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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197420030
Report Date: 04/16/2025
Date Signed: 04/16/2025 12:56:07 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 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
04/15/2025 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20250415140645
FACILITY NAME:BARREIRA FAMILY CHILD CAREFACILITY NUMBER:
197420030
ADMINISTRATOR:BARREIRA, MARIBELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 635-2698
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY:14CENSUS: 10DATE:
04/16/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maileidy Barreira, AssistantTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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License is operating out of ratio
INVESTIGATION FINDINGS:
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On 4/16/2025, Licensing Program Analyst (LPA) Ortega met with Assistant Barreira for the purpose of conducting an initial complaint investigation and deliver findings for the above allegation. LPA Ortega toured the Family Child Care Home(FCCH) and completed a census. Present today: Three Assistants (fingerprint cleared), four infants, four toddlers and two school age children, a total of 10 children and three staff providing care and supervision.
LPA received pertinent documents related to this investigation, which included FCCH Roster, and a declaration from Assistant Staff #1, admitting to the allegation stating facility was over ratio with 6 infants in care for one hour and plan to stay in compliance. Based on information obtained, private interviews with relevant parties, creditable witnesses, the allegation is deemed SUBSTANTIATED, in which posed an immediate health and safety risk to children in care. A citation will be issued(See LIC 9099-D for cited deficiency). A finding of substantiated means that allegations were valid because the preponderance of the evidence standard has been met. This facility was cited a Type A in accordance to Title 22 of the California Code of Regulations and/or Health & Safety codes.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
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 3
Control Number 12-CC-20250415140645
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: BARREIRA FAMILY CHILD CARE
FACILITY NUMBER: 197420030
VISIT DATE: 04/16/2025
NARRATIVE
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The facility was cited type A deficiency according to the California Code Title 22 Regulations.

Upon receipt of a Type A deficiency licensee shall post the report for 30 days in addition to the Notice of Site Visit & provide copies of the licensing report to parents/guardians of children in care at the facility. This report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. If these requirements are not met, civil penalties will be assessed.

An exit interview conducted, appeal rights discussed, and a copy of this report and Notice of Site visit was provider to facility today.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20250415140645
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: BARREIRA FAMILY CHILD CARE
FACILITY NUMBER: 197420030
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/16/2025
Section Cited
HSC
1597.465(2)(b)
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Health and Safety Code section 1597.465 states; A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met: (b) No more than three infants are cared for during any time when more than 12 children are being cared for. This requirement was not met evidence by...
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Facility has notified parents facility will no longer provide services due space available at this time. Facility submitted copy of updated roster with last day of care 4/15/2025. Also, Staff #1 submitted a declaration stating plan of correction and will remain in compliance and stay within ratio.
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private interview with staff #1 and #2. Staff disclosed facility was out of ratio for one hour, and 6 infants were present and a total of 14 children in care. Staff #1 submitted a declaration stating she agreed to take two additional infants to assist parents.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3