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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157700112
Report Date: 11/23/2021
Date Signed: 11/23/2021 05:21:09 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/07/2021 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210907161735
FACILITY NAME:DIAZ FAMILY CHILD CAREFACILITY NUMBER:
157700112
ADMINISTRATOR:DIAZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 436-3646
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY:14CENSUS: 0DATE:
11/23/2021
UNANNOUNCEDTIME BEGAN:
04:49 PM
MET WITH:Maria DiazTIME COMPLETED:
05:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation #1 Personal Rights: Licensee did not adhere to child's transportation plan
Allegation #2 Personal Rights: Licensee did not prevent inappropriate interactions between children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/23/2021 Licensing Program Analyst (LPA) Isabel Ortega conducted a complaint investigation at the facility to deliver complaint investigation findings. LPA met with licensee Diaz, who guided LPA on a tour of the facility. Upon arrival LPA observed no children in care.

During this investigation, LPA received pertinent documents related to this investigation, which included Facility Roster and other documentation related to the allegation. LPA interviewed the complainant, Licensees, parents and children. According to interviews conducted and observations completed the children were never left alone which does not pose a danger to the children's health and safety. Also, there were no disclosures of inappropriate interactions between children. Allegations of Personal Rights: Licensee did not adhere to child's transportation plan and Licensee did not prevent inappropriate interactions between children are 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 and a notice of site visit report were provided to Family Child Care Home.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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