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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367700003
Report Date: 04/06/2022
Date Signed: 04/06/2022 10:53:16 AM



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
03/07/2022 and conducted by Evaluator Steven Montoya
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220307125047
FACILITY NAME:CERON FAMILY CHILD CAREFACILITY NUMBER:
367700003
ADMINISTRATOR:CERON,JULIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 339-5858
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: 3DATE:
04/06/2022
UNANNOUNCEDTIME BEGAN:
08:52 AM
MET WITH:Julia Ceron Licensee TIME COMPLETED:
10:57 AM
ALLEGATION(S):
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Licensee withheld child prescribed glasses from authorized parent
INVESTIGATION FINDINGS:
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License Program Analyst (LPA) Steven Montoya conducted an subsequent complaint investigation and inspection the Ceron family child care. LPA met licensee for the purpose of concluding investigation and providing the results of the above allegation. Present at time of visit, children in care (3) toddlers along with the licensee.

Based on the information obtain through interviews and licensee admission, there is enough evidence to prove the above allegation occurred, therefore the preponderance of the evidence has been met and the allegation has been substantiated. The facility was cited a Type B violation, for withholding child prescription eye glasses from authorized parent.This poses a potential risk to the health and safety of children in care.

A copy of the report, appeals rights and notice of site visit.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven MontoyaTELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 12-CC-20220307125047
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: CERON FAMILY CHILD CARE
FACILITY NUMBER: 367700003
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/08/2022
Section Cited
HSC
102423(a)(4)
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102423(a)(4) Personal Rights. Each child shall be free from corporal or unusual punishment. To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, or other actions of a punitive nature, including, but not limited to: interference with aids to physical functioning.
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Licensee agrees to educate herself on personal rights regulations and agrees to comply with guidelines.
Licensee agrees to work on communicate with parents to avoid future situation and disagreements.
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This requirement was not met as evidenced by licensee admission. This poses a potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven MontoyaTELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2