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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153808946
Report Date: 04/30/2024
Date Signed: 05/01/2024 08:14:22 AM

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
02/15/2024 and conducted by Evaluator Barbara Beneroso
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240215144306
FACILITY NAME:CRE8TIVE KIDS CAMPUSFACILITY NUMBER:
153808946
ADMINISTRATOR:RISI, CHARLOTTEFACILITY TYPE:
850
ADDRESS:307 MAIN STTELEPHONE:
(661) 424-7822
CITY:TAFTSTATE: CAZIP CODE:
93268
CAPACITY:60CENSUS: 16DATE:
04/30/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Dusti George TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Allegation: Personal Rights - Staff did not provide adequate supervision resulting in day care child sustaining unexplained scratches while in care.
INVESTIGATION FINDINGS:
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On 04/30/2024, Licensing Program Analyst (LPA) Beneroso conducted an unannounced complaint inspection to deliver findings on the above allegation. LPA met with director, Dusti George and disclosed the purpose of the visit. Upon arrival, LPA observed 16 children and 3 adults proving care and supervision.

During the course of the investigation, LPA conducted interviews with parents, children, staff and other relevant parties in the investigation. In addition, the investigation included a review of photographic evidence from the Taft Police Department. The gathered information revealed the following:

Allegation One: Based on the interviews and records review there was not enough evidence to corroborate that on or about February 12, 2024, the facility did not provide adequate supervision to children that resulted in unexplained scratches in C1. Interviews with staff disclosed that no scratches were observed on C1 on or about February 12, 2024 or that C1 suffered scratches while in care during that time frame. In addition, facility records did not contain reports regarding an incident occurring on February 12, 2024.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
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-20240215144306
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: CRE8TIVE KIDS CAMPUS
FACILITY NUMBER: 153808946
VISIT DATE: 04/30/2024
NARRATIVE
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Based on information obtained, observations, interviews conducted, relevant information received, this allegation for violation of personal rights is deemed UNSUBSTANTIATED. An Unsubstantiated allegation means, the allegation may have happened or is valid, but there is not a preponderance of evidence to prove or disprove that the alleged violation occurred.

Exit Interview was conducted, and a copy of this report, Notice of Site visit, and Appeal Rights were discussed and left with director at the facility.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2