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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367750013
Report Date: 11/30/2023
Date Signed: 11/30/2023 04:04:10 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/20/2023 and conducted by Evaluator Babatunde Ibitoye
COMPLAINT CONTROL NUMBER: 12-CC-20230920120723
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: 34DATE:
11/30/2023
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Jennifer MorrisTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff did not report unusual incident to daycare child's' parent.
INVESTIGATION FINDINGS:
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On 11/30/2023, Licensing Program Analyst (LPA) Babatunde Ibitoye conducted an unannounced follow-up complaint inspection at Just 4 Kids. and met with the Director Jennifer Morris. The purpose of the inspection was to deliver the complaint finding for the above complaint allegations.

During today’s visit, LPA observed 34 childcare children napping, present with 6 Teachers.
During the course of the investigation of this complaint, LPA conducted interviews with all parties involved. LPA obtained the facility's children's roster and reviewed the C1 file.

Based on the evidence obtained it was revealed that the facility did not follow the reporting requirement,The Staff did not report the unusual incident to the department and C1 parent. Therefore, the preponderance of the evidence has been met and the allegation has been substantiated.
Deficiency cited see LIC 9099 D:
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
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 4
Control Number 12-CC-20230920120723
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: JUST 4 KIDS
FACILITY NUMBER: 367750013
VISIT DATE: 11/30/2023
NARRATIVE
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An exit interview was conducted, and a copy of this report was provided to the Director Jennifer Morris along with a Notice of Site Visit and Appeal Rights.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 12-CC-20230920120723
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: JUST 4 KIDS
FACILITY NUMBER: 367750013
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/30/2023
Section Cited
CCR
101212(d)(B)(f)
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(d) Upon the occurrence, during the operation of the childcare center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such an event.
(B)Any injury to any child that requires medical treatment.
(f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.
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Per Director the teacher has been retrained to notify the parent via brightwheel for any occurences and Notify the CCLD
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This requirement was not met as evidenced by:
Based on observation, interviews, and records reviewed, the facility failed to report an unusual incident involving C1 to the department and C1’s authorized representative which posed a potential risk to the health and safety of the children 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: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/20/2023 and conducted by Evaluator Babatunde Ibitoye
COMPLAINT CONTROL NUMBER: 12-CC-20230920120723

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: 34DATE:
11/30/2023
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Jennifer MorrisTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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9
Staff did not follow incidental medical plan.
INVESTIGATION FINDINGS:
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On 11/30/2023, Licensing Program Analyst (LPA) Babatunde Ibitoye conducted an unannounced follow-up complaint inspection at Just 4 Kids. and met with the Director Jennifer Morris. The purpose of the inspection was to deliver the complaint finding for the above complaint allegations.

During today’s visit, LPA observed 34 childcare children napping, present with 6 Teachers.
During the course of the investigation of this complaint, LPA conducted interviews with all parties involved. LPA obtained the facility's children's roster and reviewed the C1 file.

Based on evidence obtained the interviews and the documents reviewed revealed conflicting statements regarding the allegation that the facility did not follow incidental medical plan.Currently, there is no preponderance of evidence to prove or disprove the allegation. Therefore, based on the information obtained, the department finds the above allegation is deemed unsubstantiated.
An exit interview was conducted, and a copy of this report was provided to the Director Jennifer Morris along with a Notice of Site Visit and Appeal Rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
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 4