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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197412996
Report Date: 12/14/2021
Date Signed: 12/14/2021 12:37:50 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
11/04/2021 and conducted by Evaluator Justin Dorsey
COMPLAINT CONTROL NUMBER: 12-CC-20211104081622
FACILITY NAME:MARTINEZ FAMILY CHILD CAREFACILITY NUMBER:
197412996
ADMINISTRATOR:MARTINEZ, LORETTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 285-1332
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY:14CENSUS: 5DATE:
12/14/2021
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Loretta MartinezTIME COMPLETED:
12:52 PM
ALLEGATION(S):
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9
Unsafe transportation of children.
Inappropriate gestures in the presence of day care children.
Inappropriate language in the presence of day care children.
INVESTIGATION FINDINGS:
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2
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5
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9
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On 12/14/21 Licensing Program Analysts (LPA) Justin Dorsey conducted a complaint investigation at the facility to deliver complaint investigation findings. Upon arrival LPA met with Licensee Loretta Martinez. LPA observed 5 children in care with Licensee Martinez.
During the investigation LPA Dorsey interviewed, licensee, complainant, children, Quail Valley Elemntary Staff #1 and parents of the program. As part of the investigation LPA Dorsey obtained the facilities children roster and documents relevant to the investigation. After observations and interviews with parties related to the allegations it was found that the allegations could not be collaborated. Therefore, the allegations have been found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the facility is not providing a safe and healthful environment, Therefore the above allegations are Unsubstantiated.
An exit interview was conducted, and a copy of this report was provided to Licensee Martinez along with Notice of Site Visit and Appeal Rights.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2021
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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