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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153908036
Report Date: 01/25/2020
Date Signed: 01/25/2020 07:09:49 PM



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
10/28/2019 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20191028155137
FACILITY NAME:RODRIGUEZ, LAURA FAMILY CHILD CAREFACILITY NUMBER:
153908036
ADMINISTRATOR:RODRIGUEZ, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 854-4995
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY:14CENSUS: 0DATE:
01/25/2020
ANNOUNCEDTIME BEGAN:
06:30 PM
MET WITH:Laura RodriguezTIME COMPLETED:
07:10 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation#1 Adult in home had inappropriate interaction with child in home
Allegation #2 Adult in the home inappropriately handled child in day care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/25/2020 LPA Isabel Ortega conducted an announced complaint inspection for the purpose of delivering finding for the above allegations. LPA disclosed the purpose of the inspection and was granted entry into the facility. LPA met with Licensee Laura Rodriguez. Upon arrival LPA observed a census of 0 children in care, Licensee and Assistant present (Licensee's husband) LIS fingerprint cleared.

Based on the information gathered by CCIB Investigator and Arvin Police Department interviews conducted with alleged victim, staff, other children in care, alleged suspect, and supporting reports gathered regarding Allegation #1 Personal Rights: Adult in home had inappropriate interaction with child and Allegation #2 Personal Rights: Adult in the home inappropriately handled child in day care both allegations under personal Rights have been unsubstantiated. Although the allegation 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 allegations are unsubstantiated.
An exit interview was conducted and a copy of this report, appeal rights and notice of site visit was provided to the Licensee, Laura Rodriguez on this date.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2020
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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