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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364842774
Report Date: 12/02/2024
Date Signed: 12/02/2024 02:27:55 PM

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
09/13/2024 and conducted by Evaluator Sherell Braddock
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240913124714
FACILITY NAME:THOMAS FAMILY CHILD CAREFACILITY NUMBER:
364842774
ADMINISTRATOR:THOMAS, DOMEKIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 404-1300
CITY:VICTORVILLESTATE: CAZIP CODE:
92394
CAPACITY:14CENSUS: 3DATE:
12/02/2024
UNANNOUNCEDTIME BEGAN:
01:18 PM
MET WITH:Domekia Thomas- LicenseeTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Licensee is not providing a safe environment for children in care.
Adult in home is selling drugs on the premises.
Adult in home uses foul language towards day-care children.
INVESTIGATION FINDINGS:
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On Monday, December 2, 2024 Licensing Program Analysts (LPA) Braddock conducted an unannounced complaint inspection to deliver findings on the above allegations. LPA met with licensee, Domekia Thomas, and toured the facility. At the time of the visit, there were 4 children present with 2 staff.

During the investigation, LPA conducted confidential interviews, reviewed facility files and records, obtained documents pertinent to the investigation, and toured the entire facility. The following allegations were investigated: 1) Licensee is not providing a safe environment for children in care, 2) Adult in home is selling drugs on the premises, 3) Adult in home uses foul language towards day-care children.

Based on information obtained, and LPA observations the above allegations are deemed Unsubstantiated at tins time.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Sherell Braddock
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024
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-20240913124714
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: THOMAS FAMILY CHILD CARE
FACILITY NUMBER: 364842774
VISIT DATE: 12/02/2024
NARRATIVE
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An Unsubstantiated finding means, the above allegations may have happened or are valid, but there is not a preponderance of evidence to prove or disprove that the alleged violations occurred. Licensee was informed if additional information arises, this complaint may be reopened, for further investigation.

This inspection was conducted in person. LPA read the report with Licensee, Domekia Thomas and provided a copy of the report, Appeal Rights, and a Notice of Site Visit was given and must be posted for 30 days. Exit interview conducted.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Sherell Braddock
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2