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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700415
Report Date: 03/05/2021
Date Signed: 03/12/2021 06:06:09 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
02/09/2021 and conducted by Evaluator Esequiel Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210209084421
FACILITY NAME:MEJIA FAMILY CHILD CAREFACILITY NUMBER:
197700415
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 7DATE:
03/05/2021
UNANNOUNCEDTIME BEGAN:
12:54 PM
MET WITH:Bessy MejiaTIME COMPLETED:
02:05 PM
ALLEGATION(S):
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Lack of supervision resulting in children climbing items that are a safety hazard for children in care.
INVESTIGATION FINDINGS:
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On 03/05/21 at 12:54 PM, Licensing Program Analyst (LPA) Esequiel Rodriguez conducted a telephonic complaint inspection* notification with Licensee, Bessy Mejia to provide findings to the above complaint allegations. The LPA met with Licensee and explained the purpose for the inspection.

In the course of the investigation, LPA Rodriguez interviewed several potential witnesses and the licensee. Also, a review of the facility file and applicable pertinent documentation was conducted. The Licensee denied the allegations and reported that always ensures the children in care are properly care, supervised and protected from hazards or any situation that may place the children in harms way. Information obtained through confidential statements indicated the licensee provides a safe, secure and caring environment that support the children well being. At the time of the investigation, the LPA observed that there were no hazards of any kind that may create a hazard to children in care, and when children are present there is a care provider present.
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: 03/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2021
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-20210209084421
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: MEJIA FAMILY CHILD CARE
FACILITY NUMBER: 197700415
VISIT DATE: 03/05/2021
NARRATIVE
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Interviews also revealed consistencies that the licensee treats all children with dignity and respect and have not witnessed any signs of lack of supervision or neglect. Besides the reporting party, there were no witnesses to the alleged allegations.

Although the reported allegations may have happened or are valid, there is not a preponderance of evidence to prove or disprove them. Therefore, based on information obtained through statements obtained, LPA observation and records reviewed the Department finds the above stated allegations unsubstantiated. Appeal rights were provided and discussed with licensee. There were no deficiencies cited at this time.

An exit interview was conducted, and a copy of Notice of Site Visit and this report was provided to Ms. Mejia.

*COVID-19 State of Emergency.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Esequiel RodriguezTELEPHONE: (323) 981-3315
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2