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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197414219
Report Date: 07/27/2020
Date Signed: 07/27/2020 12:48:51 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
05/07/2020 and conducted by Evaluator Brigitte Tsutaoka
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20200507121432
FACILITY NAME:ROBERTS FAMILY CHILD CAREFACILITY NUMBER:
197414219
ADMINISTRATOR:ROBERTS, GWENDOLYN J.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 400-9912
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:14CENSUS: 12DATE:
07/27/2020
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Gwendolyn J. RobertsTIME COMPLETED:
12:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility operating out of ratio.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 27, 2020, Licensing Program Analyst (LPA), Brigitte Tsutaoka spoke with Licensee Gwendolyn Joyce Roberts to deliver the findings for the above allegation.

During this investigation, LPA Tsutaoka interviewed staff, parents, and other relevant complaint parties. Based on the information obtained and interviews conducted the allegations are deemed Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations did or did not occur.

An exit interview was conducted, and a copy of this report was read and sent via email with read receipt (due to COVID-19). In addition, another copy will be certified mail to Licensee, Gwendolyn Joyce Roberts.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte TsutaokaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2020
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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