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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197411755
Report Date: 11/21/2024
Date Signed: 11/21/2024 02:16:24 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/03/2024 and conducted by Evaluator Justeene Tamayo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240903145146
FACILITY NAME:CANYON SPRINGS 2-SULPHUR SPRINGS SCHOOL DISTRICTFACILITY NUMBER:
197411755
ADMINISTRATOR:MARY MERCOGLIANOFACILITY TYPE:
850
ADDRESS:19059 VICCI STREET #50TELEPHONE:
(661) 252-8045
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY:21CENSUS: 20DATE:
11/21/2024
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Edna Rodriguez, DirectorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Allegation:
Personal Rights:Staff did not assist day care children with toileting needs.
INVESTIGATION FINDINGS:
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On 11/21/2024, Licensing Program Analyst(LPA Justeene Tamayo conducted an unannounced complaint investigation for the complaint received on 09/03/2024. The purpose of the inspection was to deliver the findings for the complaint investigation. LPA disclosed the purpose of the inspection to the facility representative and was granted entry. LPA observed a total of (20 preschool children), 3 staff , and the Director.

The investigated consisted of interviews with staff, parents, and other relevant parties. Interviews conducted revealed that parents are aware of the facility policies concerning diaper changing. Staff disclosed whenever a child soils their diaper/underwear/pull up, staff walk through with the child on how to change their diapers. Some parents do come to the facility to change their own child depending on if they need help. LPA reviewed changing diaper logs from 08-19-24 to 09-03-24 and diaper logs are current and filled out.
Please see LIC9099-C for Continuation Page

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
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-20240903145146
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CANYON SPRINGS 2-SULPHUR SPRINGS SCHOOL DISTRICT
FACILITY NUMBER: 197411755
VISIT DATE: 11/21/2024
NARRATIVE
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As of 09/27/24, the rule for parents to come to the facility has now changed. Staff will now change all children's diapers depending on the child's bathroom needs. However, parents may request to change their own child's diapers by signing a consent form during enrollment time.

Based on the information obtained and inconsistent statements, the allegation is unsubstantiated at this time. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegation occurred.

An exit interview was conducted, and a copy of this report was read and provided to the Director, along with a copy of her appeal rights and Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2