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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700174
Report Date: 10/05/2020
Date Signed: 10/05/2020 06:53:50 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
07/07/2020 and conducted by Evaluator Esequiel Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20200707142422
FACILITY NAME:ALLEN, CRYSTAL FAMILY CHILD CAREFACILITY NUMBER:
197700174
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
10/05/2020
UNANNOUNCEDTIME BEGAN:
04:14 PM
MET WITH:Allen CrystalTIME COMPLETED:
05:55 PM
ALLEGATION(S):
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-Licensee does not provide nutritious meals for daycare children.

-Licensee yells at the daycare children.

-Licensee speaks inappropriately towards daycare children.

-Lack of supervision resulted in daycare child being hit by another child.
INVESTIGATION FINDINGS:
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On 10/05/20 at 04:14 PM, Licensing Program Analyst (LPA) Esequiel Rodriguez conducted an inspection visit at the facility to provide findings to the above complaint allegations. The LPA met with Licensee, Allen Crystal and stated the purpose for the inspection.

The investigation consisted of interviews with Licensee, Licensee’s assistant, children in care and other relevant complaint parties. The investigation revealed the following:

Allegation #1: Children interviewed disclosed they eat meals they like at the facility. Children’s parents disclosed that they have no concerns about meals Licensee feed their children. Licensee stated she provides waffles, sausages, milk and fruit for breakfast. For lunch they have grill cheese, apple sauce, broccoli, yogurt, juice or milk and for snacks she provides crackers, juice or water.

Allegation #2: Children disclosed when they do something that they are not supposed to do, Licensee
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Esequiel RodriguezTELEPHONE: (323) 981-3315
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2020
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 12-CC-20200707142422
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ALLEN, CRYSTAL FAMILY CHILD CARE
FACILITY NUMBER: 197700174
VISIT DATE: 10/05/2020
NARRATIVE
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places them in small timeouts and nothing else happens. Children’s parents interviewed disclosed they are happy with the services their children are receiving in the day care.

Allegation #3: Children did not disclose Licensee speaks to them in an inappropriate manner.

Allegation #4: the interviews conducted revealed inconsistent statements concerning allegation #4. There were no witnesses that could corroborate that child #1 inflicted scratches to child #2 while they were playing unsupervised in the trampoline.

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 occurred.

Appeal rights were provided to the licensee.

An exit interview was conducted, and a copy of this report was read and provided to licensee.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Esequiel RodriguezTELEPHONE: (323) 981-3315
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2