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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367750013
Report Date: 02/14/2023
Date Signed: 02/15/2023 12:59:56 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
10/10/2022 and conducted by Evaluator Barbara Beneroso
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20221010140941
FACILITY NAME:JUST 4 KIDSFACILITY NUMBER:
367750013
ADMINISTRATOR:MORRIS, JENNIFERFACILITY TYPE:
850
ADDRESS:15420 RANCHERO ROADTELEPHONE:
(760) 244-8280
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:60CENSUS: 32DATE:
02/14/2023
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Jennifer Morris TIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Neglect/Lack of Supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/14/2023 Licensing Program Analyst (LPA) Beneroso conducted a subsequent complaint inspection for the purpose of delivering the findings of the above allegation. Upon arrival, LPA met with Jennifer Morris, director.

The investigation was conducted by the Department’s Investigation Bureau, Investigator Georgina Tallagua. The investigation consisted of interviews with all complaint relevant parties, law enforcement and documents related to the complaint.

Allegation One: Based on information received it was determined that on or about 9/29/22, during nap time, there was lack of visual supervision of children resulting in the inappropriate contact between child #1 and child #2. The supervising teachers did not observe the incident.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2023
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 5
Control Number 12-CC-20221010140941
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: JUST 4 KIDS
FACILITY NUMBER: 367750013
VISIT DATE: 02/14/2023
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
Based on the information obtained from the interviews conducted, the above allegations have been substantiated based on a preponderance of evidence. An immediate civil penalty in the amount of $500 dollars was assessed as of result of the absence of supervision.

The facility was cited Type A deficiencies as of result of the violations in accordance with Title 22 of the California Code of Regulations. Facility was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. A copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of children currently and newly enrolled at the facility during the next 12 months and facility must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian and place it in each child's file. If these requirements are not met, civil penalties per violation will be assessed.


An exit interview was conducted, a copy of this report, a notice of site visit and appeal rights were provided.

** This report has been amended to provide additional information on Page LIC9099-D
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 12-CC-20221010140941
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: JUST 4 KIDS
FACILITY NUMBER: 367750013
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
02/15/2023
Section Cited
CCR
101229(a)(1)
1
2
3
4
5
6
7
 Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time. This requirement is not met as evidenced by: Based on the investigation, it was determined that on or about 9/29/22, during nap time, there was lack of visual supervision of children resulting in the inappropriate contact between child #1 and child #2.
1
2
3
4
5
6
7
Director shall provide LPA with a plan for care and supervision during nap time. The plan should entail a process to ensure children are observed at all times and provide training to all staff to prevent similar incidents reocurring in the future. The plan must be submitted to the depament no later than 02/15/2023.
8
9
10
11
12
13
14
This is a Type A violation which poses an immediate health, safety or personal rights risk to persons 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: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5