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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364815803
Report Date: 01/22/2026
Date Signed: 01/22/2026 02:22:38 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
10/27/2025 and conducted by Evaluator Ana Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20251027085428
FACILITY NAME:BROWN FAMILY CHILD CAREFACILITY NUMBER:
364815803
ADMINISTRATOR:BROWN, MAYRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 245-6023
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: 4DATE:
01/22/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Licensee, Mayra BrownTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Personal Rights - Licensee did not ensure infant received adequate hydration.

Personal Rights - Licensee did not notify infant’s representative of incident in a timely manner.
INVESTIGATION FINDINGS:
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On January 22, 2026, at 1:00 p.m., Licensing Program Analyst (LPA) Ana Rodriguez conducted a subsequent complaint investigation inspection to deliver the findings related to the above allegations. LPA met with Mayra Brown and conducted a tour of the facility. During the inspection, LPA observed the licensee and the licensee’s assistants providing care to 2 infants and 2 preschool-age children. No other adults were present at the time of the inspection.

The investigation included interviews with the children’s parents, the licensee’s assistant, and other parties related to the complaint. In addition, the investigation involved a review of the infant’s medical report.

Continued on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Ana Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
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-20251027085428
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: BROWN FAMILY CHILD CARE
FACILITY NUMBER: 364815803
VISIT DATE: 01/22/2026
NARRATIVE
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Interviews revealed that on October 20, 2025, the infant was dropped off at the facility at 7:53 a.m. It was disclosed that the licensee offered the infant breakfast at 8:15 a.m., along with milk; however, the infant did not drink. The infant participated in activities including playing with a buggie car, licensee offered the infant water, infant did not want it. At lunchtime, around 11:30 a.m., the infant ate the provided food but did not consume any liquids. At approximately 12:30 p.m., the infant was offered milk prior to nap time but did not drink.

At 2:59 p.m., the infant’s mother arrived to pick up the infant, who was napping at the time. The licensee removed the infant from the crib and handed the infant to the mother.

The infant’s mother reported that she gave the infant approximately 4 ounces of liquids and then left for school at 4:00 p.m., leaving the infant in the father’s care. At approximately 11:00 p.m. that evening, the infant’s mother received a text message from the father stating that the infant was having difficulty breathing. The infant’s mother took the infant to the emergency room, where the infant was diagnosed with croup and subsequently transferred to Loma Linda Hospital.

Based on the information obtained, the licensee offered the infant water and milk throughout the day; however, the infant declined to drink. The licensee stated that October 20, 2025, was the infant’s first day in care at the facility. The infant was described as active, ate meals, and participated in activities; therefore, the licensee did not contact the infant’s parents.

Due to inconsistent information, there is insufficient evidence obtained, the allegations are found to be unsubstantiated. A finding of Unsubstantiated means that, although the allegation may have occurred or may be valid, there is not a preponderance of evidence to support that the alleged violation occurred.

An exit interview was conducted, and a copy of this report, appeal rights, and a Notice of Site Visit were provided to the licensee on this date.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Ana Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2