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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364820249
Report Date: 04/17/2024
Date Signed: 04/17/2024 12:44:26 PM

Unsubstantiated


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
02/08/2024 and conducted by Evaluator Babatunde Ibitoye
COMPLAINT CONTROL NUMBER: 12-CC-20240208162126
FACILITY NAME:SHIPMAN FAMILY CHILD CAREFACILITY NUMBER:
364820249
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:0CENSUS: 0DATE:
04/17/2024
UNANNOUNCEDTIME BEGAN:
12:03 PM
MET WITH:JACQUELINE SHIPMANTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Personal Right- Licensee did not prevent inappropriate interactions between day care children.
INVESTIGATION FINDINGS:
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13
On 04/17/2024 Licensing Program Analyst (LPA) Babatunde Ibitoye arrived at the closed facility to deliver the findings for the above complaint allegation. The facility has been inactive from August 30th, 2021, through June 30th, 2023.The license Initiate closes on June 19th, 2023. LPA met with Licensee Jacqueline Shipman and informed the purpose of the inspection and was granted entry.

During the investigation, LPA conducted interviews with the licensee, the licensee's daughter, and the complainant. The interviews revealed conflicting statements regarding the allegation Licensee did not prevent inappropriate interactions between daycare children. Currently, there is no preponderance of evidence to prove or disprove the allegation. Therefore, based on the information obtained the department finds the above allegation is deemed unsubstantiated.
No deficiency is cited at this time.
An exit interview is conducted, and a copy of this report, appeal rights, and notice of the site visit are discussed with licensee Jacqueline Shipman.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024
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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