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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400586
Report Date: 07/16/2026
Date Signed: 07/16/2026 05:32:59 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2026 and conducted by Evaluator Ashley Calderon
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20260520150858
FACILITY NAME:NORMAN FAMILY CHILD CAREFACILITY NUMBER:
198400586
ADMINISTRATOR:ROBIN NORMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 658-9658
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY:14CENSUS: 10DATE:
07/16/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Facility Representative Aaron EphriamTIME COMPLETED:
04:59 PM
ALLEGATION(S):
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Licensee does not reside in home.
Licensee is not present 80% of the time.
Licensee is operating over capacity.
Licensee did not report current construction to home.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ashley Calderon conducted a subsequent complaint visit to deliver findings at the above facility. LPA met with Facility Representative Aaron Ephriam and disclosed purpose of today's visit.

LPA conducted tour of the facility. There were 10 children present with 2 staff assistants, during visit Licensee Robin Norman was not present.
Allegations listed above are Unsubstantiated based on LPA Calderon's investigation.

(Pg 1 out of 4)

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
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 7
Control Number 54-CC-20260520150858
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NORMAN FAMILY CHILD CARE
FACILITY NUMBER: 198400586
VISIT DATE: 07/16/2026
NARRATIVE
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Allegation: Licensee does not reside in home. LPA Calderon requested tour of Licensee R.Norman bedroom on 7/9/26; LPA observed their personal belongings in their private bedroom located upstairs (this area is off limit to staff, parents and children). LPA on reviewed 7/9/26 Licensees 2 mailed correspondence and Licensees Driver License with the above facility address, per interview with Licensee R.Norman informed LPA Calderon does not receive a lot of mail at the above address and mail goes to the address they were previously living at which is now their sister's home. In addition, per facility file record review, LIC279 Application form signed by Licensee, they declared Applicant/Licensee is responsible that they live in the licensed home. Moreover, LPA reviewed Lease Agreement in facility file, lease has Licensee name Robin Norman as the renter for the address associated to this facility. LPA Calderon attempted to interview Landlord of the above facility and was not able to obtain their contact information. Per interview with Licensee Robin Norman they informed LPA they do not have another home and they reside in the above day care home. Per interview with Staff #1 (S1) and Staff #2 (S2) informed LPA Calderon Licensee resides in the above home. Therefore, due to the above information the allegation is unsubstantiated.

Allegation: Licensee is not present 80% of the time. Based on record review conducted by LPA Calderon, Application LIC279 in facility file dated 3/21/23 states: Facility operates 24 hours from 12am-11:59pm / Monday- Sunday.
Based on LPA Calderon observation during visit dates 5/22/26, 7/9/26 and 7/16/26; LPA observed the following: On 5/22/26- during LPA Calderon's visit from 3:10pm - 3:40pm; LPA did not observe Licensee R.Norman present. On 7/9/26, LPA Calderon observed Licensee R.Norman present with no additional staff during LPA's visit conducted from 3:22pm- 4:40pm. On 7/16/26, during visit conducted by LPA Calderon, LPA did not observe Licensee R.Norman present. Licensee R.Norman informed LPA Calderon during an interview conducted they run errands and they are present most of the day. Staff #1 (S1) and Staff #2 (S2) informed LPA Calderon when they work they do see the Licensee present; S1 and S2 do not work 24 hours therefore unable to corroborate if the Licensee is present 80% of the operation hours of the day care. Due to the above information the allegation is unsubstantiated. (Pg.2 out of 4)
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 54-CC-20260520150858
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NORMAN FAMILY CHILD CARE
FACILITY NUMBER: 198400586
VISIT DATE: 07/16/2026
NARRATIVE
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Allegation: Licensee is operating over capacity.
Based on observations during visits LPA Calderon observed the following:
On 5/22/26- 8 children and 2 staff assistants.
On 7/9/26 - 2 children in care with the Licensee present (no additional staff present)
On 7/16/26- 2 staff assistants with 10 children in care.
Per interviews with Licensee, S1 and S2 informed LPA Calderon they do not exceed the License of 14 capacity at the above facility. LPA Calderon collected supportive document provided from Licensee Robin Norman of the sign in and sign out attendance records of the children, months May 2026 and June 2026 were reviewed by LPA Calderon. Per review of children roster for the month of June there were missing children sign out times on the roster provided, therefore documents obtained inadequate information; the above allegation is unsubstantiated.

