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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360900458
Report Date: 10/10/2025
Date Signed: 10/10/2025 10:35:21 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 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
08/18/2025 and conducted by Evaluator Giovanni Cristales
COMPLAINT CONTROL NUMBER: 12-CC-20250818151619
FACILITY NAME:HESPERIA COMMUNITY CHURCH PRESCHOOLFACILITY NUMBER:
360900458
ADMINISTRATOR:JACQUELYN MANSFIELDFACILITY TYPE:
850
ADDRESS:16775 OLIVE STREETTELEPHONE:
(760) 244-6164
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:67CENSUS: 42DATE:
10/10/2025
UNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:JACQUELYN MANSFIELD - ADMINISTRATORTIME COMPLETED:
10:40 AM
ALLEGATION(S):
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• Staff did not ensure adequate food service was provided to day care child.
• Staff did not allow day care child to use the restroom when needed.
• Staff handled day care child in a rough manner.
INVESTIGATION FINDINGS:
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On Friday October 10, 2025, at 9:46am, Licensing Program Analyst (LPA) Giovanni Cristales conducted an unannounced visit at the facility above to conduct a follow-up investigation inspection. LPA met with Administrator Jacquelyn Mansfield. The purpose of the inspection was to deliver the findings regarding the above complaint allegations. LPA verified a census of 42 daycare children, along with the administrator and staff.

The investigation included interviews with staff, children, and other relevant parties, as well as a review of facility plan of operation. Allegation #1 alleges staff did not provide adequate food; the investigation reveals the preschool does not participate in the elementary lunch program. Parents are responsible for providing lunch for their child. Allegations #2 and #3 alleges staff denied restroom access and handled a child roughly; Staff denied these allegations, and no witnesses corroborated them. Therefore, it cannot be determined that the facility violated children’s personal rights, and the allegations are unsubstantiated.

Please see LIC9099-C for continuation page.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Giovanni Cristales
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025
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-20250818151619
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: HESPERIA COMMUNITY CHURCH PRESCHOOL
FACILITY NUMBER: 360900458
VISIT DATE: 10/10/2025
NARRATIVE
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No deficiency cited:

An exit interview was conducted and a copy of this report along with Notice of Site Visit and appeal rights were provided to director Jacquelyn Mansfield.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Giovanni Cristales
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025
LIC9099 (FAS) - (06/04)
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