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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700379
Report Date: 12/30/2024
Date Signed: 12/30/2024 06:14:32 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
10/07/2024 and conducted by Evaluator Mayra Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20241007162707
FACILITY NAME:FOX FAMILY CHILD CAREFACILITY NUMBER:
197700379
ADMINISTRATOR:FOX, CHERYLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(302) 312-3042
CITY:SANTA CLARITASTATE: CAZIP CODE:
91387
CAPACITY:14CENSUS: 1DATE:
12/30/2024
UNANNOUNCEDTIME BEGAN:
04:53 PM
MET WITH:Cheryl Fox, Licensee TIME COMPLETED:
06:20 PM
ALLEGATION(S):
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Personal Rights
INVESTIGATION FINDINGS:
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On Monday, December 30, 2024, at 4:53p.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced complaint inspection regarding personal rights violation. Upon arrival LPA observe one child with licensee providing care and supervision. LPA interviewed adult #1.

During the course of this investigation, Licensing Program Analyst Rivera conducted interviews with parents, child and reviewed reports. All parents all disclosed no concerns with the quality of care provided at the facility or their children mentioning concerns. The child disclosed likes coming to the facility.

Based on the confidential interviews and reports received and reviewed, there is no evidence indicating personal rights being violated.

If new discovery is reported, this complaint can be reopened
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2024
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-20241007162707
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: FOX FAMILY CHILD CARE
FACILITY NUMBER: 197700379
VISIT DATE: 12/30/2024
NARRATIVE
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This agency has investigated the complaint. At this time, it is determined that although the allegation may have happened or is 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 allegation is unsubstantiated. No deficiency given at this time.

Exit interview was conducted with licensee Cheryl Fox. The licensee was provided a copy of the appeal rights (LIC 9058) and their 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: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2