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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367750046
Report Date: 11/13/2024
Date Signed: 11/13/2024 03:34:13 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
11/07/2024 and conducted by Evaluator Kendal Zirbes
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20241107134234
FACILITY NAME:AZY'S PLACE CHILDRENS CENTERFACILITY NUMBER:
367750046
ADMINISTRATOR:SALEENA SMITHFACILITY TYPE:
840
ADDRESS:58967 BUSINESS CENTER DR STE GTELEPHONE:
(760) 228-9068
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:15CENSUS: 0DATE:
11/13/2024
UNANNOUNCEDTIME BEGAN:
11:06 AM
MET WITH:Facility Representative Liliana VelasquezTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Staff did not ensure care and supervision was proided to children
INVESTIGATION FINDINGS:
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On November 13, 2024, at 11:06 am Licensing Program Analyst (LPA) Zirbes conducted a complaint inspection to Azy’s Place. LPA met with Administrator Liliana Velasquez. The purpose of the inspection was to deliver the findings for the above complaint allegation. The investigation included an inspection of the facility, a review of the facility records and interviews with staff members.

On November 7, 2024, the Department received an allegation alleging that on October 28, 2024, an unknown staff member left an unknown number of children alone for five minutes. While the children were left alone by the staff, child 1 (C1) a preschool child and child 2 (S2) a school age child engaged in inappropriate contact. Information obtained through staff interviews confirmed C1 and C2 were left unsupervised in the Grand Hall classroom on October 28, 2024. Staff 1 (S1) stepped out of the Grand Hall classroom during nap time prior to another staff member stepping in. While C1 and C2 were left unsupervised, inappropriate contact occurred between C1 and C2. Interviewees reported C1 and C2 were left unsupervised for approximately 15 minutes. Report continued on page two
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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-20241107134234
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: AZY'S PLACE CHILDRENS CENTER
FACILITY NUMBER: 367750046
VISIT DATE: 11/13/2024
NARRATIVE
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Report continued from page two

Staff 2 (S2) observed the inappropriate contact on the internal video monitoring system, and immediately went to the classroom and separated C1 and C2. Staff interviews reported this is the first time the children have been left unattended during nap time. A total of seven children were present at the time of the incident. During the investigation, the Department reviewed video evidence of the incident and the self-reported incident report.
Based on the interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. The Center was issued a type A citation for California Code of Regulations, Title 22, Division 12 Chapter 1, 101229 (a)(1) Responsibility for Providing. Refer to the attached LIC 9099D. A violation regarding absence of supervision warrants an immediate civil penalty of $500 and is hereby assessed, see LIC421IM.

LPA Zirbes informed facility representative Liliana Velasquez that this report dated November 13, 2024, documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Zirbes informed the facility representative to provide a copy of this licensing report dated November 13, 2024, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

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 Liliana Velasquez. Appeal rights and a copy of the report were provided to facility representative Liliana Velasquez.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20241107134234
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: AZY'S PLACE CHILDRENS CENTER
FACILITY NUMBER: 367750046
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/14/2024
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision...(1) No child(ren) shall be left without the supervision of a teacher at any time ... This requirement was not met as evidenced by:
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Per Facility Representative, walkie talkies were purchased and installed on October 29, 2024. The Center is in the process of hiring additional staff. Verbal supervision training was provided the day of the incident. Additional staff training took place on November 8, 2024.
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Based on interviews and record review, C1 and C2 were left unsupervised in the classroom during nap on October 28, 2024. When alone and unsupervised inappropriate contact occurred between C1 and C2. This poses an immediate risk to the health, safety or personal rights of the persons 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: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3