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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197401259
Report Date: 11/30/2022
Date Signed: 11/30/2022 01:20:41 PM

Unsubstantiated


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
10/11/2022 and conducted by Evaluator Carol Heath
COMPLAINT CONTROL NUMBER: 12-CC-20221011123240
FACILITY NAME:LOPEZ FAMILY DAY CAREFACILITY NUMBER:
197401259
ADMINISTRATOR:LOPEZ, AIDA D.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 947-6637
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY:12CENSUS: 8DATE:
11/30/2022
UNANNOUNCEDTIME BEGAN:
01:06 PM
MET WITH:Aida LopezTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff handled daycare child in a rough manner
Daycare child sustained injury while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/30/2022, Licensing Program Analyst Carol Heath and Joselito DelMundo conducted an unannounced follow-up complaint investigation at the Lopez Family Child Care and met with Licensee Aida Lopez. The purpose of the visit is to deliver the complaint finding for the above allegation.
During the course of the investigation of this complaint, LPA Heath conducted interviews with the licensee and other related parties. The interviews revealed inconsistencies in the allegation reported. Per Licensee the allegation did not happen.
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that child #1 sustained unexplained injuries while in care and the staff roughly handled the daycare child; therefore, the above allegation is unsubstantiated.
No deficiencies were cited.

An exit interview was conducted and a copy of the report was left with the licensee Aida Lopez.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022
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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