197700027-4-8-2021-12-CC-CBEL-C28UEN-20210419153126

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197700027
Report Date: 04/08/2021
Date Signed: 04/08/2021 02:42:02 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
03/08/2021 and conducted by Evaluator Brigitte Tsutaoka

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20210308144524

FACILITY NAME:	COOPER-WARREN FAMILY CHILD CARE		FACILITY NUMBER:	197700027
ADMINISTRATOR:	COOPER-WARREN, MONIQUE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 718-9980
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93535
CAPACITY:	14	CENSUS: 3	DATE:	04/08/2021
		UNANNOUNCED	TIME BEGAN:	02:24 PM
MET WITH:	Licensee Monique Cooper-Warren		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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1. Day care home does not provide a safe environment for day care children.
2. Uncleared adult living on the property.
3. Day care children are not being adequately supervised.
4. Conduct inimical.

INVESTIGATION FINDINGS:

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On April 8, 2021,Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an in-person inspection to deliver findings for the above allegations. LPA disclosed the purpose of inspection and was permitted entry by Licensee, Monique Cooper-Warren. Upon entry, LPA counted the Licensee's 3 foster children in care. No day care children were present.

During this investigation, LPA Tsutaoka interviewed staff, children, 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.

A Notice of Site Visit form was given and to be posted for 30 days. An exit interview was conducted and a copy of this report was read and given to Monique Cooper-Warren.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
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)

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