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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197413473
Report Date: 02/16/2023
Date Signed: 02/16/2023 05:45:58 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
10/10/2022 and conducted by Evaluator Justeene Tamayo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20221010151946
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:
02/16/2023
UNANNOUNCEDTIME BEGAN:
04:56 PM
MET WITH:Patricia Vazquez, LicenseeTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Allegation:

On our about 10/05/22, Infant #1 sustained bruises on the back that occurred at the facility.
INVESTIGATION FINDINGS:
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On 02/16/23, Licensing Program Analyst (LPA) Justeene Tamayo and Licensing Program Manager(LPM) Mariela Ramon met with licensee Patricia Vazquez for the purpose of concluding the investigation concerning the above complaint allegation. LPA and LPM toured the facility and observed 3 preschool children in care, along with staff #1.

This complaint was investigated by Investigator Douglas Real from the Investigation Bureau.The investigation consisted of interviews with staff, children, and other complaint relevant parties including the review of supportive documentation. Interviews conducted revealed in consistent statements. The licensee denied of any incidents that caused bruising. There was insufficient evidence and an extended period of time of discovery of the bruising to sufficiently support the bruising occurred at the facility. Law enforcement closed the case as no crime. There was insufficient evidence to sufficiently support the bruising occurred at the facility. Based on the information obtained, there is not enough evidence or witnesses to corroborate the above allegation, therefore, the allegation is rendered Unsubstantiated at this time.

Please see LIC9099-C for more information.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023
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-20221010151946
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: VAZQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197413473
VISIT DATE: 02/16/2023
NARRATIVE
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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 allegation occurred.

An exit interview was conducted, and a copy of this report was read and provided to the licensee on this date, along with a copy of her appeal rights and Notice of Site Visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2