364841832-7-18-2019-12-CC-CBEL-BECVK5-20190723162947

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364841832
Report Date: 07/18/2019
Date Signed: 07/18/2019 02:06:33 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
05/07/2019 and conducted by Evaluator Linda Thompson-Miller

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20190507132810

FACILITY NAME:	TYSON FAMILY CHILD CARE		FACILITY NUMBER:	364841832
ADMINISTRATOR:	TYSON,LINDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 843-2925
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92394
CAPACITY:	14	CENSUS: 8	DATE:	07/18/2019
		UNANNOUNCED	TIME BEGAN:	01:48 PM
MET WITH:	Linda Tyson		TIME COMPLETED:	02:21 PM

ALLEGATION(S):

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Allegation #1: Personal Rights - Child received an injury while in care
Allegation #2: Personal Rights - Licensee failed to administer medication as prescribed
Allegation #3: Personal Rights - Licensee is not providing child adequate amounts of food

INVESTIGATION FINDINGS:

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LPA Thompson-Miller conducted a complaint inspection for the purpose of delivering complaing finding for the above allegations. Upon arrival LPA observed 8 children (3 school age, 3 preschool, 2 infants) in care along with licensee three assistant's and Licensee, Linda Tyson.
Based on interviews conducted with staff, children and parents the above allegations are Unsubstantiated. There is not enough evidence or witnesses to substantiate, therefore, allegations are rendered Unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegations occurred. At this time LPA unable to make determination that any violation occurred. Statements received from staff regarding allegations. Exit interview conducted and a copy of report was read and provided to Licensee, Linda Tyson.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

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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Control Number 12-CC-20190507132810

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: TYSON FAMILY CHILD CARE	FACILITY NUMBER: 364841832
	VISIT DATE: 07/18/2019

NARRATIVE

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Allegation #1: Although Child #1 received an injury in care, no medical treatment requiring stiches was required. Staff followed first aid procedures. Interviews conducted did not provide evidence of injury requiring medical treatment (thumb). Allegation #2: Interviews conducted identify staff accidentally tipped medication over and no medication overdose was given to child. Allegation #3: Interviews conducted and LPA observation did not indicate inadequate amounts of food were provided to children in care.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

LIC9099 (FAS) - (06/04)

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