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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700021
Report Date: 06/10/2026
Date Signed: 06/10/2026 11:57:55 AM

Unsubstantiated


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
05/03/2026 and conducted by Evaluator Mayra Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20260503161024
FACILITY NAME:GRIJALVA FAMILY CHILD CAREFACILITY NUMBER:
197700021
ADMINISTRATOR:GRIJALVA, BRIGITTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 626-7847
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:14CENSUS: 6DATE:
06/10/2026
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Brigitte Grijalva, LicenseeTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Provider did not prevent the spread of hand, foot and mouth disease.
Provider did not prevent the spread of head lice.
INVESTIGATION FINDINGS:
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On Wednesday, June 10, 2026, Licensing Program Analyst (LPA), Mayra Rivera conducted an unannounced complaint inspection in regards the above allegations. LPA met Licensees Brigitte Grijalva and Edith Grijalva who granted access and guided LPA on a tour of the facility.

LPA observed 3 infants and 3 preschool children present. LPA observed the facility to be within ratio and present staff and adults living in the home are fingerprinted cleared.

During the course of the investigation, LPA Rivera conducted an inspection and conducted interviews. Based on LPA Rivera inspection there is no evidence of provider not preventing the spread of hand, foot and mouth disease and provider not preventing the spread of head lice. Based on parent interviews there is no concerns with the quality of care provided at Grijalva Family Child Care or indication of their children having head lice or hand, foot mouth disease.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026
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 2
Control Number 12-CC-20260503161024
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: GRIJALVA FAMILY CHILD CARE
FACILITY NUMBER: 197700021
VISIT DATE: 06/10/2026
NARRATIVE
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LPA Rivera observation and interviews did not support nor confirm the above allegations. This agency has investigated the complaint alleging provider did not prevent the spread of hand, foot and mouth disease and provider did not prevent the spread of head lice. At this time, it is determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegations are unsubstantiated. No deficiency given at this time.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with licensee Brigitte Grijalva. Licensee was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2