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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364840609
Report Date: 07/05/2022
Date Signed: 07/05/2022 03:15:55 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
06/06/2022 and conducted by Evaluator Linda Thompson-Miller
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220606145649
FACILITY NAME:RODRIGUEZ FAMILY CHILD CAREFACILITY NUMBER:
364840609
ADMINISTRATOR:RODRIGUEZ, KRISHNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 220-7468
CITY:VICTORVILLESTATE: CAZIP CODE:
92394
CAPACITY:14CENSUS: 7DATE:
07/05/2022
UNANNOUNCEDTIME BEGAN:
02:53 PM
MET WITH:Krishna RodriguezTIME COMPLETED:
03:16 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation: Personal Rights - Licensee hit child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Thompson-Miller conducted an unannounced complaint inspection for the purpose of delivering finding for the above allegation and met with Licensee Krishna Rodriguez. There are 7 children (one infant, two school age, four preschool) and one staff along with the Licensee present.
Interviews were conducted with staff, children and parents regarding the allegation.

Based on interviews conducted with staff, children and parents the above allegation is Unsubstantiated. Interviews conducted indicate children are not hit and there are no witnesses to the incident. There is not enough evidence or witnesses to substantiate, therefore, allegation is rendered Unsubstantiated at this time. A finding that the complaint is 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 allegation occurred. At this time LPA unable to make a determination that any violation(s) occurred.
An exit interview was conducted, a copy of this report was read and provided to the Licensee Krishna Rodriguez on this date.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-MillerTELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2022
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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