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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700409
Report Date: 10/16/2020
Date Signed: 10/16/2020 11:40:53 AM



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
07/31/2020 and conducted by Evaluator Loyce Phillips
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20200731114514
FACILITY NAME:MILLER FAMILY CHILD CAREFACILITY NUMBER:
197700409
ADMINISTRATOR:MILLER, BEVERLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 349-1612
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY:14CENSUS: 5DATE:
10/16/2020
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:BEVERLY MILLERTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation: Personal Rights: Adults in home smoke marijuana in the presence of day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On October 16, 2020, at 10:30 AM, Licensing Program Analyst, Loyce Phillips, contacted Licensee, for the purpose of delivering the findings of the above complaint investigation. Due to COVID-19, this visit was conducted via Tele-Visit.

The investigation consisted of interviews with licensee, parents and other complaint pertinent parties. During the interviews there were no disclosers of adults smoking marijuana inside or outside of the home in the presence of day care children. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies cited.

An exit interview was conducted, a Notice of Site Visit and Appeal Rights was discussed, and a copy of this report was read and forwarded to the Licensee via email for confirmation with “Read Receipt” on this date. In addition, a copy will be certified mail to Licensee, Beverly Miller.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2020
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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