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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157700112
Report Date: 02/03/2025
Date Signed: 02/03/2025 12:29:02 PM

Unsubstantiated


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
11/05/2024 and conducted by Evaluator Annelise Villa
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20241105145737
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:
02/03/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maria Diaz, LicenseeTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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- Neglect/Lack of Supervision: Child was left unattended in the restroom with the lights off
- Personal Rights: Licensee used unsual punishment on a child in care
INVESTIGATION FINDINGS:
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On February 3, 2025, LPA Annelise Villa and Ana Rodriguez made an unannounced visit to complete the complaint received on 11/05/2024. LPA disclosed the purpose of the visit and was granted entry into the facility by licensee. A tour of the facility was conducted. LPA verified a census of 0 children present at the facility, with the licensees providing care and supervision.

During the investigation, LPAs interviewed, parents, staff, children, and other complaint relevant parties. Additionally, LPAs gathered complaint relevant documents and conducted record reviews. The investigation revealed inconsistent statements with the following complaint allegations:Licensee locked a child in the restroom with the lights off and Licensee placed her hand over a childs mouth. Licensee denied the allegations. The allegation could not be corroborated.

Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025
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 2
Control Number 12-CC-20241105145737
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: DIAZ FAMILY CHILD CARE
FACILITY NUMBER: 157700112
VISIT DATE: 02/03/2025
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged allegation did or did not occur, therefore the above allegation is Unsubstantiated. There were no deficiencies cited during this visit.

Exit Interview was conducted and A copy of this report, Notice of Site Inspection, and Appeal Rights were discussed and left with Licensee Maria Diaz, at the facility.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2