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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197412267
Report Date: 10/23/2020
Date Signed: 10/23/2020 05:47:07 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
07/29/2020 and conducted by Evaluator Nadia Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20200729144925
FACILITY NAME:PARKER FAMILY CHILD CAREFACILITY NUMBER:
197412267
ADMINISTRATOR:PARKER, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 726-9077
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY:14CENSUS: 13DATE:
10/23/2020
UNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:Patricia Parker, LicenseeTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Personal Rights: Licensee's pet bit a daycare child while in care
INVESTIGATION FINDINGS:
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On October 23, 2020 Licensing Program Analyst (LPA) Nadia Flores conducted a complaint investigation regarding the above allegation. The complaint was conducted via teleconference due to Covid-19. LPA Flores spoke to licensee Patricia Parker and informed her of the purpose of the complaint. LPA obtained a census of the children present at the facility. This investigation consisted of interviews of staff, licensee, and other relevant complaint parties.

The investigation revealed the following: Upon interviewing licensee, she disclosed that her dog had bitten child #4 on two different ocassions. Based on the interviews with staff, parents, chidlren and observations, the allegation above is Substantiated. Licensee stated that Child #4 was playing with the dog when the first incident happend which resulted in a mild bite. The second incident, licensee reported that while she was taking the trash cans out, the dog came inside the home and became alert, was in close proximity of Child #4 and turned around and scratched his foot.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Nadia FloresTELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2020
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 3
Control Number 12-CC-20200729144925
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: PARKER FAMILY CHILD CARE
FACILITY NUMBER: 197412267
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/23/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/26/2020
Section Cited
CCR
102423(a)(2)
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Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: To receive safe
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Licensee will have to make dogs inaccessible to child care chidren. Licensee will write a statement and submit to LPA with her plan to make pets inaccessible to day care children.
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healthful, and comfortable accommodations, furnishings, and equipment.This requirement was not met as evidenced by licensee's dog mildly biting and scraching a day care child #4 on two different ocassions.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Nadia FloresTELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20200729144925
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: PARKER FAMILY CHILD CARE
FACILITY NUMBER: 197412267
VISIT DATE: 10/23/2020
NARRATIVE
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A substantiated finding means that the allegation is valid because the preponderance of the evidence standard has been met. Licensee was cited one Type B deficiency, according to California Code of Regulations Title 22 See 9099D report for deficiencies. Exit interview conducted and a copy of report was read and provided to Licensee, Patricia Parker via email with a read receipt requested.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Nadia FloresTELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 3