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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153909374
Report Date: 01/08/2025
Date Signed: 01/08/2025 12:18:07 PM

Substantiated


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
12/23/2024 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20241223145341
FACILITY NAME:PRADO, JACLYN FAMILY CHILD CAREFACILITY NUMBER:
153909374
ADMINISTRATOR:PRADO, JACLYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 404-6766
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY:14CENSUS: 3DATE:
01/08/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Jaclyn PradoTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Allegation- Licensee does not ensure day care children are immunized prior to
admission.
INVESTIGATION FINDINGS:
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On January 8, 2025, Licensing Program Analyst (LPA), Calloway conducted an unannounced complaint inspection to the above facility. LPA met with the licensee, who granted access. The purpose of the inspection was to conduct a complaint investigation regarding the above allegation. LPA discussed the allegation with the licensee. LPA observed three (3) daycare children with licensee and one representative. Two children were in active care, one child was napping.
LPA conducted confidential interview, obtained a copy of the child/parent facility roster, and reviewed the children’s files.
Based on the interview, observation, and record review, the children are accepted into the day care without the fully required immunization records and there is sufficient information to support the above allegation occurred at this time. This complaint is substantiated, meaning the preponderance of evidence standard has been met.
There is one Type B deficiency cited during this inspection. See 809D page attached to this report.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025
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 3
Control Number 12-CC-20241223145341
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: PRADO, JACLYN FAMILY CHILD CARE
FACILITY NUMBER: 153909374
VISIT DATE: 01/08/2025
NARRATIVE
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Exit interview was conducted and a copy of this report was read, and a Notice of Site Visit and appeal rights and this report were provided to the Jaclyn Prado, Licensee, at the facility. Failure to maintain posting of the Notice of Site Visit for thirty (30) consecutive days will result in a $100 Civil Penalty.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 12-CC-20241223145341
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: PRADO, JACLYN FAMILY CHILD CARE
FACILITY NUMBER: 153909374
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/22/2025
Section Cited
CCR
102418(a)
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102418- Immunizations (a)Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000. This requirement was not met as evidence by:
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License stated I will give the parents two week notice to provide the required immunization records and for the furture, I will not accept any infant or child that does not have their immunization record completed. I will send proof of the termination or immunizations completed to Licensing by POC date.
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Based on interview, observation, and record review there were two children's files that were reviewed and the immunizations records did not show full required immunizations prior to their acceptance into the daycare which is a potential health, safety, or personal rights risk to the 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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025
LIC9099 (FAS) - (06/04)
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