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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367700035
Report Date: 03/23/2022
Date Signed: 03/23/2022 02:57:56 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
01/03/2022 and conducted by Evaluator Babatunde Ibitoye
COMPLAINT CONTROL NUMBER: 12-CC-20220103133130
FACILITY NAME:PERRY FAMILY CHILD CAREFACILITY NUMBER:
367700035
ADMINISTRATOR:PERRY, AHJENAEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 267-4087
CITY:BARSTOWSTATE: CAZIP CODE:
92311
CAPACITY:14CENSUS: 7DATE:
03/23/2022
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:PERRY,AHJENAETIME COMPLETED:
03:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1.Personal Right
2. Lack pf Supervision
3. Physical Plant
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13

On 03/23/22 Licensing Program Analysts (LPA) Babatunde Ibitoye conducted a complaint investigation at the facility to deliver complaint investigation findings. Upon arrival, LPA's met with Licensee Perry, Ahjenae. During the visit, LPA's observed (7) children in care with Perry, Ahjenae .
During the investigation, LPA Ibitoye interviewed children, licensee, facility staff, and parents of the program. As part of the investigation, LPA Ibitoye obtained the facilities children roster.
It was revealed during the course of the investigation that there was no witness to prove that allegations occurred. Therefore, the allegations have been found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that all the allegations happened, Therefore the above allegations are Unsubstantiated.
An exit interview was conducted, and a copy of this report was provided to Licensee Perry, Ahjenae along with Notice of Site Visit and Appeal Rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2022
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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