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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364843594
Report Date: 10/07/2020
Date Signed: 10/07/2020 03:38:19 PM



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
07/13/2020 and conducted by Evaluator Linda Thompson-Miller
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20200713152719
FACILITY NAME:RUSSELL FAMILY CHILD CAREFACILITY NUMBER:
364843594
ADMINISTRATOR:MICHELLE RUSSELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 678-1059
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:14CENSUS: 0DATE:
10/07/2020
UNANNOUNCEDTIME BEGAN:
03:01 PM
MET WITH:Michelle RussellTIME COMPLETED:
03:34 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation #1: Personal Rights Provider scratched daycare child while in care
Allegation #2: Personal Rights Provider restrained day care child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On October 7, 2020, Licensing Program Analyst (LPA) Thompson-Miller conducted an unannounced complaint inspection for the purpose of delivering finding for the above allegations. LPA spoke with Licensee, Michelle Russell, for the purpose the above allegations. There are no child care children present. Due to COVID-19 this inspection/visit will be conducted via telephone call.

Based on interviews conducted with parent's, LPA observation and Licensee statement the above allegations are Unsubstantiated. 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 allegations occurred. At this time LPA unable to make determination that any violation occurred.
An exit interview was conducted and a copy of this report was read and forwarded to the Licensee, Michelle Russell via email and mail for confirmation with "Read Receipt" on this date. The Notice of Site Visit was emailed and mailed to Licensee.
Unsubstantiated
Estimated Days of Completion: 60
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Linda Thompson-MillerTELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2020
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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