<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367700179
Report Date: 07/23/2024
Date Signed: 07/23/2024 11:47:49 AM

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
06/06/2024 and conducted by Evaluator Kendal Zirbes
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20240606114418
FACILITY NAME:WILLIAMS FAMILY CHILD CAREFACILITY NUMBER:
367700179
ADMINISTRATOR:JACKIE WILLIAMSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 531-6006
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY:14CENSUS: 7DATE:
07/23/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Licensee Jackie WilliamsTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff made children eat puppy food
Staff did not treat children with respect.
Staff gave medicine not prescribed to children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 23, 2024, Licensing Program Analyst (LPA) Zirbes conducted a follow-up complaint inspection to Williams Family Child Care. LPA met with Licensee Jackie Williams. The purpose of the inspection was to deliver the findings for the above complaint allegations. The investigation included inspections of the facility, a review of facility records, a video, additional documents, and confidential interviews with staff, children, and parents. On June 6, 2024, the Department received three allegations. One allegation alleged that on an unknown date, an unknown staff member made child 1 (C1) and child 2 (C2) eat puppy food. Confidential interviews reported conflicting information as some interviewees reported puppy food was served to the child care children while others denied puppy food was served to the child care children. The Licensee denied the allegation. On June 13, 2024, and June 24, 2024, LPA Zirbes completed unannounced inspections to the family child care home (FCCH). LPA observed one puppy interacting with the child care children. On June 13, 2024, and June 24, 2024, LPA observed the Licensee preparing and serving food to the children. LPA observed one main food item, two sides, and a drink provided. Report continued on page two
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
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-20240606114418
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: WILLIAMS FAMILY CHILD CARE
FACILITY NUMBER: 367700179
VISIT DATE: 07/23/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Report continued from page one

The second allegation alleged that on an unknown date an unknown staff member made C1 and C2 eat on the floor from a dog dish, and told them not to tell anyone or the unknown staff member would do something to C1. Confidential interviews reported conflicting information regarding the allegation. The Licensee denied the allegation. On June 13, 2024, and June 24, 2024, LPA observed one puppy interacting with the child care children. LPA observed puppy bowls stored in the kitchen. Per record review, the kitchen is identified as an off-limit area of the home. However, on June 13, 2024, the kitchen and the puppy bowls were accessible to the child care children. LPA observed children eat at age-appropriate tables, with plates and utensils. During LPAs inspections, LPA observed the Licensee and staff 1 (S1) interacting with the child care children. LPA observed, Licensee and S1 speaking to the children in a calm voice, reading to the children, redirecting, and having a child take personal time when needed.

The third allegation alleged that on an unknown date, an unknown staff member gave C1 an unknown medication which was not prescribed to C1. Confidential interviews reported conflicting information as some interviewees reported the staff of the FCCH provided the children medication, which was not prescribed, and others reported medications is provided to the children with parental consent and doctor’s prescription. The Licensee denied the allegation and expressed zero medications have been provided to any child care children over the past year. On June 13, 2024, LPA observed one bottle of liquid prescription medication on the Licensees desk in the licensed space. All other medications were stored in an inaccessible hallway closet or in an off-limit bedroom.

Based on the information obtained there is not enough evidence regarding the allegations alleging staff made children eat puppy food, staff did not treat children with respect, and staff gave medicine not prescribed to children. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. 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 allegations are UNSUBSTANTIATED.
Notice of Site Visit was given and must remain posted for 30 days. An exit interview was conducted, and the report and appeal rights were reviewed with Licensee Jackie Williams.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2