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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367750033
Report Date: 03/12/2025
Date Signed: 04/03/2025 01:30:44 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
01/10/2025 and conducted by Evaluator Joselito DelMundo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20250110081641
FACILITY NAME:KIDS & CARE INC.FACILITY NUMBER:
367750033
ADMINISTRATOR:CLAUDIA V. GARCIAFACILITY TYPE:
840
ADDRESS:15138 MAIN STTELEPHONE:
(760) 956-5000
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:42CENSUS: 0DATE:
03/12/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Sonia GalvezTIME COMPLETED:
10:48 PM
ALLEGATION(S):
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Allegation: Staff does not ensure correct dosage of medication is being given to day care child as prescribed by the child's physician.
INVESTIGATION FINDINGS:
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This report is being amended to the previous report dated 03/12/25: The purpose of the inspection was to deliver the amended findings for the above complaint allegations. Upon arrival, LPA met with the Site Supervisor, Sonia Galvez, and was granted access to the facility. During this visit, LPA did not observed school age children and LPA was not able to interiview school age children

During the investigation, Licensed Program Analyst (LPA) conducted confidential interviews with all parties involved and reviewed the facility's medical records regarding the allegation that staff did not ensure the correct dosage of medication was being administered to a daycare child (C1) as prescribed by the child's physician.

Based on the LPA's review of the medical records for Child #1 (C1), it was found that the child's physician prescribed a 2.0 ml dosage of medication. However, it was revealed that staff administered a dosage of 1.5 ml on both 1/6/25 and 1/7/25. Additionally, it was discovered that the facility does not
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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 3
Control Number 12-CC-20250110081641
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: KIDS & CARE INC.
FACILITY NUMBER: 367750033
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/14/2025
Section Cited
HSC
101226(e)(3)(A)
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101226 Health-Related Services (e)(3)(A)
(e) In centers where the licensee chooses to handle medications: (3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.
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The staff who was administering medications will undergo retraining and will provide a copy of the attendance sheet for staff training. Staff will keep records for the administration of medications.
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 This requirement is not met as evidence by: LPA’s observation and records review, Staff does not ensure correct dosage of 2.0 mL medication was given to daycare child (C1) as prescribed by the child's physician which posed an immediate Health and Safety risk to the person 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: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20250110081641
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: KIDS & CARE INC.
FACILITY NUMBER: 367750033
VISIT DATE: 03/12/2025
NARRATIVE
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maintain proper records of medication administration during the child's time at the facility. Therefore, it was determined that the allegation is substantiated.

A type A deficiency was cited during the inspection. See LIC 9099D.

Exit interview: A copy of this report and appeal rights were discussed and left with the facility Site Supervisor,Sonia Galvez.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3