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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364806290
Report Date: 06/23/2022
Date Signed: 06/23/2022 02:43:23 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
06/09/2022 and conducted by Evaluator Babatunde Ibitoye
COMPLAINT CONTROL NUMBER: 12-CC-20220609154131
FACILITY NAME:HAIRSTON-LANE FAMILY CHILD CAREFACILITY NUMBER:
364806290
ADMINISTRATOR:HAIRSTON-LANE, TOMIKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 240-3790
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92308
CAPACITY:14CENSUS: 4DATE:
06/23/2022
UNANNOUNCEDTIME BEGAN:
02:21 PM
MET WITH:Tomika LaneTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider denied parent access to daycare child’s records.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/23/22 Licensing Program Analysts (LPA) Babatunde Ibitoye conducted an complaint investigation at the facility to deliver complaint investigation findings. Upon arrival LPA met with Licensee Tomika Lane. LPA observed 4 children in care.
During the course of the investigation LPA interviewed, licensee, complainant and a parent of the program. As part of the investigation LPA ibitoye obtained the facilities children roster and documents relevant to the investigation. After observations and interviews with parties related to the allegations it was found that the allegations could not be collaborated. Therefore, the allegations have been found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the facility denied access to childs records , Therefore the above allegations are Unsubstantiated.
An exit interview was conducted, and a copy of this report was provided to Licensee Tomika Lane along with Notice of Site Visit and Appeal Rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
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 3