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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367700469
Report Date: 02/03/2026
Date Signed: 02/03/2026 05:35:52 PM

Substantiated


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
01/09/2026 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20260109165032
FACILITY NAME:CHURCHILL FAMILY CHILD CAREFACILITY NUMBER:
367700469
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
02/03/2026
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Jennifer Churchill, LicenseeTIME COMPLETED:
05:35 PM
ALLEGATION(S):
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Provider is operating over the capacity
INVESTIGATION FINDINGS:
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On 2/03/26 Licensing Program Analyst (LPA) Isabel Ortega conducted a subsequent complaint investigation to deliver the finding of the above allegation. Upon arrival LPA toured the facility and observed licensees providing care to two children.

The investigation consists of confidential interviews, LPA observation on Wednesday, 01/28/2026 when LPA made and unannounced visit to Churchill Family Day Care and a review of documents.

Confidential interviews did not reveal any concerns with the type and quality of care given to the children in care. On 01/28/2026 LPA observed 10 children in care while Churchill Family Day is license to care for 8 children. Licensee stated she is aware she is over capacity, due to 2 children being picked up late. According to the licensee, late pick up has occurred twice adding the parent already been spoken with regarding late pick up. LPA reviewed documentation of children’s time sheets, received from a creditable source showing the Licensee was over capacity on multiple occasions during the month of December 2025. (CONTINUED ON THE NEXT PAGE - LIC9099C)

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
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 5
Control Number 12-CC-20260109165032
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: CHURCHILL FAMILY CHILD CARE
FACILITY NUMBER: 367700469
VISIT DATE: 02/03/2026
NARRATIVE
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Based on evidence obtained and LPA observation on 01/28/2026, the preponderance of evidence standard has been met; therefore, the allegation stating the licensee is operating over capacity is being substantiated, per the California Code of Regulations, Title 22, Division 12, is being cited on the attached LIC 9099D.

An exit interview was conducted, appeal rights discussed, Notice of Site Visit was posted, a copy of this report was provided to the licensee on this date.

The licensee was informed the Notice of Site Visit must be visibly posted at the entrance of the facility for a period of 30 days. This is a Type B violation. A copy of the licensing report, LIC9099 must also be posted for 30 days. If these requirements are not met, civil penalties per violation will be assessed.



SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 12-CC-20260109165032
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: CHURCHILL FAMILY CHILD CARE
FACILITY NUMBER: 367700469
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/03/2026
Section Cited
CCR
102416.5(b)
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102416.5(b) Staffing Ratio and Capacity (b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home... this requirement was not met as evidenced by
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Licensee will ensure no more than 8 children are at day care at one given time. Licensee will speak to parents to make sure children are picked up on time and have parents sign the agree and understand to pick on time. Licensee will also apply for the large FCC license by the end of the month 2/27/2026 by via mail.
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LPA obtained documentation revealing during the month of December 2025 licensee cared for more than 8 children at one given time. Also, on 1/28/2026 LPA observed 10 children in care. This poses a potential Health, Safety, or Personal Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
01/09/2026 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20260109165032

FACILITY NAME:CHURCHILL FAMILY CHILD CAREFACILITY NUMBER:
367700469
ADMINISTRATOR:JENNIFER CHURCHILLFACILITY TYPE:
810
ADDRESS:909 BLUEBIRD STTELEPHONE:
(760) 718-0624
CITY:BARSTOWSTATE: CAZIP CODE:
92311
CAPACITY:8CENSUS: 2DATE:
02/03/2026
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Jennifer Churchill, LicenseeTIME COMPLETED:
05:35 PM
ALLEGATION(S):
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Provider poses a risk to day care children
INVESTIGATION FINDINGS:
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On February 13, 2026, at 4:00 pm., Licensing Program Analyst (LPA) Isabel Ortega conducted an unannounced subsequent complaint investigation at Churchill Family Child Care Home. LPA met with Licensee, Jennifer Churchill, the purpose of this inspection is to deliver the findings regarding the above complaint allegation. The investigation included unannounced inspections of the facility on 1/14/26 and 2/3/26, in addition, LPA conducted confidential interviews with staff, children, parents, and a completed a review of the facility records.

Based on the confidential interviews there were no disclosures made regarding any risk to children in care. Also, during inspections on 1/14/2026 and 2/3/2026 LPA conducted observations which did not indicate a risk to children in care.

Per licensee, and observation children are redirected when not listening. Also, Licensee dined allegation and no disclosures were made.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 12-CC-20260109165032
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: CHURCHILL FAMILY CHILD CARE
FACILITY NUMBER: 367700469
VISIT DATE: 02/03/2026
NARRATIVE
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Based on information obtained, and LPA observations the above allegation is deemed Unsubstantiated . 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.

This inspection was conducted in person. LPA provided copy of the report, Appeal Rights, and a Notice of Site Visit to licensee. Licensee is aware Notice of site visit shall be posted for 30 days.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5