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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367700043
Report Date: 10/10/2025
Date Signed: 10/10/2025 11:41:58 AM

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
07/31/2025 and conducted by Evaluator Annelise Villa
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20250731114729
FACILITY NAME:MICHEL FAMILY CHILD CAREFACILITY NUMBER:
367700043
ADMINISTRATOR:MICHEL, ROXANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 903-3565
CITY:ADELANTOSTATE: CAZIP CODE:
92301
CAPACITY:14CENSUS: 6DATE:
10/10/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Roxanna Michel, LicenseeTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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-Criminal Record Clearance: Uncleared adults in the home
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Annelise Villa conducted a follow up complaint investigation related to the allegations above and to deliver findings. LPA disclosed the purpose of the investigation and was granted entry into the facility by Licensee Roxanna Michel. A tour of the facility was conducted. LPA verified a census of 6 children and 2 staff, including Licensee, working under the facility license. No deficiencies were observed during the tour.

During the investigation, LPA collected pertinent documents, completed record reviews, and conducted confidential interviews with staff and children. Interviews and record review revealed Adult #1 has obtained a fingerprint clearance within 30 days on their 18th birthday. Further, it was revealed Adult #2 is Licensee's adult child and does not reside in the home. Licensee stated Adult #2 does not provide care and supervision to children in care.

Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025
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-20250731114729
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: MICHEL FAMILY CHILD CARE
FACILITY NUMBER: 367700043
VISIT DATE: 10/10/2025
NARRATIVE
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Interviews confirmed although Adult #2 lived in the home as a minor, Adult #2 moved from the home prior to their 18th birthday and does not require a fingerprint clearance. Licensee stated Adult #2 is not employed at this facility. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED.

Exit interview conducted with Licensee. A copy of this report, appeal rights and Notice of Site Visit were left with Licensee.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025
LIC9099 (FAS) - (06/04)
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