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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418290
Report Date: 12/03/2024
Date Signed: 12/03/2024 12:49:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/11/2024 and conducted by Evaluator Adrian Risher
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20241011152410
FACILITY NAME:PALACIO FAMILY CHILD CAREFACILITY NUMBER:
197418290
ADMINISTRATOR:PALACIO DARLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 696-9208
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:14CENSUS: 3DATE:
12/03/2024
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Darla Palacio, LicenseeTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Neglect/Lack of Supervision:Day care child sustained multiple injuries due to licensee neglect
Personal Rights:Licensee is using inappropriate equipment for day care child
INVESTIGATION FINDINGS:
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On 12/03/2024, Licensing Program Analyst (LPA) Adrian Risher conducted a complaint subsequent visit regarding the above-mentioned allegations. Upon arrival, LPA met with Darla Palacio, Licensee. LPA explained the purpose of the inspection. LPA observed 3 children in care.

On 10/11/2024, ESCCRO received a complaint with the following allegations: Day care child sustained multiple injuries due to licensee neglect and Licensee is using inappropriate equipment for day care child. Information was reported that a child got injured while at the daycare. Staff was using a play pen during overnight care for a 2 year old child.

On 10/17/2024, LPA Risher and Carus conducted an interview with the Licensee. LPA requested a copy of the facility roster from the licensee.

Unsubstantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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 30-CC-20241011152410
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PALACIO FAMILY CHILD CARE
FACILITY NUMBER: 197418290
VISIT DATE: 12/03/2024
NARRATIVE
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Staff reported child 1 arrived at the daycare with a busted lip and scratch on his nose. Licensee observed child 1 climbing out of the play pen while in care. Staff reported they did not observe child 1 sustaining injuries while in care.

Staff stated the children use play pens, cribs or cots during naptime. LPA observed cots, play pens and cribs in the daycare. Licensee supervises the children during overnight care.

A full investigation was conducted which included observations and interviews. The information received did not reveal evidence that neglect/lack of supervision or personal rights violations occurred. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the above alleged violations did or did not occur, therefore the allegations are found to be unsubstantiated. Staff observed the child with marks upon arrival. Staff did not observe child 1 sustain injuries while in care. Staff utilize cots, play pens and cribs for napping equipment.

Exit interview was conducted and a copy of the report was provided. Appeal rights were reviewed and provided.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2