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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197400488
Report Date: 01/09/2026
Date Signed: 01/09/2026 12:43:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 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
12/05/2025 and conducted by Evaluator Mayra Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20251205121023
FACILITY NAME:MENJIVAR FAMILY DAY CAREFACILITY NUMBER:
197400488
ADMINISTRATOR:OFELIA & DIANA MENJIVARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 365-6247
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:12CENSUS: 4DATE:
01/09/2026
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Ofelia Menjivar, LicenseeTIME COMPLETED:
12:56 PM
ALLEGATION(S):
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Licensee yells at parents in the presence of day care children.
Licensee is operating out of ratio
INVESTIGATION FINDINGS:
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On Friday, January 9, 2026, Licensing Program Analyst (LPA), Mayra Rivera conducted an unannounced complaint inspection and to deliver findings in regards the above allegations. LPA met with licensee Ofelia Menjivar who granted access and guided LPA Rivera on a tour of the facility.

Upon LPA Rivera's arrival, LPA observed 4 preschool children present playing outside with licensee and assistant present providing care and supervision. LPA observed the facility to be operating within ratio.

During the course of this investigation, LPA Rivera observed and conducted confidential interviews with parents and child. Based on the confidential interviews there was no indication of concerns with the quality of care, or that licensee yells at the parents. Based on observation and current enrollment of 9 children and assistant present, the facility is operating within ratio.The evidence and interviews conducted by LPA Rivera did not support nor confirm the above allegations.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
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 5
Control Number 12-CC-20251205121023
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MENJIVAR FAMILY DAY CARE
FACILITY NUMBER: 197400488
VISIT DATE: 01/09/2026
NARRATIVE
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This agency has investigated the complaint alleging licensee yells at parents in the presence of day care children and licensee is operating out of ratio. At this time, it is determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegations are unsubstantiated. No deficiency given at this time.

Exit interview was conducted with licensee Ofelia Menjivar. The licensee was provided a copy of the appeal rights (LIC 9058) and signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 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
12/05/2025 and conducted by Evaluator Mayra Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20251205121023

FACILITY NAME:MENJIVAR FAMILY DAY CAREFACILITY NUMBER:
197400488
ADMINISTRATOR:OFELIA & DIANA MENJIVARFACILITY TYPE:
810
ADDRESS:12647 BROMONT AVENUETELEPHONE:
(818) 365-6247
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:12CENSUS: 4DATE:
01/09/2026
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Ofelia Menjivar, LicenseeTIME COMPLETED:
12:56 PM
ALLEGATION(S):
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Licensee is away from the facility more than 20% of operational hours.
INVESTIGATION FINDINGS:
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On Friday, January 9, 2026, Licensing Program Analyst (LPA), Mayra Rivera conducted an unannounced complaint inspection and to deliver findings in regards the above allegations. LPA met with licensee Ofelia Menjivar who granted access and guided LPA Rivera on a tour of the facility.

Upon LPA Rivera's arrival, LPA observed 4 preschool children present playing outside with licensee and assistant present providing care and supervision. LPA observed the facility to be operating within ratio.

During the course of this investigation, LPA Rivera observed and conducted confidential interviews with parents and child. Based on observation and interviews, co-licensee Diana Menjivar is no longer living at the residence and is away more than 20% of operational times. Based on observation and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 12-CC-20251205121023
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MENJIVAR FAMILY DAY CARE
FACILITY NUMBER: 197400488
VISIT DATE: 01/09/2026
NARRATIVE
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One type B deficiency is being issued today for regulation 102417(a)- The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

Please see attached LIC 809-D for citation.

Exit interview was conducted with licensee Ofelia Menjivar. Licensee Ofelia was provided a copy of the appeal rights (LIC 9058) and signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 12-CC-20251205121023
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MENJIVAR FAMILY DAY CARE
FACILITY NUMBER: 197400488
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/09/2026
Section Cited
CCR
102417(a)
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 Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement is not met as evidenced by: co-Licensee Diana Menjivar is no longer living in the home and is away more than 20% of operational times,
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Licensee Ofelia Menjivar submitted an updated LIC 279 Application for a Family Child Care and on 01/05/26, LPA Rivera received via email Diana's declaration to be removed from the facility license due to moving and no longer living at the residence. The deficiency was cleared during this visit.
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which poses a potential health, safety or personal rights risk to 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: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5