<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334818524
Report Date: 05/24/2019
Date Signed: 05/24/2019 12:09:08 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/08/2019 and conducted by Evaluator Taadhimeka Zeigler
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20190508141522
FACILITY NAME:MACEDO FAMILY CHILD CAREFACILITY NUMBER:
334818524
ADMINISTRATOR:LILLY MACEDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 678-7217
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY:14CENSUS: 12DATE:
05/24/2019
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Lily MacedoTIME COMPLETED:
12:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff handled day care child in a rough manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Taadhimeka Zeigler and Timeka Reed made an unannounced visit to this facility for the purpose of completing a complaint investigation, that was initiated May 10, 2019. LPA Zeigler was greeted by Licensee, Lily Macedo. The facility was toured, and a census was taken.

The investigation included staff and children interviews, and a review of documentation.

Regarding the allegation facility staff handled day care child in a rough manner, based on interviews conduced and conflicting information obtained, LPA is unable to corroborate the allegation. Staff denied handling any children inappropriately. Children interviewed denied being hurt in any manner relating to the allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
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 3
Control Number 09-CC-20190508141522
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MACEDO FAMILY CHILD CARE
FACILITY NUMBER: 334818524
VISIT DATE: 05/24/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Therefore, based on interviews conducted and review of facility records, the allegation is deemed UNSUBSTANTIATED, at this time. 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.

An exit interview was conducted, appeal rights discussed and provided along with a copy of this report to Lilly Macedo, on this date.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS

THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3