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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197413421
Report Date: 11/19/2024
Date Signed: 11/19/2024 12:41:52 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
08/22/2024 and conducted by Evaluator Andrew Alemoh
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240822122855
FACILITY NAME:CEDARCREEK STATE PRESCHOOLFACILITY NUMBER:
197413421
ADMINISTRATOR:DIANNA GONZALEZFACILITY TYPE:
850
ADDRESS:19409 CEDARCREEK STREETTELEPHONE:
(661) 294-5311
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY:60CENSUS: 13DATE:
11/19/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director Dianna GonzalezTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Personal Rights – Child #1’s sustained a rash
INVESTIGATION FINDINGS:
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On 11/19/2024 at 10:00AM, Licensing Program Analyst (LPA) Andrew Alemoh met with Director Dianna Gonzalez for the purpose to deliver the finding of the above allegation. Upon arrival, LPA observed 13 children 2 staff along with the site supervisor and Director on site. The investigation consisted of interviews with directors, staff, children, and other complaint relevant parties. The investigation revealed the following, an incident had occurred at the facility to which C1 sustained a rash. The facility policy indicates that during parent orientation children enrolled into the program must be bathroom trained prior to enrollment.

During this incident the facility did enroll a child that was at the time not bathroom trained,however to the unknown knowledge of the facility representatives due to the miscommunication between parents and the day care program. Statements from staff revealed that on the day of the incident no signs and or smells were observed of any children that have soiled themselves. Checkups and or observations of the daycare children are observed throughout the day by staff members observing any wetness on the children clothing.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
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 3
Control Number 12-CC-20240822122855
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: CEDARCREEK STATE PRESCHOOL
FACILITY NUMBER: 197413421
VISIT DATE: 11/19/2024
NARRATIVE
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A new protocol will be implemented into the program consisting of asking the children that will be using and or attempting to use the bathroom every hour throughout the day to prevent this type of incident from reoccurring along with a bathroom log as well.

Pictures of the incident were obtained and reviewed. Based on the evidence obtained, the above allegation is substantiated. The facility is being cited a Type B deficiency. See page 9099D

An exit interview was conducted, a copy of this report was provided along with the appeal rights.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20240822122855
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: CEDARCREEK STATE PRESCHOOL
FACILITY NUMBER: 197413421
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/19/2024
Section Cited
CCR
101223(a)(1)
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Personal Rights. The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by based on interviews conducted and statements obtained: on this day August 21st 2024 child #1(C1) was dropped off at the facility at 8:30am and picked up at 12:00pm.
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Director stated that a policy has been implemented regarding a bathroom log to ensure that the staff will be checking with the daycare children every 45min-1hr for bathroom breaks. A copy of the new orientation flyer/agenda regarding no diapers/pampers, and add parent signatures will be send to LPA by 11/29/2024.
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 The child’s guardian observed C1 had sustained a rash as of result of the diaper not being changed throughout the day. Based on the evidence obtained the allegation of personal rights is substantiated.
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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: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3