197412996-4-14-2021-12-CC-CYAS-C24PK5-20210415112230

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197412996
Report Date: 04/14/2021
Date Signed: 04/14/2021 02:10:48 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
03/04/2021 and conducted by Evaluator Linda Thompson-Miller

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20210304090329

FACILITY NAME:	MARTINEZ FAMILY CHILD CARE		FACILITY NUMBER:	197412996
ADMINISTRATOR:	MARTINEZ, LORETTA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 285-1332
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93552
CAPACITY:	14	CENSUS: 8	DATE:	04/14/2021
		UNANNOUNCED	TIME BEGAN:	01:51 PM
MET WITH:	Loretta Martinez		TIME COMPLETED:	02:05 PM

ALLEGATION(S):

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Allegation: Personal Rights---Care provider yelled at day care child.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Thompson-Miller conducted an unannounced complaint inspection for the purpose of delivering finding for the above allegation and met with Licensee, Loretta Martinez. There are 8 child care children present. Due to COVID-19 this inspection/visit will be conducted via Telephone call.

Based on interviews conducted with staff, children and parents the above allegation is Unsubstantiated. Child involved did not indicate licensee yell or raise voice at children. There is not enough evidence or witnesses to substantiate, therefore, allegation is rendered Unsubstantiated at this time. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegation occurred. At this time LPA unable to make a determination that any violation(s) occurred.
An exit interview was conducted and a copy of this report was read and forwarded to the Licensee, Loretta Martinez via email and mail for confirmation with "Read Receipt" on this date. The Notice of Site Visit was emailed and mailed to Licensee.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021

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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