197700328-1-15-2025-12-CC-MRAN-DDBMXN-20250127090014

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197700328
Report Date: 01/15/2025
Date Signed: 01/15/2025 02:47:58 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 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
11/15/2024 and conducted by Evaluator Annelise Villa

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20241115171150

FACILITY NAME:	GONZALEZ FAMILY CHILD CARE		FACILITY NUMBER:	197700328
ADMINISTRATOR:	GONZALEZ, PRISCILLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 317-9720
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93551
CAPACITY:	14	CENSUS: 9	DATE:	01/15/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Priscilla Gonzalez, Licensee		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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-Ratio: Licensee is operating with 4-5 infants in care while caring for additional preschoolers

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Annelise Villa conducted a follow up complaint investigation related to the allegations above and to deliver findings. LPA disclosed the purpose of the investigation and was granted entry into the facility by Priscilla Gonzalez, Licensee. A tour of the facility was conducted. LPA verified a census of 5 preschool age children 4 school age children, and 1 infant with 3 staff, including Licensee, working under the facility license.

During the investigation, LPA collected pertinent documents, completed record reviews, and conducted confidential interviews with staff and children. Licensee stated there are only 2 infants enrolled and this is supported by the facility roster. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED.

Exit interview conducted with Licensee. A copy of this report, appeal rights and Notice of Site Visit were left with the director.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Annelise Villa	TELEPHONE: 661-202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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