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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367750020
Report Date: 12/20/2023
Date Signed: 12/20/2023 10:22:33 AM

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
10/18/2023 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20231018110555
FACILITY NAME:JUST 4 TODDLERS PRESCHOOLFACILITY NUMBER:
367750020
ADMINISTRATOR:MEZA, LINDAFACILITY TYPE:
830
ADDRESS:15400 RANCHERO ROADTELEPHONE:
(760) 244-4600
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:8CENSUS: 6DATE:
12/20/2023
UNANNOUNCEDTIME BEGAN:
09:52 AM
MET WITH:Ana Ruiz, Assistant DirectorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Allegation #1 – Child sustained unexplained injuries.
INVESTIGATION FINDINGS:
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On December 20, 2023, Licensing Program Analyst (LPAs) Calloway and Ali made an unannounced inspection to the Just 4 Toddler Preschool. The purpose of the visit was to deliver findings for the above allegation. LPA met with Asst. Director who granted access. LPA observed 6 children and 2 staff in care.

During the investigation, LPA conducted interviews with staff, parents, and all parties involved. Based on the interviews, the evidence revealed many of Child 1’s injuries were explained thus, it was inconsistent with the allegation. Therefore, the allegation is Unsubstantiated, meaning the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted, and a copy of this report was read, and a Notice of Site Visit, was provided to Ana Ruiz, Assistant Director, (S1) at the facility. A Notice of Site Visit must remain posted for 30 days. Removal of posting is subject to a $100 civil penalty.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
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
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
10/18/2023 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20231018110555

FACILITY NAME:JUST 4 TODDLERS PRESCHOOLFACILITY NUMBER:
367750020
ADMINISTRATOR:MEZA, LINDAFACILITY TYPE:
830
ADDRESS:15400 RANCHERO ROADTELEPHONE:
(760) 244-4600
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:8CENSUS: 6DATE:
12/20/2023
UNANNOUNCEDTIME BEGAN:
09:52 AM
MET WITH:Ana Ruiz, Assistant DirectorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation #2- Center failed to notify CCLD of unexplained injuries.

INVESTIGATION FINDINGS:
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On December 20, 2023, Licensing Program Analyst (LPAs) Calloway and Ali made an unannounced inspection to Just 4 Toddlers Preschool. The purpose of the visit was to deliver findings for the above allegations. LPA met with Asst. Director who granted access. LPA observed 6 children and 2 staff in care.

During the investigation, LPA conducted interviews and documented evidence. Based on the interviews with staff, parents, and all parties involved, the evidence revealed the center failed to notify Licensing of several biting injuries for Child 1, under Title 22 – Reporting Requirements.
Therefore, Allegation #2 is Substantiated, meaning the Preponderance of the evidence standard has been met.
There is one Type B deficiency cited during this visit. Per Title 22 Regulations, Division 12, Chapter 1, for Reporting Requirements 101212 (d)(1)(B).


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 12-CC-20231018110555
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 TODDLERS PRESCHOOL
FACILITY NUMBER: 367750020
VISIT DATE: 12/20/2023
NARRATIVE
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An exit interview was conducted, and a copy of this report was read, Appeal Rights were discussed, and a Notice of Site Visit was provided to Ana Ruiz, Asst. Director, (S1) at the facility. A Notice of Site Visit must remain posted for 30 days. Removal of posting is subject to a $100 civil penalty.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 12-CC-20231018110555
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 TODDLERS PRESCHOOL
FACILITY NUMBER: 367750020
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/10/2024
Section Cited
CCR
101212(d)(1)(B)
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101212(d)(1)(B)... the occurrence during . operation of the child care center ... specified in (d)(1) below, a report shall be made to... Dept. by telephone or fax... next working day ..(1) Events reported shall include...(B) Any injury to any child that req. medical treatment. This requirement was not met as evidenced by:
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Per Assistant Director, a training for staff will be conducted on Repoting Requirements and proof of the training will be provided to Licensing by the chosen POC date of 1/10/2024.
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Based on interviews with parents, staff, and all parties involved, the facility did not report biting injuries for Child 1 that required medical treatment to Licensing by the specified timeframe of when they occurred.
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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: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4