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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364843656
Report Date: 03/01/2024
Date Signed: 03/01/2024 03:41:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/08/2023 and conducted by Evaluator Babatunde Ibitoye
COMPLAINT CONTROL NUMBER: 12-CC-20231208144020
FACILITY NAME:KIDS & CARE PRESCHOOL & CHILD CARE CENTERFACILITY NUMBER:
364843656
ADMINISTRATOR:LUZ MARISOL VALENZUELAFACILITY TYPE:
850
ADDRESS:10662 MAPLE AVENUETELEPHONE:
(760) 956-2000
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:30CENSUS: 16DATE:
03/01/2024
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Alyse SandersTIME COMPLETED:
04:01 PM
ALLEGATION(S):
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Personal Right
Conduct Inimical
INVESTIGATION FINDINGS:
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On 03/01/2024, Licensing Program Analyst (LPA) Babatunde Ibitoye conducted an unannounced follow-up complaint inspection LPA met with the Director Alyse Sanders.The purpose of the inspection was to deliver the complaint finding for the above complaint allegations.
During today’s visit, LPA observed 16 childcare children in care,present with 2 Teachers.
During the investigation of this complaint, LPA conducted interviews with all parties involved. LPA obtained the facility's children's roster and reviewed the C#1 record.
Based on the evidence obtained, the interviews and the documents reviewed revealed conflicting statements regarding the allegation that the staff caused an injury to the daycare child, The Staff told the child not to report the incident to authorized representatives. Currently, there is no preponderance of evidence to prove the allegation.Therefore, based on the information obtained, the department finds the above allegation is deemed unsubstantiated.
An exit interview was conducted, and a copy of this report was provided to the Director Alyse Sanders along with a Notice of Site Visit and Appeal Rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/08/2023 and conducted by Evaluator Babatunde Ibitoye
COMPLAINT CONTROL NUMBER: 12-CC-20231208144020

FACILITY NAME:KIDS & CARE PRESCHOOL & CHILD CARE CENTERFACILITY NUMBER:
364843656
ADMINISTRATOR:LUZ MARISOL VALENZUELAFACILITY TYPE:
850
ADDRESS:10662 MAPLE AVENUETELEPHONE:
(760) 956-2000
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:30CENSUS: 16DATE:
03/01/2024
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Alyse SandersTIME COMPLETED:
04:01 PM
ALLEGATION(S):
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2
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9
Reporting Requirement/observation
INVESTIGATION FINDINGS:
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On 03/01/2024,Licensing Program Analyst (LPA) Babatunde Ibitoye conducted an unannounced follow-up complaint inspection LPA met with the Director Alyse Sanders. The purpose of the inspection was to deliver the complaint finding for the above complaint allegations.
During today’s visit, LPA observed 16 childcare children in care, present with 2 Teachers.
During the investigation of this complaint, LPA conducted interviews with all parties involved. LPA obtained the facility's children's roster and reviewed the C#1 record.
Based on the evidence obtained, the interviews and the documents reviewed revealed that staff #1 was present on the playground when C #2 pushed C#1 and the incident was also reported to S#1.
Based on the evidence obtained it was revealed that the facility did not follow the terms and conditions outlined in section 101626.3(a)(b) observation of the child. S#1 did not notify C#1 authorized representative of Incident on the playground. Therefore, the preponderance of the evidence has been met and the allegation has been substantiated. See LIC 9099D.Type B deficiency
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024
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-20231208144020
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KIDS & CARE PRESCHOOL & CHILD CARE CENTER
FACILITY NUMBER: 364843656
VISIT DATE: 03/01/2024
NARRATIVE
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An exit interview was conducted, and a copy of this report was provided to the Director Alyse Sanders along with a Notice of Site Visit and Appeal Rights.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 12-CC-20231208144020
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KIDS & CARE PRESCHOOL & CHILD CARE CENTER
FACILITY NUMBER: 364843656
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2024
Section Cited
CCR
101626.3(a)(b)
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Observation of the Child .(a) In addition to Section 101226.3(a), and notwithstanding Section 101226.3(b), the following shall apply:
(b) Any changes in the child's behavior or any signs of the child's illness worsening shall be reported to the child's authorized representative and recorded in the child's record on the day they occur.
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Facility will conduct Training to all Staff on reporting/observation/incident with children in care and submit proof by due date.
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This requirement was not met as evidenced by: Based on interview and record review, the facility staff #1 did not notify C#1 authorized representative of the incident that occurred between C#1 and C2 when S#1 was provide supervision on the playground. This posed a Potential health and safety risk to 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: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4