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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153908258
Report Date: 01/06/2023
Date Signed: 01/06/2023 01:33:50 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
10/12/2022 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20221012160000
FACILITY NAME:LUCAS, TONYA FAMILY CHILD CAREFACILITY NUMBER:
153908258
ADMINISTRATOR:LUCAS, TONYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 793-8112
CITY:RIDGECRESTSTATE: CAZIP CODE:
93555
CAPACITY:14CENSUS: 5DATE:
01/06/2023
UNANNOUNCEDTIME BEGAN:
11:42 AM
MET WITH:Tonya LucasTIME COMPLETED:
01:33 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation: Physical Plant; Provider is not properly addressing bed beg infestation at facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On January 06, 2023 LPA Isabel Ortega conducted an unannounced complaint subsequent investigation for the complaint received at the Palmdale Office on 10/12/2022. LPA Ortega announced the purpose of inspection and was granted entry by licensee. Upon entry LPA observed five children in care and one assistant fingerprint cleared and associated providing care and supervision.

It was alleged Provider is not properly addressing bed beg infestation at facility. Based on the information obtained during interviews, and LPA’s observation at the time of the investigation, it is determined that the above allegation is deemed Unsubstantiated. A finding that is unsubstantiated means, although the allegation may have happened or is valid, at the time of the investigation there is no preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted, appeal rights, notice of site visit, and a copy of this report was provided to licensee on this date.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023
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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