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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367700037
Report Date: 12/23/2021
Date Signed: 12/23/2021 03:29:46 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
09/27/2021 and conducted by Evaluator Kendal Zirbes
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210927084146
FACILITY NAME:CROOMS FAMILY CHILD CAREFACILITY NUMBER:
367700037
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
12/23/2021
UNANNOUNCEDTIME BEGAN:
02:59 PM
MET WITH:Licensee, Brandi Crooms TIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee does not provide adequate supervision.
Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On December 23, 2021, Licensing Program Analyst (LPA) Zirbes conducted a follow-up virtual inspection to the facility via FaceTime. LPA met with Licensee Brandi Crooms. The purpose of the inspection was to deliver the findings for the above complaint allegations.
During the course of investigating the allegations regarding personal rights and supervision, LPA conducted interviews with children, staff, and parents. LPA made three attempts to interview additional parties involved however the attempts were unsuccessful. The interviews completed revealed inconsistencies regarding if Child 1 (C1) was left unattended and crying in the backyard of the facility for approximately six minutes. Therefore, the allegations are deemed Unsubstantiated. A finding of unsubstantiated means that the allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred.
Technical Assistance was provided to the Licensee on this date. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted, this report and LIC 9102 were reviewed with the Licensee Brandi Crooms.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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