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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700284
Report Date: 11/19/2025
Date Signed: 12/19/2025 04:53:19 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
05/27/2025 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20250527120210
FACILITY NAME:DIEGUES & AGUSTIN FAMILY CHILD CAREFACILITY NUMBER:
197700284
ADMINISTRATOR:DIEGUES,TANIA&AGUSTIN,JUANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 231-9781
CITY:PACOIMASTATE: CAZIP CODE:
91331
CAPACITY:14CENSUS: 4DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Tania Diegues and Juan Agustin, Licensees TIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Child sustained first and second degree burns due to inadequate supervision
INVESTIGATION FINDINGS:
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------------------------------------This report is to amend report dated 11/19/2025----------------
On Friday,12/19/2025 Licensing Program Analyst (LPA) Isabel Ortega conducted an unannounced visit to the facility and met with Licensees Diegues to deliver the findings of the investigation regarding the above allegation. Upon arrival, LPA observed 13 children in care with two staff. 
This investigation was conducted by Community Care Licensing (CCL) Investigation Bureau (IB), Investigator, Laura Garcia. The investigation consisted of interviews with licensee Diegues, licensee’s Assistant, and Reporting Party (RP). IB investigator, Garcia, also reviewed C1’s medical records, and other relevant documentation received during the investigation.
The investigation revealed during the hours of operation while children were present, a tumbler containing hot coffee was placed accessible in the childcare area on top of a toy cash register table. At 10:37 a.m. C1 reached for the tumbler unnoticed, spilled the hot coffee on self, sustaining first and second degree burns to the chest area above the navel. Licensee became aware of the incident when C1 started crying.
Report continued on page two
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
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 4
Control Number 12-CC-20250527120210
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: DIEGUES & AGUSTIN FAMILY CHILD CARE
FACILITY NUMBER: 197700284
VISIT DATE: 11/19/2025
NARRATIVE
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Licensee Diegues admitted placing the tumbler on the play equipment was a mistake, which caused C1 to sustain burns on chest to lower naval. The investigation revealed the licensee violated Tittle 22 Regulation, Personal Rights by exposing C1 to unsafe conditions that resulted in serious injuries.

Based on the information gathered during the investigation, the complaint allegation, Child sustained first and second degree burns due to inadequate supervision, is deemed Substantiated. A finding of substantiated means the preponderance of the evidence standard has been met. An immediate civil penalty of $500.00 is hereby assessed.

See attached LIC 9099D for Type A deficiencies cited.

Facility shall post the Notice of site visit for 30 consecutive days as there is immediate risk to the health and safety of personal rights of children in care. Also, facility was informed to provide a copy of this licensing report dated 12/19/2025 to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care and to any newly enrolled parents/guardians for the next 12 months from the date of this report.

A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Appeal rights were provided.

A copy of this report must be made available to the public upon request for the next 3 years

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 12-CC-20250527120210
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: DIEGUES & AGUSTIN FAMILY CHILD CARE
FACILITY NUMBER: 197700284
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/19/2026
Section Cited
CCR
102417(a)
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102417(a) Operation of a Family Child Care Home: The licensee shall be present in the home and shall ensure that children in care are supervised at all times....
This requirement was not met as evidenced by:
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Licensee shall seek a training course with regards to Health and Safety of children and submit a written understanding of the meeting children’s Personal Needs and SafetyTraining can be from California Early Childhood Online (CECO) funded by CDSS
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Interviews conduced by IB revealed licensee failed to provide addicate supervision which lead to C1 accessing a tumbler obtaining hot coffee and splilled on self. The licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care
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at https://caearlychildhoodonline.org/en_modulecatalog.aspx Licensees will submit the written summary to the Palmdale Regional office by 01/19/26 by email to LPA Ortega. An office meeting will be scheduled with licensee in January 2026
Type A
01/19/2026
Section Cited
CCR
102423(a)(2)
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102423(a)(2) Personal Rights: Each child receiving services from a family child care home shall have certain rights...(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by:
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An office meeting will be scheduled with licensee in January 2026. the exact date will be communicate the licensee, in first week in January 2026.
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Interviews conducted by IB revealed licensee failed to provide a safe enviroment by making a tumbler of hot coffee accessible to C1 which cause serious injuries to C1. This poses an immediate risk to the health and safety of 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.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 12-CC-20250527120210
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: DIEGUES & AGUSTIN FAMILY CHILD CARE
FACILITY NUMBER: 197700284
VISIT DATE: 11/19/2025
NARRATIVE
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SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4