Allegation: Licensee did not report current construction to home.
LPA Calderon during visits 522/26, 7/9/26 and 7/16/26 did not observe physical alterations of the above day care home. Per Interviews, with Licensee R.Norman informed LPA in May the home owner put a new stove, painted the kitchen walls and cabinets. Licensee stated It wasn't construction, it was paint and installations. Staff #1 informed LPA Calderon during interview; kitchen was fixed and not sure what was done. During interview with Staff #2 informed LPA Calderon there was remodeling in the kitchen and informed LPA they painted the cabinets and painted the walls. On 7/14/26, LPA Calderon requested supportive document on what repairs were done in the kitchen, per Licensee R.Norman on 7/15/26 informed LPA Calderon waiting to get receipts. LPA Calderon attempted to obtain supportive document, none provided to LPA Calderon.



(Pg 3 out of 4 )
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 54-CC-20260520150858
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NORMAN FAMILY CHILD CARE
FACILITY NUMBER: 198400586
VISIT DATE: 07/16/2026
NARRATIVE
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Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is unsubstantiated.

No deficiencies are being cited for the above allegations according to California Code of Regulations, Title 22. A notice of Site Visit was provided and must be posted for 30 days.

An exit interview was conducted with Facility Representative Aaron Ephriam, a copy of this report with appeal rights was provided.

(Pg 4 out of 4 / End. )
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2026 and conducted by Evaluator Ashley Calderon
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20260520150858

FACILITY NAME:NORMAN FAMILY CHILD CAREFACILITY NUMBER:
198400586
ADMINISTRATOR:ROBIN NORMANFACILITY TYPE:
810
ADDRESS:17918 LYSANDER DRIVETELEPHONE:
(310) 658-9658
CITY:CARSONSTATE:CAZIP CODE:
90746
CAPACITY:14CENSUS: 10DATE:
07/16/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Facility Representative Aaron EphriamTIME COMPLETED:
04:59 PM
ALLEGATION(S):
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Licensee does not maintain required documentation for day care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ashley Calderon conducted a subsequent complaint visit to deliver findings at the above facility. LPA met with Facility Representative Aaron Ephriam and disclosed the purpose of today's visit.

LPA conducted tour of the facility and LPA reviewed 6 children files. There were 10 children present with 2 staff assistants, during visit Licensee Robin Norman was not present.

Allegation listed above are substantiated based on LPA Calderon's investigation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 54-CC-20260520150858
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NORMAN FAMILY CHILD CARE
FACILITY NUMBER: 198400586
VISIT DATE: 07/16/2026
NARRATIVE
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Allegation: Licensee does not maintain required documentation for day care children.
Based on file review conducted by LPA Calderon on 7/16/26, per record review of 6 children's files, 2 out of the 6 files were incomplete. Child #1 (C1) and Child #3's (C3) files were incomplete, photos were taken of incomplete files.
Child #1 file was missing the following documents: LIC9150 Additional Children in Care , Parent Rights Notification LIC995A and Immunization records. During visit LPA observed Facility Representative Aaron Ephriam printed out forms for parents to complete. LPA Calderon at approx 4:15pm observed parent picking up C1 from the above facility and forms were given to complete. Facility Representative Aaron Ephriam provided LPA Calderon with the remaining documents to complete C1's file. In addition, during file review C3's file was incomplete missing LIC995A parent rights form. Per record review of incomplete children files, the above allegation is Substantiated.

The preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated.

Per California Code of Regulation Title 22, 2 deficiencies cited during today's visit for the above complaint allegation. A notice of Site Visit was provided and must be posted for 30 days.

An exit interview was conducted with Facility Representative Aaron Ephriam, a copy of this report with appeal rights was provided.
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 54-CC-20260520150858
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: NORMAN FAMILY CHILD CARE
FACILITY NUMBER: 198400586
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2026
Section Cited
CCR
102421(1)
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(1) The licensee shall maintain a completed and signed LIC 9150 (Rev. 8/14) Parental Notification Additional Children in Care, which is incorporated by reference, for this purpose.
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During visit LPA observed Facility Representative Aaron Ephriam printed out forms for parents to complete. It was observed during vist by LPA Calderon that LIC9150 form was signed during pick up by C1's...
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The requirement was not met as evidenced by:1 out of 6 children files review and Child #1 (C1) was missing LIC9150 Additional Children in Care form during the children's file review, photos taken.

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 parent, a photo was taken of form.

Poc cleared during visit.
Type B
07/24/2026
Section Cited
HSC
102419(d)(1)
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(1) The licensee shall request the child's..authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06)... The requirement was not met as evidenced by:
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During visit LPA observed Facility Representative Aaron Ephriam printed out forms for parents to complete.C1 parent completed forms during childs pick up, photo copy was taken by LPA Calderon.
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 2 out of 6 children files reviewed incomplete. Child #1(C1) & Child #3(C3) file was incomplete missing LIC995A parent rights form, photos taken of children file of C1 and C3.
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Facility personnel will send a copy of LIC995A for C3 to LPA Calderon via email by poc due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Warren Birks
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7