<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492796
Report Date: 08/30/2021
Date Signed: 08/30/2021 05:43:36 PM

Substantiated


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
08/27/2021 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210827104501
FACILITY NAME:ESTRELLA FAMILY CHILD CAREFACILITY NUMBER:
197492796
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 1DATE:
08/30/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Alma Estrella TIME COMPLETED:
05:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation: Conduct and inimical: Licensee did not report suspected child abuse of a day care child to Child Protective Services(CPS)within the required time frame
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Ortega met with Licensee, Estrella for the purpose of conducting an initial 10 day complaint investigation for the above allegation. LPA Ortega toured the Family Child Care Home(FCCH) Present today was Provider, and one child.

During this investigation, LPA received pertinent documents related to this investigation, which included FCCH Roster, relevant documentation and Staff interview. Staff admitted she failed to report an incident to Child Protective Services(CPS) within the required time frame. First incident occurred 8/04/2021, report was made to CPS on 8/26/2021. Based on information obtained, and interviews with relevant complaint parties, creditable witnesses, this allegation is deemed SUBSTANTIATED and a citation will be issued(See LIC 9099-D for cited deficiency). A finding of substantiated means that allegation was valid because the preponderance of the evidence standard has been met. This facility was cited a Type B in accordance to Title 22 of the California Code of Regulations and/or Health & Safety codes.
An exist interview was conducted, a copy of this report, appeal rights and a Notice of Site visit was provided to Licensee.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021
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-20210827104501
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ESTRELLA FAMILY CHILD CARE
FACILITY NUMBER: 197492796
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2021
Section Cited
CCR
102402(a)(3)
1
2
3
4
5
6
7
(a) The Department shall have the authority to suspend or revoke any license for the following reasons:(3) Conduct in the operation or maintenance of a family day care home which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California.
1
2
3
4
5
6
7
Licensee agreed to review mandated reporting laws and moving forward report any suspected abuse to CPS in writing within 72 hours and call the child abuse hotline at 1(800) 500-4000 within 24 hours.
Continuation...
8
9
10
11
12
13
14
This requirement was not met by evidence by: LPA's interviews and documentation obtained from credible sources. Although, Licensee made a report to CPS and CCL, report was approximately 3 weeks later. Licensee failured to report suspected child abuse to CPS and CCL within the required time frame. This poses a potential risk to children in care.
8
9
10
11
12
13
14
Licensee will complete the Mandated Reporter training by 9/06/2021 and submit her certificate to the Palmdale Regional Office by fax or email.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2