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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153808746
Report Date: 01/06/2023
Date Signed: 01/06/2023 03:08:25 PM

Unsubstantiated


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
10/26/2022 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20221026111105
FACILITY NAME:BALAS MONTESSORIFACILITY NUMBER:
153808746
ADMINISTRATOR:BALAS, SHANNON M.FACILITY TYPE:
850
ADDRESS:555 S. CHINA LAKE BLVD. #100TELEPHONE:
(760) 375-8261
CITY:RIDGECRESTSTATE: CAZIP CODE:
93555
CAPACITY:75CENSUS: 34DATE:
01/06/2023
UNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Shannon M. BalasTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Neglect/Lack of Supervision: Facility Staff are not adequately supervising day care children resulting in injuries

Personal Rights: Facility Staff made an inappropriate comment towards a child’s food
INVESTIGATION FINDINGS:
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On 1/6/2023 Licensing Program Analyst (LPA)Ortega and Maddox conducted a full investigation regarding the allegations stated above. As part of the investigation LPA conducted interviews with Teachers, Site Supervisor, parents, additional preschool staff and preschool children. LPA also received a copy of the roster, tuition contract, emails, 2 UIR'S, sign in and out sheet for child #1, and teacher child ratios for the classroom for 10/18/2022 through 10/21/2022.

From interviews conducted and UIR's (ouch reports) obtained, there was no evidence there was a Lack of Supervision that resulted in any serious injuries (injuries that required medical treatment) or any pictures of the injury, not disputing the fact that child #1 did fall on the play yard and sustained a "scrapped knee.” In addition, LPA reviewed documentation submitted by the Director and Assistant Director and there is no indication center operated out of ratio.




Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023
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 2
Control Number 12-CC-20221026111105
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: BALAS MONTESSORI
FACILITY NUMBER: 153808746
VISIT DATE: 01/06/2023
NARRATIVE
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Based on the information obtained during interviews, and LPA’s observation at the time of the investigation, there were no disclosures Facility Staff made an inappropriate comment towards a child’s food it is determined that the above allegation is deemed Unsubstantiated. A finding that is unsubstantiated means, although the allegation may have happened or is valid, at the time of the investigation there is no preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted, appeal rights, notice of site visit, and a copy of this report was provided to facility on this date.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2