367750053-1-10-2025-12-CC-MRAN-DDESU5-20250130131035

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 367750053
Report Date: 01/10/2025
Date Signed: 01/10/2025 03:34:19 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
12/10/2024 and conducted by Evaluator Annelise Villa

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20241210162858

FACILITY NAME:	HEARTFELT DAYCARE, LLC		FACILITY NUMBER:	367750053
ADMINISTRATOR:	SAMANTHA BROWN		FACILITY TYPE:	830
ADDRESS:	15451 BEAR VALLEY ROAD		TELEPHONE:	(909) 559-1592
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	8	CENSUS: 8	DATE:	01/10/2025
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Tiffany Boyce		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

- Criminal Record Clearance: An excluded individual is volunteering at the facility

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On January 10, 2025, Licensing Program Analysts (LPA) Annelise Villa conducted an unannounced inspection at the facility. The purpose of the visit was to initiate an investigation for a complaint received at Palmdale RO on 12/10/2024. LPA was greeted by Director, Tiffany Boyce who granted access. LPA observed children in care at the time of the visit. During this visit, LPA completed a safety inspection which resulted in zero deficiencies.

LPA discussed the nature of the visit with Director. LPA conducted interviews and gathered complaint relevant documents. Through record review and interviews conducted, there is no evidence to support the allegation the excluded individual was present at the facility. Therefore, the allegations have been found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that all the allegations happened, Therefore the above allegations are Unsubstantiated.

An exit interview was conducted, and a copy of this report was provided to Director n along with a Notice of

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Annelise Villa
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025

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 1