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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157700074
Report Date: 08/13/2024
Date Signed: 08/29/2024 05:32:33 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
06/21/2024 and conducted by Evaluator Barbara Beneroso
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240621081456
FACILITY NAME:JAIME FAMILY CHILD CAREFACILITY NUMBER:
157700074
ADMINISTRATOR:AYDE JAIMEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 436-9414
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY:14CENSUS: 4DATE:
08/13/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Ayde Jaime TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Personal Rights: Staff yelled at a daycare child
INVESTIGATION FINDINGS:
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On 08/29/2024 LPA Beneroso amended the original report to add information pertaining to the investigation.

On 08/13/2024, Licensing Program Analyst (LPA) Beneroso conducted an unannounced complaint inspection to deliver findings on the above allegation. LPA met with licensee, Ayde Jaime and disclosed the purpose of the visit. Upon arrival, LPA observed 4 children present.

During the course of the investigation, LPA conducted interviews with parents, children, and other relevant parties in the investigation. The gathered information revealed the following:

Allegation One: Based on confidential interviews, it was disclosed by C2, C3, C4, C5 and C6 that Staff #1 yelled at children in care. These interviews provided with enough evidence to corroborate there was a violation of personal rights.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
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 5
Control Number 12-CC-20240621081456
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: JAIME FAMILY CHILD CARE
FACILITY NUMBER: 157700074
VISIT DATE: 08/13/2024
NARRATIVE
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Based on the evidence obtained and interviews conducted, the allegation of personal rights violation is substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

A Type B Citation was issued for this violation. An exit interview was conducted, and a copy of this report was provided to the Director along with the Notice of Site Visit and Appeal Rights.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 12-CC-20240621081456
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: JAIME FAMILY CHILD CARE
FACILITY NUMBER: 157700074
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/13/2024
Section Cited
CCR
102423(a)(4)
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Personal Rights: Each child receiving services from a family childcare home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative.This requirement was not met as evidence by:
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Licensee separated staff member from her duties and no longer works in the facility. Licensee agrees to train current and new staff on personal rights. Acknowledgment of training for new staff no later than 08/27/2024.
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Based on interviews with relevant parties, it was disclosed that staff #1 yells at children in care. This poses a potential health and safety risk to children 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: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
06/21/2024 and conducted by Evaluator Barbara Beneroso
COMPLAINT CONTROL NUMBER: 12-CC-20240621081456

FACILITY NAME:JAIME FAMILY CHILD CAREFACILITY NUMBER:
157700074
ADMINISTRATOR:AYDE JAIMEFACILITY TYPE:
810
ADDRESS:1209 PACKARD DRTELEPHONE:
(661) 436-9414
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY:14CENSUS: 4DATE:
08/13/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Ayde Jaime TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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2
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9
Personal Rights: Staff handled a daycare child in a rough maner
Reporting Requirements: Staff do not report incidents to appropriate parties
Personal Rights: Staff forced a daycare child to nap
INVESTIGATION FINDINGS:
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On 08/13/2024, Licensing Program Analyst (LPA) Beneroso conducted an unannounced complaint inspection to deliver findings on the above allegation. LPA met with licensee, Ayde Jaime and disclosed the purpose of the visit. Upon arrival, LPA observed 4 children present.

During the course of the investigation, LPA conducted interviews with parents, children, and other relevant parties in the investigation. The gathered information revealed the following:

Allegation one: There was no evidence that corroborated that C1 was handled roughly by Staff #1.
Allegation two: Staff do not report incidents to appropriate parties. There was no evidence that any recent incidents were not reported to the department
Allegation Three: There was no evidence to corroborate that C1 was forced to take a nap by Staff#1

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 12-CC-20240621081456
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: JAIME FAMILY CHILD CARE
FACILITY NUMBER: 157700074
VISIT DATE: 08/13/2024
NARRATIVE
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Based on information obtained, observations, interviews conducted, relevant information received, this allegation is deemed UNSUBSTANTIATED. All three allegations have been deemed Unsubstantiated meaning, the allegation may have happened or are 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 licensee Ayde Jaime at the facility.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5