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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364813683
Report Date: 07/25/2023
Date Signed: 07/25/2023 02:13:39 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
05/05/2023 and conducted by Evaluator Kristina Diaz
COMPLAINT CONTROL NUMBER: 12-CC-20230505083625
FACILITY NAME:KIDCARE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364813683
ADMINISTRATOR:CARMEN RODRIGUEZFACILITY TYPE:
850
ADDRESS:15025 GRAVILLA ROADTELEPHONE:
(760) 955-6466
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:24CENSUS: 15DATE:
07/25/2023
UNANNOUNCEDTIME BEGAN:
02:04 PM
MET WITH:TIME COMPLETED:
02:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff member hit child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/25/23 Licensing Program Analysts (LPA) Kris Diaz conducted a complaint investigation at the facility to deliver complaint investigation findings. LPA met with director Carmen Rodriguez, who guided LPA on a tour of the facility. Upon arrival LPA observed 29 children with 5 staff members.

During this investigation, LPA received pertinent documents related to this investigation, which included the facility children’s rosters and personnel rosters. LPA interviewed the complainant, center staff, parents and children of the program. According to interviews it was found that Child #1 made a false accusation against the staff member. There is no evidence that staff member hit the child in care. Based on information obtained, interviews with relevant complaint parties, licensee, parents and children there is insufficient evidence to conclude that the alleged allegations occurred. Therefore, allegations are deemed UNSUBSTANTIATED and no citation will be issued. Licensee shall post Notice of Site Visit for 30 days at the facility.

Exit interview conducted and a copy of this report was given to the director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2023
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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