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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197750162
Report Date: 12/03/2024
Date Signed: 12/03/2024 11:50:44 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
09/06/2024 and conducted by Evaluator Andrea Pittman
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240906123154
FACILITY NAME:ACADEMY OF EXCELLENCEFACILITY NUMBER:
197750162
ADMINISTRATOR:BEVERLY MOODYFACILITY TYPE:
830
ADDRESS:1324 WEST AVENUE J SUITE 5TELEPHONE:
(661) 206-9344
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:8CENSUS: 11DATE:
12/03/2024
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Licensee Chauncy SmithTIME COMPLETED:
12:05 PM
ALLEGATION(S):
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Allegation 1: Staff do not provide a comfortable/healthful environment for children in care.
Allegation 3: Unqualified staff providing care and supervision to daycare children.
INVESTIGATION FINDINGS:
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On 12/3/2024, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced complaint visit to deliver the findings at the facility and was met by the Licensee who permitted entry to the facility. LPA toured the facility with the Director according to the facility sketch. Upon arrival, LPA observed 11 children with 4 staff members providing care and supervision.

During this investigation, LPA received pertinent documents related to this investigation, which included the facility’s staff and children’s rosters, personnel records, and other relevant investigation documents. The investigation revealed the following information:

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

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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-20240906123154
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: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750162
VISIT DATE: 12/03/2024
NARRATIVE
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Allegation 1: the first allegation stated that Staff do not provide a comfortable/healthful environment for children in care. During the investigation, it was alleged children were in an uncomfortable or unhealthy environment. The investigation revealed that the facility was having construction done on the facility during operational hours and during the weekends. LPA conducted interviews and observations, there was disclosures supporting evidence that the children were showing signs of distress, including crying, during the construction. This is a Type B citation, see the LIC 9099D for the details.

Allegations 3: The third allegation states that the facility has unqualified staff providing care and supervision to daycare children. During the observation, interviews, and record review, the following was revealed: the Licensee stated that the Directors reviewed the personnel files before hiring infant teacher staff; however, the Directors were not requesting official transcripts from the infant teacher hires. Record review showed that Staff 2 is an unqualified infant teacher that provided care and supervision as a fully qualified infant teacher at the facility without having completed any ECE semester/quarter units. This is a Type B citation, see the LIC 9099D for the details.

Based on information obtained, observations, and interviews with relevant complaint parties, the allegations are deemed substantiated for allegations 1 and 3; as a result, two Type B citations will be issued for the allegations. A finding of substantiated means that allegations were valid because the preponderance of the evidence standard has been met. As a result of the investigation, the facility was found to be in noncompliance with Title 22 Regulations and has been cited deficiencies, see the LIC 9099D for the details.

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: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 12-CC-20240906123154
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: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750162
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/17/2024
Section Cited
CCR
101416.2(b)
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101416.2 Infant Care Teacher Qualifications and Duties (b) Prior to employment, an infant care teacher shall have completed, with passing grades, at least three postsecondary semesters or equivalent quarter units in early childhood education or child development, and three postsecondary semeste... units related to the care of infants, at an accredited or approved college or university. This requirement was not met as evidenced by:
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Director will send document that they are requiring the official transcripts in their employee packet via e-mail no later than 12/17/2024.
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by not ensuring Staff 2 had the required ECE courses prior to working as a fully qualified infant teacher which poses a potential health, safety or personal rights risk to persons in care.
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Type B
12/17/2024
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights
(a) The licensee shall ensure that each child is… (2) To be accorded safe, healthful and comfortable accommodations.

This requirement was not met as evidenced by:
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Director will send an agenda for the completion of the personal rights training on the CCLD website via e-mail no later than 12/17/2024.
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above by the Licensee did not provide the infants in care healthful and comfortable accommodations 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: 12/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC9099 (FAS) - (06/04)
Page: 3 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
09/06/2024 and conducted by Evaluator Andrea Pittman
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240906123154

FACILITY NAME:ACADEMY OF EXCELLENCEFACILITY NUMBER:
197750162
ADMINISTRATOR:BEVERLY MOODYFACILITY TYPE:
830
ADDRESS:1324 WEST AVENUE J SUITE 5TELEPHONE:
(661) 206-9344
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:8CENSUS: 11DATE:
12/03/2024
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Licensee Chauncy SmithTIME COMPLETED:
12:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
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9
Allegation 2: Facility operating out of ratio
INVESTIGATION FINDINGS:
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2
3
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5
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13
On 12/3/2024, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced complaint visit to deliver the findings at the facility and was met by the Licensee who permitted entry to the facility. LPA toured the facility with the Director according to the facility sketch. Upon arrival, LPA observed 11 children with 4 staff members providing care and supervision.

During this investigation, LPA received pertinent documents related to this investigation, which included the facility’s staff and children’s rosters, personnel records, and other relevant investigation documents. The investigation revealed the following information:

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

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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-20240906123154
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: ACADEMY OF EXCELLENCE
FACILITY NUMBER: 197750162
VISIT DATE: 12/03/2024
NARRATIVE
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Allegation 2: the second allegation stated that facility was operating out of ratio. During the investigation, it was alleged that the facility was not observing the ratio requirements in the infant classrooms. After conducting interviews with relevant parties, there was no supporting evidence that staff does not observe ratio requirements in the infant classroom. After reviewing the relevant information obtained, there is not a preponderance of the evidence to support the allegation.

After observations, record reviews, and interviews, it was determined that there was insufficient evidence that the following occurred: the facility was operating out of ratio. The allegation could not be corroborated with the evidence found during the investigation. Therefore, the allegation has 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 the Director along with the Notice of Site Visit and Appeal Rights.

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

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5