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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197414307
Report Date: 10/05/2022
Date Signed: 10/05/2022 02:48:45 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
08/22/2022 and conducted by Evaluator Justeene Tamayo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220822113703
FACILITY NAME:MENENDEZ FAMILY CHILD CAREFACILITY NUMBER:
197414307
ADMINISTRATOR:MENENDEZ, MARIA A.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 992-1224
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY:14CENSUS: 8DATE:
10/05/2022
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Irma Moses, AssistantTIME COMPLETED:
02:55 PM
ALLEGATION(S):
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Allegations:
-Personal Rights: Daycare child was inappropriately restrained while in care

-Personal Rights: Facility did not provide a safe environment for daycare children in care

-Operation of a Family Child Care Home: Facility is operating beyond the terms and conditions of the license
INVESTIGATION FINDINGS:
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 On 10/05/22, Licensing Program Analysts(LPAs) Tamayo and Beneroso conducted an unannounced visit to deliver the findings for the above allegations. LPAs disclosed the purpose of the investigation and was granted entry into the facility by assistant #1. A tour of the facility was conducted. LPAs observed 8 preschool children in care along with assistant #1 and assistant #2. Licensee came to the facility an hour later.

During today's investigation, LPAs interviewed children and staff present. It was determined that there is not a preponderance of evidence that staff restrain children while in care. Allegation #1: From interviews conducted with staff members, child #1 had just finished eating while parent #1 walked into the facility. Children are only placed in high chairs during feeding time. Allegation #2: From observation and interviews conducted, each child is supervised at all times by assistant #1, while assistant #2 is cooking. Allegation #3: LPAs did not observe more than 14 children at a time from visits conducted on 08/24/2022 and 10/05/2022. The licensee and staff are aware that there must not be more than 14 children at a time in the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
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-20220822113703
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: MENENDEZ FAMILY CHILD CARE
FACILITY NUMBER: 197414307
VISIT DATE: 10/05/2022
NARRATIVE
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Therefore, the allegations are rendered Unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred.

An exit interview was conducted, a copy of this report, appeals rights, and a Notice of Site visit was provided to assistant #1. The Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2