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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700027
Report Date: 12/01/2022
Date Signed: 12/01/2022 12:36:41 PM

Unsubstantiated


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
11/28/2022 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20221128130240
FACILITY NAME:COOPER-WARREN FAMILY CHILD CAREFACILITY NUMBER:
197700027
ADMINISTRATOR:COOPER-WARREN, MONIQUEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 718-9980
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:14CENSUS: 1DATE:
12/01/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Monique Cooper-WarrenTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation: Personal Rights- Licensee's conduct poses a risk to day care children in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/01/2022 Licensing Program Analyst (LPA) Isabel Ortega conducted an initial compalint investigation inspection. LPA met with licensee who guided LPA on a tour of the facility. Upon arrival LPA observed one child in care relative.

During this investigation, LPA received pertinent documents related to this investigation, which included Facility Roster and other related documentaion related to the allegation. LPA interviewed the staff, children and neighbors. LPA as oconducted a neigborhood and facility observation . According to interviews conducted, observations completed, and documentation, there are no disclosures Licensee's conduct poses a risk to day care children in care. Allegation of Personal Rights: Licensee's conduct poses a risk to day care children in care is deemed to be UNSUBSTANTIATED, 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 alleged allegations occurred.
An exit interview was conducted, a copy of this report, a notice of site visit and appeal rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2022
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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