<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844266
Report Date: 11/29/2023
Date Signed: 11/29/2023 03:25:36 PM

Document Has Been Signed on 11/29/2023 03:25 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:READY SET GROW LEARNING SERVICESFACILITY NUMBER:
364844266
ADMINISTRATOR:LILAMANIE SENEWIRATNEFACILITY TYPE:
850
ADDRESS:1528 PUMALO STREETTELEPHONE:
(909) 883-6628
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY: 75TOTAL ENROLLED CHILDREN: 44CENSUS: 36DATE:
11/29/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Facility Representative Zaray Ochoa TIME COMPLETED:
03:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On November 29, 2023, Licensing Program Analyst (LPA) Kendal Zirbes conducted an unannounced case management deficiency inspection and met with facility representative Zaray Ochoa. LPA disclosed the purpose of the inspection and was granted entry into the facility. 36 preschool children, four teachers, three aides and additional staff were present in the facility during this inspection.

The Department received information that child 1 (C1) was involved in seven biting incidents between August 31, 2023, and October 12, 2023. Per interviews and facility records, C1 bite other children in the classroom on five different occasions between September 22, 2023, and October 12, 2023, which caused injuries to the other children involved. Per facility records and interviews, the authorized representatives were informed of the incidents. Facility records revealed C1 was suspended from the Center for a total of four days because of the biting incidents. LPA completed a review of the facility file, which revealed zero evidence that the Center reported this unusual incident to the Department. The accumulation of biting incidents and the suspension of C1 was unusual and threatened the physical, and emotional health or safety of C1 and the other enrolled children, therefore the incident was required to be reported to the Department. The facility failed to meet the reporting requirements.

Based on the interviews conducted and a review of the records, a citation was issued on the attached LIC 809D for California Code of Regulations, Title 22, Division 12, Chapter 1, regulation 101212 (d)(1)(C).

Notice of Site Visit was given and must remain posted for 30 days. An exit interview was conducted, and the report was reviewed with facility representative Zaray Ochoa.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 11/29/2023 03:25 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 11/29/2023 at 12:40 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: READY SET GROW LEARNING SERVICES
FACILITY NUMBER: 364844266

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/08/2023
Section Cited
CCR
101212(d)(1)(C)

1
2
3
4
5
6
7
101212 Reporting Requirements (d) …during the operation of the child... (1) Events reported... (C) Any unusual incident or child absence that threatens the physical or emotional health...of any child. This requirement is not met as evidenced by: Based on interviews and records reviewed,
1
2
3
4
5
6
7
Per facility representative the facility will report unusual incidents as required.
8
9
10
11
12
13
14
the Center failed to report C1 biting others on five separate dates. C1 was suspended for the behavior. This unusual incident threatened the physical or emotional health of C1 or the other children in care, which posed a potential Health, Safety, and Personal Rights risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Lady King
LICENSING EVALUATOR NAME:Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:
DATE: 11/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/29/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2