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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157700071
Report Date: 06/24/2025
Date Signed: 06/24/2025 12:46:04 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
04/22/2025 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20250422115204
FACILITY NAME:CAMARGO FAMILY CHILD CAREFACILITY NUMBER:
157700071
ADMINISTRATOR:ANA CAMARGOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 305-9108
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY:14CENSUS: 7DATE:
06/24/2025
UNANNOUNCEDTIME BEGAN:
12:28 PM
MET WITH:Ana CamargoTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Allegation #1- Licensee is not transporting children safely.

INVESTIGATION FINDINGS:
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On June 24, 2025, Licensing Program Analyst (LPA) Calloway made an unannounced inspection to the above facility. The purpose of the inspection was to deliver findings regarding the above complaint allegation. LPA met with Licensee who granted access. LPA observed seven children and two staff in care.
During the investigation, LPA conducted confidential interviews with all relevant parties involved. Allegation #1, The interviews revealed there nine children being transported daily by staff. On April 29, 2025, LPA observed a Black SUV used to transport the children and there was only the front seat, the back seat, and one car seat in the back seat. The other seats inside the vehicle were folded down. Four school aged children were picked up. Three of the children were identified as: C3, C4, and C5. LPA did not observe any other car or booster seats in the house or on the porch. During interviews, Licensee stated, “only C5, C9, and C11 are required to ride in a car seat and booster seat and there is one car seat and one booster that rotates for those three children the rest of the children are good, no one else they sit higher up and do not ride in seats.”
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025
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-20250422115204
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: CAMARGO FAMILY CHILD CARE
FACILITY NUMBER: 157700071
VISIT DATE: 06/24/2025
NARRATIVE
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The interviews revealed the Licensee also transports C12 and C13 to and from school with the rest of the children and due to their age, height, and weight, they are required to ride in a booster seat when being transported. Therefore, based on interviews and record reviews the above allegation: Licensee is not transporting children safely, corroborates with the evidence and is Substantiated, meaning the preponderance of evidence standard has been met.

There is one Type A deficiency cited during this inspection for Personal Rights. See 9099D pages attached to this report.

Upon receipt of a Type A deficiency, a copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of all the children in care and any newly enrolled children at the facility during the next 12 months from the date of the Type A report. The Licensee must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from each parent/guardian & place it in each child's file where it will remain for three years. Copies of the reports must be provided to each parent when a Type A violation is cited along with Acknowledgment of Receipt of Licensing Reports LIC 9224. If these requirements are not met civil penalties per child as a violation will be assessed.

An exit interview was conducted, and a copy of this report was read, Appeal Rights were discussed, and a Notice of Site Visit, and a copy of all forms mentioned were provided to Ana Camargo, Licensee at the facility. A Notice of Site Visit must remain posted for thirty (30) consecutive days. Removal of the posting is subject to a $100 civil penalty.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20250422115204
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: CAMARGO FAMILY CHILD CARE
FACILITY NUMBER: 157700071
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/25/2025
Section Cited
CCR
102423(a)(2)
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 102423 (a)(2) -Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights...(2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by:
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I will buy another booster seat and car seat and have all seats for the children to transport safely. I will provide proof by POC date.
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Based on observation and interview, the Licensee is transporting children C13 and C14 without the child safety booster seats that are required for their age, height, and weight which is an immediate health, safety, or personal rights risk to 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: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3