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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364805430
Report Date: 12/28/2023
Date Signed: 12/28/2023 03:30:36 PM

Unsubstantiated


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
10/05/2023 and conducted by Evaluator Kendal Zirbes
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20231005162740
FACILITY NAME:MT. CALVARY KIDS CORNERFACILITY NUMBER:
364805430
ADMINISTRATOR:VICKEY ENGLANDFACILITY TYPE:
850
ADDRESS:32054 HUNSAKER WAYTELEPHONE:
(909) 867-7228
CITY:RUNNING SPRINGSSTATE: CAZIP CODE:
92382
CAPACITY:49CENSUS: 1DATE:
12/28/2023
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Administrator Vickey EnglandTIME COMPLETED:
03:40 PM
ALLEGATION(S):
1
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9
Staff hit child
INVESTIGATION FINDINGS:
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On December 28, 2023, Licensing Program Analyst (LPA) Zirbes conducted a follow-up complaint inspection to MT. Calvary Kids Corner. LPA met with Administrator Vickey England. The purpose of the inspection was to deliver the findings regarding the above complaint allegation. The investigation included an inspection of
the facility, a review of facility records, and confidential interviews with staff, parents, and children.
On October 5, 2023, the Department received one allegation alleging Staff 1 (S1) hit Child 1 (C1) on October 5, 2023. The investigation resulted in zero disclosures regarding S1 hitting a child. Facility records did not provide evidence that C1 was involved in an incident on October 5, 2023. Over the course of the investigation, photographic evidence was received showing an injury near C1’s eye. The investigation could not conclude if S1 hit C1 resulting in the injury near the eye. Based on the information obtained there is not enough evidence regarding the allegation of staff hitting a child, therefore, the allegation was deemed UNSUBSTANTIATED at this time. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Continued on page two
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2023
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 2
Control Number 12-CC-20231005162740
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: MT. CALVARY KIDS CORNER
FACILITY NUMBER: 364805430
VISIT DATE: 12/28/2023
NARRATIVE
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Report continued from page one


Notice of Site Visit was given and must remain posted for 30 days. An exit interview was conducted, and the report was reviewed with facility representative Vickey England.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2