRATIVE
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 The director states that the parents were informed at the time of drop off time, and other parents were called and given the option to pick their children. There was no change to the menu because food was purchased to coincide with the menu after the ruined food was discarded. The facility has adequate natural light and LED Lights to add additional light to the classroom. Per confidential interviews, Temperatures at the facility never reached over 77 degrees.



An exit interview was conducted, and a copy of this report was read, Appeal Rights were discussed, and a Notice of Site Visit, and a copy of all forms mentioned were provided to the Licensee, / 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: Lady King
LICENSING EVALUATOR NAME: Sherell Braddock
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2