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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192006746
Report Date: 11/16/2022
Date Signed: 11/16/2022 12:37:50 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 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
09/30/2022 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220930102455
FACILITY NAME:BELTRAN FAMILY CHILD CAREFACILITY NUMBER:
192006746
ADMINISTRATOR:BELTRAN, MIREYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 834-1797
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY:14CENSUS: 6DATE:
11/16/2022
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Mireya BeltranTIME COMPLETED:
10:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation: Personal Rights: Day care Provider inappropriately disciplined child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/16/2022 Licensing Program Analyst (LPA) Isabel Ortega, conducted a subsequent complaint inspection for the purpose of delivering the findings of the above allegation. Upon arrival, LPA observed six children with 3 Staff providing care and supervision.

The investigation consisted of interviews with relevant parties and review of supporting documentation. The Department has investigated the complaint alleging that Day Care Provider inappropriately disciplined child in care. Interviews disclosed child #1 hit(with open hand) child #2(with open hand) and child #2 hit child #1 back(with open hand). No injuries reported or any medical treatment was needed. According to interviews conducted this was between children and Licensee did not inappropriately disciplined any child, therefore this allegation is deemed to be unsubstantiated, 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.
An exit interview was conducted with Licensee, a copy of this report, appeal rights and notice of site visit were provided.



Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2022
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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