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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364818001
Report Date: 12/07/2023
Date Signed: 12/07/2023 02:34:57 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 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
10/26/2023 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20231026164842
FACILITY NAME:NELSON FAMILY CHILD CAREFACILITY NUMBER:
364818001
ADMINISTRATOR:NELSON, LILLIAN & EARLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 951-5002
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: 3DATE:
12/07/2023
UNANNOUNCEDTIME BEGAN:
02:19 PM
MET WITH:Lillian Nelson, LicenseeTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Allegation #1- Marijuana was smoked in day care home during operational hours.

INVESTIGATION FINDINGS:
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On December 7, 2023, Licensing Program Analysts (LPAs) Calloway and Ali made an unannounced inspection to the Nelson Family Child Care. The purpose of the visit was to deliver findings for the above allegations. LPA met with Licensee who granted access. LPA observed 3 children and 2 staff in care.

During the investigation, LPA conducted interviews with staff, children, parents, and all parties involved and obtained the facility roster.

The evidence did not reveal if the day care children attended or left the day care home during the time the allegations were made. Allegation #1, based on the confidential interviews there is not enough evidence to prove that marijuana smoking occurred inside the home during operational hours. Therefore, the allegation on Personal Rights is Unsubstantiated, meaning the allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
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
Control Number 12-CC-20231026164842
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: NELSON FAMILY CHILD CARE
FACILITY NUMBER: 364818001
VISIT DATE: 12/07/2023
NARRATIVE
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An exit interview was conducted, and a copy of this report was read, and a Notice of Site Visit was provided to the Licensee, Lillian Nelson. A Notice of Site Visit must remain posted for thirty (30) consecutive days. Failure to maintain posting is subject to a $100 civil penalty.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3