364808491-8-13-2019-12-CC-MRAN-BGAW3D-20190923165544

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364808491
Report Date: 08/13/2019
Date Signed: 08/13/2019 03:57:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/27/2019 and conducted by Evaluator Victoria Hunt

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20190627080822

FACILITY NAME:	BROWN FAMILY CHILD CARE		FACILITY NUMBER:	364808491
ADMINISTRATOR:	BROWN, ZENNA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 693-7500
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92404
CAPACITY:	14	CENSUS: 2	DATE:	08/13/2019
		UNANNOUNCED	TIME BEGAN:	03:46 PM
MET WITH:	Zenna Brown		TIME COMPLETED:	04:14 PM

ALLEGATION(S):

1
2
3
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5
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7
8
9

Personal Rights
Lack of Supervision

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensee Program Analyst (LPA) Victoria Hunt and Aaron Makiba conducted a subsequent visit for the purpose of conducting additional interviews and to deliver findings into the allegations above. This investigation consisted of interviews with: the licensee, witnesses, staff, children, and other pertinent parties relevant to the investigation.

An allegation of lack of supervision and personal rights was alleged as staff failed to provide adequate supervision resulting in inappropriate action between child #1 and child #2. It was alledged that, child #1, was hit with a tablet by child #2, resulting in child #1 sustaining an injury. Based on the interviews and evidence obtained during the investigation there were multiple witnesses who disclosed conflicting statements to the above alleged statements. Therefore, after a review of all information obtained the preponderance of evidence into the above allegation has been deemed unsubstantiated. A 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 violations occurred. A copy of this report and a notice of site visit was provided to licensee along with appeal rigths.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019

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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