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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419415
Report Date: 10/12/2021
Date Signed: 10/12/2021 04:13:00 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
07/30/2021 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210730101832
FACILITY NAME:CRUZ, CLEGG FAMILY CHILD CAREFACILITY NUMBER:
197419415
ADMINISTRATOR:CRUZ, ROSA & CLEGG CINTIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 441-5191
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY:14CENSUS: 0DATE:
10/12/2021
UNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Rosa Cruz and Cintia CleggTIME COMPLETED:
04:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation: Personal Rights: Licensee kicked daycare child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/12/2021 Licensing Program Analyst (LPA) Isabel Ortega conducted a complaint investigation at the facility to deliver complaint investigation findings. LPA met with licensee Cruz, 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 allegation of Personal Rights: Licensee kicked daycare child is 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 allegation occurred.

An exit interview was conducted, a copy of this report and a notice of site visit report were provided to facility.

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

DATE: 10/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021
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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