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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367700261
Report Date: 12/28/2023
Date Signed: 12/28/2023 01:05:25 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
10/03/2023 and conducted by Evaluator Justeene Tamayo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20231003111831
FACILITY NAME:JAMES FAMILY CHILD CAREFACILITY NUMBER:
367700261
ADMINISTRATOR:RACHEL JAMESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(442) 202-7857
CITY:VICTORVILLESTATE: CAZIP CODE:
92394
CAPACITY:14CENSUS: DATE:
12/28/2023
UNANNOUNCEDTIME BEGAN:
12:41 PM
MET WITH:Rachel James, Licensee TIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
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9
Allegation:
Personal Rights-Child disclosed inappropriate contact at the facility.
INVESTIGATION FINDINGS:
1
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5
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9
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13
On 12/28/23 at 12:41 p.m., Licensing Program Analyst (LPA), Justeene Tamayo conducted a visit to the facility to deliver the findings for the above complaint allegation. Upon arrival LPA observed xxxxxxx.
The complaint was investigated by Investigator Marlon Williams, from the Department’s Investigation Bureau(IB). Interviews were conducted with the licensee, children, and other complaint-relevant parties including but not limited to police reports and review of supporting documents.

It was alleged child #1 disclosed being inappropriately touched. The interviews conducted did not corroborate the allegation. Based on the information gathered it has been determined the preponderance of evidence standard has not been met, therefore, the above allegation is found to be UNSUBSTANTIATED.

Please see LIC9099-C for Continuation Page

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2023
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 2
Control Number 12-CC-20231003111831
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: JAMES FAMILY CHILD CARE
FACILITY NUMBER: 367700261
VISIT DATE: 12/28/2023
NARRATIVE
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 A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegation occurred.

An exit interview was conducted, and a copy of this report was provided to the licensee along with the appeal rights and Notice of Site Visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2