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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367700134
Report Date: 06/13/2024
Date Signed: 06/21/2024 02:49:10 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
03/27/2024 and conducted by Evaluator Annelise Villa
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240327093033
FACILITY NAME:CARINO & SERRANO FAMILY CHILD CAREFACILITY NUMBER:
367700134
ADMINISTRATOR:N. SERRANO/B. CARINOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 612-6043
CITY:ADELANTOSTATE: CAZIP CODE:
92301
CAPACITY:14CENSUS: 5DATE:
06/13/2024
UNANNOUNCEDTIME BEGAN:
11:22 AM
MET WITH:Norma Serrano, LicenseeTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Neglect/Lack of Supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On June 21, 2024, LPA Villa amended the report to make report available for public view.

On June 13, 2024, Licensing Program Analyst (LPA) Annelise Villa to deliver findings regarding complaint allegations. LPA disclosed the purpose of the visit and was granted entry into the facility by licensee. A tour of the facility was conducted. LPA verified a census of 4 school age children and 1 infant present at the facility, with the licensee and 1 assistant providing care and supervision.

During this visit LPA toured the facility, conducted interviews, and gathered complaint relavant documents. During the course of the investigation, it was revealed there was comminication between parent and Licensee confirming alternate pickup arrangements for Child #1, and Licensee was not negligent school pick ups.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred; therefore, the allegation has been deemed unsubstantiated. An exit interview was conducted with the licensee, a copy of this report was provided along with the appeal rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024
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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