<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364815206
Report Date: 11/22/2022
Date Signed: 11/22/2022 05:18:22 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
10/21/2022 and conducted by Evaluator Kendal Zirbes
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20221021160220
FACILITY NAME:MC DONALD LEARNING CENTERFACILITY NUMBER:
364815206
ADMINISTRATOR:LILIA VOLLAIREFACILITY TYPE:
850
ADDRESS:1017 HOLDEN AVENUETELEPHONE:
(909) 585-6848
CITY:BIG BEAR CITYSTATE: CAZIP CODE:
92314
CAPACITY:60CENSUS: 31DATE:
11/22/2022
UNANNOUNCEDTIME BEGAN:
04:01 PM
MET WITH:Licensee, Lisa Burtner TIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not intervene when day care child self-harms while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On November 22, 2022, Licensing Program Analyst (LPA) Zirbes conducted a follow-up complaint inspection to McDonald Learning Center. LPA met with facility representative Lisa Burtner. The purpose of the inspection was to deliver the findings for the above complaint allegation.
The Department received an allegation regarding facility staff failing to intervene when child 1 (C1) self-harms while in care. Over the course of the investigation, LPA conducted confidential interviews with staff and parents. In addition, LPA reviewed child, staff and facility records. All confidential interviews confirmed C1 has been observed hitting his/her head on the floor, walls and additional objects in the classroom since enrollment. Furthermore, confidential interviews reported C1’s behavior is observed daily, occurs during transition periods and/or unexpectedly throughout the day. Confidential interviews further reported that staff have been instructed to lower C1 to the ground and not have C1 sit near the table or walls. Additionally, staff attempt to place their hand behind C1s head to prevent C1 from hitting the chair. Even with the above strategies in place confidential interviews confirmed C1 is continuing to engage in self-harming behavior.
Report continued on page two
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
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-20221021160220
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: MC DONALD LEARNING CENTER
FACILITY NUMBER: 364815206
VISIT DATE: 11/22/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Report continued from page one

Confidential interviews reported other staff and director was aware of child behavior and around the time the behavior occurs. No additional staff were assigned to assist with meeting C1 needs at the time of each incident; Therefore, the facility failed to provide care and supervision to meet the needs of C1. Based on the information obtained via interviews it is determined that current staff supervision and strategies allowed C1 to self-harm while in care. The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, regulation 101229 Responsibility for Providing Care and Supervision, is being cited on the attached LIC 9099D.
In addition, each report (documenting a Type A citation- that pose an immediate Health and Safety risk to children in care) shall remain posted for 30 days along with the Notice of Site Visit, Parents of any currently enrolled children and any newly enrolled children for the following 12 months shall sign form LIC 9224 (Acknowledgment of Receipt of Licensing Reports), a copy shall be kept in each child’s file. Failure to meet the posting requirements shall result in an immediate $100.00 civil penalty for each child’s parent who did not sign the LIC 9224 (Acknowledgment of Receipt of Licensing Reports).

A 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 Lisa Burtner.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 12-CC-20221021160220
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: MC DONALD LEARNING CENTER
FACILITY NUMBER: 364815206
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/23/2022
Section Cited
CCR
101229(a)
1
2
3
4
5
6
7
101229 (a) Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement was not met as evidenced by:

1
2
3
4
5
6
7
Per facility representative, C1 is no longer enrolled at the Center. The Center is doing behavioral log and daily logs in each classroom to document anything that occurs throughout the day. Moving forward the center will be evaluating behaviors of children to ensure the center can provide appropriate care and supervision. No further action required
8
9
10
11
12
13
14
Based on confidential interviews the current staff supervision and strategies allowed C1 to self-harm while in care. This poses/posed an immediate risk to the health, safety or personal rights to the children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
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
10/21/2022 and conducted by Evaluator Kendal Zirbes
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20221021160220

FACILITY NAME:MC DONALD LEARNING CENTERFACILITY NUMBER:
364815206
ADMINISTRATOR:LILIA VOLLAIREFACILITY TYPE:
850
ADDRESS:1017 HOLDEN AVENUETELEPHONE:
(909) 585-6848
CITY:BIG BEAR CITYSTATE: CAZIP CODE:
92314
CAPACITY:60CENSUS: 31DATE:
11/22/2022
UNANNOUNCEDTIME BEGAN:
04:01 PM
MET WITH:Licensee, Lisa Burtner TIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not seek medical attention for day care child while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On November 22, 2022, Licensing Program Analyst (LPA) Zirbes conducted a follow-up complaint inspection to McDonald Learning Center. LPA met with facility representative Lisa Burtner. The purpose of the inspection was to deliver the findings for the above complaint allegation.
The Department received an allegation regarding the staff failing to seek medical attention for Child 1 (C1) on October 21, 2022. The allegation alleged that during nap time C1 hit his/her head on a wall which resulted in C1 having a blank stare and being unresponsive for a few seconds. Over the course of the investigation, LPA conducted confidential interviews with staff and parents. In addition, LPA reviewed child, staff and facility records. All confidential interviews confirmed C1 has been observed hitting his/her head on the floor, walls and additional objects in the classroom since enrollment. All confidential interviews confirmed C1 hit his/her head during nap time on October 21, 2022. Confidential interviews provided inconsistent statements regarding if C1 was unresponsive for a few seconds following the incident. Additional interviews provided evidence that C1s authorized representative was contacted after the incident. LPAs review of C1s file did not contain an incident report from October 21, 2022. Report continued on page two
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
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-20221021160220
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: MC DONALD LEARNING CENTER
FACILITY NUMBER: 364815206
VISIT DATE: 11/22/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Report continued from page one

Based on the information obtained during interviews and the documentation reviewed, it is determined that staff may or may not have failed to seek medical attention for C1. Therefore, the allegation is unsubstantiated at this time. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A 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 Lisa Burtner.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5