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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157700076
Report Date: 08/31/2023
Date Signed: 08/31/2023 11:31:38 AM

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
08/30/2023 and conducted by Evaluator Andrea Pittman
COMPLAINT CONTROL NUMBER: 12-CC-20230830114800
FACILITY NAME:CROWELL & HAUGEN FAMILY CHILD CAREFACILITY NUMBER:
157700076
ADMINISTRATOR:DWANE CROWELL/TAYLOR HAUGEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 373-3198
CITY:CALIFORNIA CITYSTATE: CAZIP CODE:
93505
CAPACITY:14CENSUS: 2DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Licensee Dwane CrowellTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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The facility has the presence of pests
Open body of water
INVESTIGATION FINDINGS:
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On 8/31/2023 at 8:25am, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced complaint visit to conduct an investigation at the facility and was met by Licensee Dwane Crowell who permitted entry to the facility. LPA toured the facility with the Licensee according to the facility sketch. Upon arrival, LPA observed 2 children in care with 2 staff providing care and supervision.

The LPA requested pertinent information to the investigation including the children’s roster, sign-in sheet, and other relevant investigation documents. LPA conducted an investigation into the allegation including observations, interviews, and record reviews. LPA interviewed the Licensee, children, and any other relevant parties. As part of the investigation, LPA obtained the children’s rosters, sign-in sheets, and other documents relevant to the investigation. The investigation revealed the following evidence:

Continue to next page
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
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 5
Control Number 12-CC-20230830114800
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: CROWELL & HAUGEN FAMILY CHILD CARE
FACILITY NUMBER: 157700076
VISIT DATE: 08/31/2023
NARRATIVE
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On 8/31/2023, LPA conducted an inspection of the facility. The facility was found to be clean and in good, working order. Around 8:30am, LPA toured the backyard of the facility with the Licensee Dwane Crowell. The other Licensee Taylor Haugen was leaving to take four school age children to school and were not observed by the LPA. At 8:38am, the Licensee Crowell showed the LPA the backyard. The backyard had age-appropriate toys and an open body of water, a wading pool, was sitting about 8 feet from the door leading to the backyard with water in it. There were mosquitoes coming off the water, sitting on the water, and other insects floating in the water. The Licensee was asked when the pool was last filled and the Licensee stated that there was an end of summer event and the pool was emptied at the end of the day. The Licensee stated that the pool had been left sitting out after the event and it filled with water over the weekend and the Licensee did not empty the wading pool out. The Licensee stated after the event, the children had been kept inside since the backyard was muddy from the rain and had not dried out yet and the children in care didn’t want to go outside because it was too hot. The Licensee stated that he was unaware that he needed to keep the wading pool empty when not in use. This is a Type B violation for both the open body of water in the water-filled wading pool and the mosquitoes and insects that were present in the water. See the LIC 9099D for the details.

Based on information obtained and interviews with relevant parties, the allegations are deemed SUBSTANTIATED and a citation will be issued. A finding of substantiated means that allegations were valid because the preponderance of the evidence standard has been met.

An exit interview was conducted, a copy of this report read out, notice of site visit and appeal rights was given to Licensee Dwane Crowell.

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

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 12-CC-20230830114800
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: CROWELL & HAUGEN FAMILY CHILD CARE
FACILITY NUMBER: 157700076
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/14/2023
Section Cited
CCR
102417(5)
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102417 Operation of a Family Child Care Home (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place... wading pools... through a pool cover or by surrounding the pool with a fence.

This requirement was not met as evidenced by:
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Licensee stated they will remove the water from the wading pool and place it in an area where it cannot be filled from rain water or other sources of water. Evidence of the correction was completed during the visit.
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Based on observation, the Licensee did not comply with the section cited above as there was a water-filled, wading pool in the backyard which poses a potential health, safety or personal rights risk to persons in care.
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Type B
09/14/2023
Section Cited
CCR
102417(g)
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102417 Operation of a Family Child Care Home (g) The home shall be free from defects or conditions which might endanger a child.

This requirement was not met as evidenced by:
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Licensee stated they will remove the water from the wading pool and place it in an area where it cannot be filled and attract insects. Evidence of the correction was completed during the visit.
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Based on observation, the Licensee did not comply with the section cited above as there were mosquitoes and other insects in a water-filled wading pool 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.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
Page: 4 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
08/30/2023 and conducted by Evaluator Andrea Pittman
COMPLAINT CONTROL NUMBER: 12-CC-20230830114800

FACILITY NAME:CROWELL & HAUGEN FAMILY CHILD CAREFACILITY NUMBER:
157700076
ADMINISTRATOR:DWANE CROWELL/TAYLOR HAUGEFACILITY TYPE:
810
ADDRESS:9100 HOLLY AVENUETELEPHONE:
(760) 373-3198
CITY:CALIFORNIA CITYSTATE: CAZIP CODE:
93505
CAPACITY:14CENSUS: 2DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Licensee Dwane CrowellTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Care providers do not maintain facility in a sanitary manner.
INVESTIGATION FINDINGS:
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On 8/31/2023 at 8:25am, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced complaint visit to conduct an investigation at the facility and was met by Dwane Crowell who permitted entry to the facility. LPA toured the facility with the Director according to the facility sketch. Upon arrival, LPA observed 2 children in care with 2 staff providing care and supervision.

The LPA requested pertinent information to the investigation including the children’s roster, sign-in sheet, and other relevant investigation documents. LPA conducted an investigation into the allegation including observations, interviews, and record reviews. LPA interviewed the Licensee, children, and any other relevant parties. As part of the investigation, LPA obtained the facility and children’s rosters, sign-in sheets, and other documents relevant to the investigation. The investigation revealed the following evidence:

Continue to next page
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 12-CC-20230830114800
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: CROWELL & HAUGEN FAMILY CHILD CARE
FACILITY NUMBER: 157700076
VISIT DATE: 08/31/2023
NARRATIVE
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LPA walked through the facility with the Licensee Crowell and observed that the facility was clean and in good working order. The Licensee was sanitizing and cleaning the facility during the visit and maintained a clean, safe, and healthy environment inside the facility. The Licensee did have a water-filled wading pool in the backyard. The Licensee stated that the wading pool had filled with water after the rains and was unaware that it needed to be emptied. The Licensee stated that the children had been kept inside due to the backyard being muddy from the rains over the weekend and the hot temperatures outside. As a result, the children in care were kept away from the open body of water.

After observations, record reviews, and interviews, it was determined that there was insufficient evidence that the facility was not being maintained in a sanitary manner. The allegations could not be corroborated with the evidence found during the investigation. Therefore, the allegations have been found unsubstantiated. Although, the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the facility operated in violation of policy in this circumstance.

An exit interview was conducted, and a copy of this report was provided to Licensee Crowell along with the Notice of Site Visit and Appeal Rights.

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

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5