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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197413473
Report Date: 09/09/2026
Date Signed: 09/09/2026 04:46:18 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 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
06/15/2026 and conducted by Evaluator Ana Rodriguez
COMPLAINT CONTROL NUMBER: 12-CC-20260615083358
FACILITY NAME:VAZQUEZ FAMILY CHILD CAREFACILITY NUMBER:
197413473
ADMINISTRATOR:VAZQUEZ, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 722-0946
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY:14CENSUS: 3DATE:
09/09/2026
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Patricia VasquezTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Child sustained multiple unexplained injuries while in care.
INVESTIGATION FINDINGS:
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On September 9, 2026, at 1:15 p.m., Licensing Program Analyst (LPA) Ana Rodriguez conducted a subsequent complaint inspection to investigate the above-referenced allegation. Upon arrival, the LPA was greeted by Janessa Vazquez, licensee’s assistant. The purpose of the inspection was discussed. Licensee Patricia Vazquez arrived at the facility later during the inspection. During the inspection, the LPA observed three preschool-aged children in care and one staff member.

The investigation consisted of observations, record reviews, and interviews with the Licensee, staff, children, and other relevant parties. The LPA obtained a copy of the facility roster, photographs of the backyard, and photographs of the injuries sustained by Child 1 (C1).

SEE 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Ana Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
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 3
Control Number 12-CC-20260615083358
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: VAZQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197413473
VISIT DATE: 09/09/2026
NARRATIVE
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Allegation: Child sustained multiple unexplained injuries while in care.

Information obtained during interviews established that on June 8, 2026, C1 sustained a scratch to the face and ear while in care. S1 stated that on the date of the incident, she was supervising C1, C2, and C3 in the backyard. S1 then entered the home and went to the kitchen to prepare a treat for the children. S1 disclosed that less than one minute after she entered the kitchen, C1 and C3 returned inside the home. C3 told S1 that the “friends were not being nice.” S1 then observed that C1 had a scratch on the face which was inflicted by C2.

S1 disclosed she took C1 to the restroom, cleaned the affected area, and applied ointment to the scratch. The Department received an unusual incident report documenting the incident on June 8, 2026.

Based on the information obtained, the above allegation is deemed Substantiated. A finding of substantiated means that allegation is valid. Facility has been cited a Type B citation Personal Rights CCR 102423(a)(2) –Each child receiving services from a family child care home shall be entitled... (2)To receive safe, healthful, and comfortable accommodations...

An exit interview was conducted, a signed copy of this report was provided to Licensee Patricia Vazquez along with her appeal rights. A Notice of Site Visit was left at the facility to be posted for 30 calendar days.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Ana Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20260615083358
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: VAZQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197413473
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/25/2026
Section Cited
CCR
102423(a)(2)
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Personal Rights CCR 102423(a)(2) – Personal Rights(a) Each child receiving services from a family child care home shall be entitled... (2)To receive safe, healthful, and comfortable accommodations...
This requirement was not met by as evidenced by:
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Per licensee children will no longer be left alone for any period of time. If lLicensee or staff need to go back inside the home all children will go inside as well.
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Based on observation and interviews, C1 sustained injuries to face and ear while in the backyard, S1 was inside the home at the time of the incident, This poses a potential health and safety risk to 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: Mariela Ramon
LICENSING EVALUATOR NAME: Ana Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026
LIC9099 (FAS) - (06/04)
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