<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192000650
Report Date: 11/08/2022
Date Signed: 11/08/2022 01:57:20 PM


Document Has Been Signed on 11/08/2022 01:57 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:BOND FAMILY CHILD CAREFACILITY NUMBER:
192000650
ADMINISTRATOR:BOND, OMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 946-5700
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:14CENSUS: 4DATE:
11/08/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:41 PM
MET WITH:Oma Bond, LicenseeTIME COMPLETED:
02:05 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/08/22, Licensing Program Analysts (LPAs) Justeene Tamayo and Annelise Villa met with licensee for the purpose of concluding the investigation concerning a self-reported unusual incident that was received by the Palmdale Regional Office on 04/26/22 and occurred on 04/22/22. The incident was investigated by the Investigation Bureau (IB) Investigator, Laarni Santiago for possible neglect and lack of supervision. LPAs toured the facility and observed 4 children present.

On 04/26/22 the licensee reported an Unusual Incident concerning child #1 inappropriately touched child #2 while in care. The investigation consisted of interviews with staff, children, and other complaint relevant parties including the review of supportive documentation and records.

Interviews revealed there has been no knowledge of sexual misconduct committed by child #1 in the past. Medical records of child #2 were normal and did not determine sexual abuse. Child #1 was unable to recall any involvement with child #2. Child #2 did not disclose any information concerning being touched inappropriately.

There is no concern or evidence pertaining to the licensee’s provision of care and supervision provided to children. Interviews with pertinent parties denied that licensee had any history of leaving children alone for an extended period. It was determined Interviews conducted revealed inconsistent statements including lack of witnesses.

Based on interviews and records reviewed, there is not a preponderance of evidence that the alleged incident occurred.

Please see Continuation Page LIC809-C for additional information.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene TamayoTELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: BOND FAMILY CHILD CARE
FACILITY NUMBER: 192000650
VISIT DATE: 11/08/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
No deficiency will be cited today concerning neglect and lack of supervision. Licensee is encouraged to continue to report unusual incidents to the Palmdale Regional Office.

An exit interview was conducted, and a copy of this report was read and provided to the licensee on this date, along with a copy of her appeal rights and Notice of Site Visit.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene TamayoTELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2