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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418290
Report Date: 12/16/2021
Date Signed: 12/16/2021 02:48:13 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/14/2021 and conducted by Evaluator Adrian Risher
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20211014155858
FACILITY NAME:PALACIO FAMILY CHILD CAREFACILITY NUMBER:
197418290
ADMINISTRATOR:PALACIO DARLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 696-9208
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:14CENSUS: 4DATE:
12/16/2021
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Darla Palacio LicenseeTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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License: Licensee is not present in the home the appropriate amount of time during day care hours
Qualifications:Unqualified staff cares for day care children
INVESTIGATION FINDINGS:
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On 12/16/2021 at 2:15pm, Licensing Program Analyst (LPA) Adrian Risher, conducted a subsequent complaint visit regarding the above-mentioned allegations to deliver the findings. Upon arrival, LPA met with Darla Palacio, Licensee LPA explained the purpose of the inspection. LPA observed 4 children in care.

On 10/14/2021, ESCCRO received a complaint regarding Qualifications and License. Allegations received to the department stated that there were at least 4 times that the Licensee is away from the facility (more than 80% of the time) and leaving children in care with an unqualified individual.
Unsubstantiated
Estimated Days of Completion: 70
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021
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 2
Control Number 30-CC-20211014155858
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PALACIO FAMILY CHILD CARE
FACILITY NUMBER: 197418290
VISIT DATE: 12/16/2021
NARRATIVE
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On 10/21/2021, LPA Risher LPM Neal conducted the 10-day visit. Information received and obtained throughout the investigation that also included interviews of the Licensee and Assistant. LPA received a copy of the roster, contact information and reports. Licensee provided the names of her assistants who are fingerprint cleared and provide supervision to children in care. Assistant 1 stated the names of the individuals who care for the children when the Licensee is not present. Information disclosed by parents revealed that they only interact with the Licensee at the daycare and when their children are in care and the children are received by the licensee Ms. Palacio

Although the allegations of the Licensee is not present 80% of the time and the licensee allows unqualified assistants to care for the children when she is not present may have happened or is valid, there is not a preponderance of evidence to prove or disapprove the above alleged violations did or did not occur, therefore the allegations are found to be unsubstantiated.

Exit interview was conducted and a copy of the report was provided. Appeal rights were reviewed and provided.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2