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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364842256
Report Date: 10/19/2021
Date Signed: 10/19/2021 02:38:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:GUZMAN FAMILY CHILD CAREFACILITY NUMBER:
364842256
ADMINISTRATOR:GUZMAN, BRENDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 550-7606
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:14CENSUS: 7DATE:
10/19/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Brenda GuzmanTIME COMPLETED:
02:53 PM
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Licensing Program Analyst (LPA) Thompson-Miller met with Licensee, Brenda Guzman, for a Case Management - Incident Inspection. Incident report dated March 29, 2021. The incident occurred on March 29, 2021. Present are licensee and licensee assistant (spouse). There are seven children present.

Description of the incident: Child in care alleged inappropriate touch by staff
Department interviews were conducted with licensee, licensee spouse, parent and child. DCFS and law enforcement conducted interviews with those involved in the allegation. Licensee followed proper protocol regarding the incident by self-reporting. During interviews with the Child, the allegation of inappropriate touch was inconsistent and did not disclose any indications that Child was being touched inappropriately.

Based on information provided and interviews conducted the incident does not appear to have been the result of any violation of the Title 22 regulation, therefore no deficiencies were cited.

Exit interview conducted and a copy of report was read and provided to Licensee, Brenda Guzman on this day.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-MillerTELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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