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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700457
Report Date: 03/11/2026
Date Signed: 03/11/2026 03:27:30 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
12/26/2025 and conducted by Evaluator Hanna Cha
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20251226082301
FACILITY NAME:FLORES FAMILY CHILD CAREFACILITY NUMBER:
197700457
ADMINISTRATOR:ANA FLORESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 965-9605
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY:14CENSUS: 6DATE:
03/11/2026
UNANNOUNCEDTIME BEGAN:
01:54 PM
MET WITH:Ana Flores; LicenseeTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Criminal Record Clearance-Licensee allowed staff to provide care and supervision to children without having a fingerprint clearance.
INVESTIGATION FINDINGS:
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On Wednesday, March 11, 2026, Licensing Program Analyst (LPA) Hanna Cha met with licensee, Ana Flores. The purpose of the inspection was to deliver the findings for the above allegation. Upon arrival, LPA Cha observed licensee and assistant providing care and supervision to one infant, one preschool-age children and 4 school-age children. LPA verifed the background clearance of all adults present.

The investigation consisted of observations and interviews with children, parents, assistant, and licensee. LPA Cha was unable to interview the Reporting Party (RP) due to the RP remaining anonymous.

Concerning the allegation that licensee allowed staff to provide care and supervision to children without having a fingerprint clearance, interviews with children, parents, and assistant did not reveal any statements indicating concern about an uncleared adult providing care and supervision to children at the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Hanna Cha
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2026
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 2
Control Number 12-CC-20251226082301
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: FLORES FAMILY CHILD CARE
FACILITY NUMBER: 197700457
VISIT DATE: 03/11/2026
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the above allegation is the result of a personal rights violation. Therefore, the allegations are unsubstantiated.

A notice of site visit was given to licensee and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Ana Flores.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Hanna Cha
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2