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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808177
Report Date: 05/24/2023
Date Signed: 05/24/2023 02:44:22 PM

Document Has Been Signed on 05/24/2023 02:44 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:OASIS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808177
ADMINISTRATOR:BENCOMA, CARLEENFACILITY TYPE:
850
ADDRESS:814 NORTH NORMA STREETTELEPHONE:
(760) 371-1469
CITY:RIDGECRESTSTATE: CAZIP CODE:
93555
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 0DATE:
05/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Site Supervisor Carleen BencomaTIME COMPLETED:
02:50 PM
NARRATIVE
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On 5/24/2023 at 1:15pm, Licensing Program Analyst (LPA) Andrea Pittman and Licensing Program Manager (LPM) Mariela Ramon conducted an unannounced case management at the facility and was met by Site Supervisor Carleen Bencoma who permitted entry to the facility. LPA & LPM toured the facility with the Site Supervisor according to the facility sketch. Upon arrival, LPA observed 0 children with 8 staff members, as the facility is closed due to vacation.

The purpose of this visit is to follow-up on an investigation started for an Unusual Incident Report that occurred on 02/08/2023 and was reported to the Department on 02/09/2023 regarding an incident that occurred where Child 2 had inappropriate contact with Child 1.

During this investigation, LPA received pertinent documents related to this investigation which included the facility’s roster, children's roster, children’s records, and reviewed other relevant documents. LPA interviewed the staff and children enrolled at the childcare facility. The investigation was then referred to the Investigations Branch (IB), IB Investigator Mariana Lomeli. IB Investigator Lomeli interviewed staff, parents, children enrolled in the program, and other relevant parties. Per the evidence gathered by the IB Investigator Lomeli, on 02/08/2023 at approximately 10:27am children were playing outside on the play structure and five staff were positioned in different zones scanning and monitoring the children at play. Child 1 was on the play structure when Child 2 went behind Child 1 and the inappropriate contact occurred. During the inappropriate contact, three teachers were utilizing their iPad devices documenting the children and doing evaluations during the incident. As a result of the evidence obtained, it was determined the facility did not meet the requirements for providing care and supervision to the children in care. This is a Type A Citation with a civil penalty of $500 is assessed, see the LIC 809D for the deficiency details.

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SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: OASIS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153808177
VISIT DATE: 05/24/2023
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The IB Investigator discovered a separate unreported incident between Child 2 and Child 3. LPA Pittman conducted a separate investigation into this incident. Staff 3 witnessed Child 3 inappropriate behavior between Child 2 and Child 3. Staff 3 stated that they yelled to warn Staff 2 as Child 3 was behaving inappropriately with Child 2, but Staff 2 did not respond to Staff 3 and Staff 3 had to run over to Child 3 to prevent the inappropriate behavior with Child 2. Although the incident was reported to the Site Supervisor, the facility failed to send the licensing report. The incident follow-up revealed Child 3 did not remember the incident witnessed by Staff 1 and Staff 3. As a result of the Site Supervisor failing to send the incident report for this incident via phone within 24 hours of the incident and within 7 days for the LIC 624 Unusual Incident Report, this is a Type B Citation, see the LIC 809D for the deficiency details.

LPA Pittman conducted interviews, reviewed relevant documents, and children’s records and obtained the following information. During approximately four months of enrollment, the Site Supervisor was aware of the needs of Child 2, the many reports of incidents that occurred on several occasions with Child 2 throwing toys at other children, kicking, biting, hitting teachers and other children, using profane language, and having outbursts many times during a day while in care. It was reported that Child 2 would have incidents at least “…10 times a day…” There are a few instances in which Staff stated, “staff feels not safe with child” on Behavior Incident Reports the facility used to document incidents of behavior of children in care. Interviews with Staff confirmed that they do not have any specialized training to meet the needs of children with behavioral issues nor do they have any staff at the facility that is trained to meet the needs of children with behavioral issues. The Site Supervisor did submit a request for behavioral evaluation for Child 2 but the needs of the child could not be met. This is a Type B citation, see the LIC 809D for the deficiency details.

As a result of the investigation, the facility has been cited a Type A and Type B Deficiencies. The Director is encouraged to continue report unusual incidents that occur at the facility.

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 Director, and the Notice of Site Visit and Appeal Rights was given to the Director.

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

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/24/2023 02:44 PM - It Cannot Be Edited


Created By: Andrea Pittman On 05/24/2023 at 01:38 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: OASIS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153808177

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/25/2023
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision a) The licensee shall provide care and supervision…to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.

This requirement was not met as evidenced by:
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The facility shall conduct a training with all staff concerning care and supervision when children are engaged in outdoor play to ensure this incident doesn’t reoccur. The Director shall provide a copy of the agenda with sign-ins via e-mail, fax, or mail no later than 5/25/2023.
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Based on the observation, interview, and record review, on 2/8/2023, the facility did not properly supervise Child 1 and Child 2 which resulted in inappropriate contact between the children which poses an immediate health, safety, or personal rights risk to persons in care. A $500 civil penalty is being assessed as a result of neglect and lack of supervision.
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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.
SUPERVISOR'S NAME:Mariela Ramon
LICENSING EVALUATOR NAME:Andrea Pittman
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/24/2023 02:44 PM - It Cannot Be Edited


Created By: Andrea Pittman On 05/24/2023 at 01:41 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: OASIS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153808177

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2023
Section Cited
CCR
101212

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101212 Reporting Requirements
(d) Upon the occurrence, during the operation of the child care center… a report shall be made to the Department by… next working day and during its normal business hours. In addition, a written report… shall be submitted to the Department within seven days following the occurrence...
This requirement was not met as evidenced by:
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The facility shall submit a written statement to the Department whenever any incident occurs that threatens the physical or emotional health and safety of a child. The Director will submit an usual incident report for the incident that occurred between Child 2 and Child 3 via e-mail, fax, or mail no later than 6/7/2023.
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Based on the observation, interview, and record review, the facility did not meet the requirement when they did not report the incident that occurred between Child 2 and Child 3 which poses a potential health, safety, or personal rights risk to persons in care.
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Type B
06/07/2023
Section Cited
CCR101223(a)(2)

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101223 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, furnishings and equipment to meet his/her needs.
This requirement was not met as evidenced by:
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Facility shall conduct a training with all staff concerning children personal rights to include how to provide care to children with behavioral issues. A copy of the agenda and sign in sheets shall be sent to the Department via e-mail, fax, or mail no later than 6/72023.
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Based on the observation, interview, and record review, the Licensee did not meet the needs of Child 2, on multiple occasions Child 2 had behavioral issues with hitting, biting, and outburst and the facility did not have staff trained in meeting needs of children with behavioral issues 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.
SUPERVISOR'S NAME:Mariela Ramon
LICENSING EVALUATOR NAME:Andrea Pittman
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023


LIC809 (FAS) - (06/04)
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