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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364814533
Report Date: 12/17/2020
Date Signed: 12/17/2020 11:13:44 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
10/06/2020 and conducted by Evaluator Steven Montoya
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20201006092508
FACILITY NAME:SALAZAR FAMILY CHILD CAREFACILITY NUMBER:
364814533
ADMINISTRATOR:SALAZAR, UNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(725) 300-5844
CITY:BARSTOWSTATE: CAZIP CODE:
92311
CAPACITY:14CENSUS: 9DATE:
12/17/2020
UNANNOUNCEDTIME BEGAN:
10:36 AM
MET WITH:Un SalazarTIME COMPLETED:
11:22 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Physical Abuse/Corporal Punishment: Licensee hit day care child.
Personal Rights: Licensee used inappropriate forms of discipline with day care child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Over the phone, Licensing Program Analyst (LPA) Steven Montoya followed up to finalize complaint investigation on Salazar Family Child Care Home. The purpose of the inspection was to inform the licensee of the outcome of the investigation is being conducted regarding the above allegations. At time of the inspection, 9 children were present which is within ratio.

LPA conducted several interviews with reporting party, licensee, licensee (live in) adult daughter, teacher assistant and 3 children in care (one child of which was the alleged victim). LPA reviewed complaint history, sign in sheets and assessed interviews of complaint. Based on the information obtained and numerous interviews, although the allegations may have happened or are valid. there is not a preponderance of the evidence to prove the allegations are accurate, therefore A copy of the report was sent to the licensee via email.

Exit interview conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Steven MontoyaTELEPHONE: (661) 568-8932
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2020
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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