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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197414455
Report Date: 11/02/2022
Date Signed: 11/02/2022 01:44:26 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
08/05/2022 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220805161619
FACILITY NAME:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
197414455
ADMINISTRATOR:KAREENA L. RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 891-5325
CITY:MISSION HILLSSTATE: CAZIP CODE:
91345
CAPACITY:14CENSUS: 9DATE:
11/02/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Amanda Rodriguez, Licensee's AssistantTIME COMPLETED:
01:48 PM
ALLEGATION(S):
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9
Allegation #2 License- Facility is operating over capacity
Allegation #3 Criminal Record Clearance- Staff is not associated to facility
INVESTIGATION FINDINGS:
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13
On 11/02/22 Licensing Program Analyst, Isabel Ortega conducted a subsequent complaint inspection to the facility for the purpose to deliver the findings of the above complaint allegations. Upon arrival, LPA observed two infants and seven school age children present with Assistant Amanda Rodriguez and Marcela Ruiz providing care and supervision. Licensee was not present during this complaint investigation, Licensee was contacted via-telephone.

The investigation consisted of interviews with licensee, children, staff, review of records concerning the operation of the facility and other complaint relevant parties.
Concerning the allegation of overcapacity, it has been determined that on 8/02/2022 about 12:30 p.m. there were 19 children present at the facility at one time and during the month of May 2022 on the following weeks 5/2-5/6, 5/9-5/13, 5/16-5/20,5/23-5/27, and 5/30-5/31 there were 17 children in care at the facility at one time.
**Please see Complaint Investigation Report LIC 9099C for additional information.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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-20220805161619
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: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 197414455
VISIT DATE: 11/02/2022
NARRATIVE
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Concerning the allegation of criminal record clearance, it has been determined that on 8/08/2022 during an inspection at the facility, LPA Ortega observed staff #1 and #2 present at the facility providing care and supervision to 14. LPA Ortega determined staff #1 and #2 had obtained a criminal record clearance; however, they were not associated to the facility. Both staff members were hired and were present at the facility providing care and supervision since June 2022. A review of the Department’s Licensing Information System revealed both staff members were associated to the facility August 15, 2022.

Based on information obtained through documentation, interviews and other relevant information the allegations of Criminal Record Clearance and Over Capacity have been deemed Substantiated. The complaint allegation is valid because the preponderance of the evidence standard has been met. Please see Complaint Investigation Report LIC 9099D for deficiencies cited. Per Title 22 Regulations Division. 12 of the California Code of Regulations.

Licensee was informed a Type A citation shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care. Licensee is to provide a copy of this licensing report that documents any Type A citations 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. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, a copy of report and appeal rights were provided to licensee's assistant.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 12-CC-20220805161619
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: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 197414455
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
11/02/2022
Section Cited
CCR
102416.5(a)
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Staffing Ratio and Capacity The capacity specific on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement was not met as evidence by
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Licensee shall submit a written statement to the department no later than 11/3/2022by email or fax indicating how she will ensure no more than 14 children in care at one time from reoccurring.
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on 8/26/2022 about noon there were 19 children at present at the facility at one time and during the month of May 2022 on the following weeks 5/2-5/6, 5/9-5/13, 5/16-5/20,5/23-5/27, and 5/30-5/31 were 17 children in care at the facility at one time. This poses an immediate health and safety risk to children in care.
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Deficiency Dismissed
Type A
11/03/2022
Section Cited
CCR
102370(d)(1)
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All individuals are subject to a criminal record review pursuant to health and safety code section 1596.871 shall prior to working, residing, or volunteering in a licensed facility obtain a California clearance…
This requirement was not met as evidence by
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Staff #1 and Staff #2 were associated to the associated to the facility effective 8/15/2022. Staff #3 is no longer working at the facility. Licensee shall submit a written statement to the Department no later than 11/03/2022 indicating she has reviewed and understands the requirement of criminal record for all adults that work, reside, or volunteer at the facility.
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on 8/08/2022 LPA Ortega observed staff #1 and #2 present at the facility providing care and supervision to14 children without association to the facility. It has been determined staff #1 and #2 began working at the facility in June 2022 and associated effective 8/15/22. This poses an immediate health and safety risk to 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: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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
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
08/05/2022 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220805161619

FACILITY NAME:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
197414455
ADMINISTRATOR:KAREENA L. RAMIREZFACILITY TYPE:
810
ADDRESS:15500 CHATSWORTH STREETTELEPHONE:
(818) 891-5325
CITY:MISSION HILLSSTATE: CAZIP CODE:
91345
CAPACITY:14CENSUS: 9DATE:
11/02/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Amanda Rodriguez, Licensee's AssistantTIME COMPLETED:
01:48 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation #1 License- Licensee does not reside at the facility
Allegation:#4 Personal Rights- Facility did not provide a safe and comfortable environment for children in care
Allegation #5 Lack of Supervision- Staff are not properly supervising the children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/2/2022 Licensing Program Analyst, Isabel Ortega conducted a subsequent complaint inspection to the facility for the purpose to deliver the findings of the above complaint allegations. Upon arrival, LPA observed 9 children present with Amanda Rodriguez and Marcela Ruiz providing care and supervision. Licensee was not present.

The investigation consisted of interviews with licensee, children, and staff. Based on Interviews conducted there was not enough information to collaborate the allegations have occurred; Licensee does not reside at the facility, facility did not provide a safe and comfortable environment for children in care and Staff are not properly supervising the children. Therefore, the allegations deemed to be UNSUBSTANTIATED, a finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegations occurred.

An exit interview was conducted, a copy of this report, a notice of site visit and appeal were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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