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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418595
Report Date: 04/08/2021
Date Signed: 04/08/2021 07:29:03 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
03/12/2021 and conducted by Evaluator Laticia S Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210312095245
FACILITY NAME:WINDOM FAMILY CHILD CAREFACILITY NUMBER:
197418595
ADMINISTRATOR:WINDOM, JULIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 518-8925
CITY:WEST HILLSSTATE: CAZIP CODE:
91304
CAPACITY:14CENSUS: 3DATE:
04/08/2021
UNANNOUNCEDTIME BEGAN:
11:48 AM
MET WITH:Julie WindomTIME COMPLETED:
07:13 PM
ALLEGATION(S):
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Licensee slapped children in care
INVESTIGATION FINDINGS:
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On 04/08/2021 Licensing Program Analyst (LPA) Laticia Thompson and Licensing Program Manager (LPM) Peter Flores conducted an unannouced visit to Windom Family Child Care Home for the purpose of concluding complaint investigation regarding personal rights. LPA Laticia Thompson and LPM Peter Flores met with Julie Windom and explained the purpose of the Visit.

LPM and LPA was unable to provide documents and conclude finding on site at the facility due to computer issues. LPA & LPM left the facility and advised licensee finding will be delivered per televisit. Licensee agreed to televisit.

Based on interviews conducted with the licensee, parents, and reporting party, there was not enough evidence found to prove that the allegations referenced above happened, therefore the allegation is Unsubstantiated
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2021
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-20210312095245
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: WINDOM FAMILY CHILD CARE
FACILITY NUMBER: 197418595
VISIT DATE: 04/08/2021
NARRATIVE
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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 allegation occurred.

An Exit Interview was conducted, a copy of this report, and Notice of Site Visit were explained and emailed to the Licensee. Licensee will reply to the email acknowledging she received the documentation and will mail or deliver a signed copy to the El Segundo Regional Office within 3 business days.

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2