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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419514
Report Date: 09/13/2021
Date Signed: 09/13/2021 02:54:10 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
07/15/2021 and conducted by Evaluator Brigitte Tsutaoka
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210715102920
FACILITY NAME:MARROQUIN FAMILY CHILD CAREFACILITY NUMBER:
197419514
ADMINISTRATOR:MARROQUIN, VILMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 942-0904
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:14CENSUS: 3DATE:
09/13/2021
UNANNOUNCEDTIME BEGAN:
02:18 PM
MET WITH:Licensee Vilma MarroquinTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation 1: Children are left unsupervised.
Allegation 2: Daycare child cries continuously.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On September 13, 2021 at 2:18PM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced complaint inspection on the above allegations. LPA disclosed the purpose of inspection and was granted entry by Licensee Vilma Marroquin, who guided LPA on a tour of the facility. Upon entry LPA counted 3 children in care with Licensee, Licensee's spouse, Staff 1, and Staff 2.

During the course of the investigation, LPA interviewed staff, parents, children, and other relevent complaint parties. Based on evidence 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, a copy of this report, and a notice of site visit were provided to the Licensee.
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: 09/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021
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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