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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197701010
Report Date: 03/06/2026
Date Signed: 03/06/2026 11:28:53 AM

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
12/26/2025 and conducted by Evaluator Justeene Tamayo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20251226082928
FACILITY NAME:CHAVEZ ANDINO FAMILY CHILD CAREFACILITY NUMBER:
197701010
ADMINISTRATOR:TATIANA CHAVEZ ANDINOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 818-1017
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY:14CENSUS: 5DATE:
03/06/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Tatiana Chavez Andino, Licensee TIME COMPLETED:
11:33 PM
ALLEGATION(S):
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Allegation:
-Neglect/Lack of Supervision: Child sustained unexplained injury at the facility due to staff neglect/lack of supervision
INVESTIGATION FINDINGS:
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On 03/06/2026, Licensing Program Analyst (LPA) Justeene Tamayo conducted a follow up complaint investigation related to the allegation above. LPA disclosed the purpose of the investigation and was granted entry into the facility by licensee Tatiana Chavez Andino. A tour of the facility was conducted. There were 3 preschool, 1 infant, and licensee's minor child present at the time of inspection, including assistant #1.

The investigated consisted of interviews with staff, parents, children, and other relevant parties. Based on interviews conducted, parents reported no concerns regarding neglect or lack of supervision and indicated that they are satisfied with the facility overall. Interviews with children also indicated that they like the facility. The children also stated they did not observe Child #1 being injured at the facility and reported no concerns.The licensee stated that she was with Child #1 for the entire day on 12/24/25 and reported that Child #1 did not sustain a bruise while at the facility that day.

Please see LIC9099-C for continuation page.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2026
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-20251226082928
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: CHAVEZ ANDINO FAMILY CHILD CARE
FACILITY NUMBER: 197701010
VISIT DATE: 03/06/2026
NARRATIVE
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The licensee reported that she previously observed a healing yellowish-green bruise on Child #1’s upper arm and informed the parents several days prior to 12/24/25. The licensee denied that the bruise occurred at the facility and stated that she conducts daily health and safety checks of all children in care. Based on the information obtained, there is insufficient evidence to indicate that the bruise on Child #1’s upper arm occurred at the facility due to neglect or lack of supervision.

Therefore, based on the information provided, the allegations are rendered 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 was provided to the facility, along with a copy of licensee's appeal rights and Notice of Site Visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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