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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364814533
Report Date: 01/17/2025
Date Signed: 01/17/2025 05:54:43 PM

Substantiated


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
01/08/2025 and conducted by Evaluator Kristina Diaz
COMPLAINT CONTROL NUMBER: 12-CC-20250108094151
FACILITY NAME:SALAZAR FAMILY CHILD CAREFACILITY NUMBER:
364814533
ADMINISTRATOR:SALAZAR, UNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(725) 300-5844
CITY:BARSTOWSTATE: CAZIP CODE:
92311
CAPACITY:14CENSUS: 9DATE:
01/17/2025
UNANNOUNCEDTIME BEGAN:
10:04 AM
MET WITH:Un SalazarTIME COMPLETED:
11:25 AM
ALLEGATION(S):
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Child wandered away from the facility
INVESTIGATION FINDINGS:
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This report is being admended to correct the deficiencies cited: On 1.17.25, Licensing Program Analyst (LPA) Kris Diaz conducted an unannounced inspection at the facility. LPA was greeted by Licensee, Un Salazar, who granted LPA access and guided a tour of the facility. LPA explained the purpose of the visit was to follow up on the complaint received at the Palmdale Regional Office (PRO) on 1.8.25 and deliver findings of the investigation. At the time of the visit LPA observed 9 children in care including 1 infant with the licensee and her assistant, Sarang Salazar. LPA conducted a safety inspection that resulted in 2 deficiencies. (see CM - LIC809)

This investigation included a review of Barstow police incident reports, video surveillance footage, and interviews with the reporting party, witnesses, and facility staff. Evidence collected during the investigation revealed that on 1/7/2025, C1 and C2 were left unsupervised in the backyard for at least 18 minutes. The children stacked toys and tricycles to climb over the licensee’s backyard wall, then wandered away from the facility.

Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Scott Herring
NAME OF LICENSING PROGRAM ANALYST: Claretta Yates
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
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 4
Control Number 12-CC-20250108094151
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: SALAZAR FAMILY CHILD CARE
FACILITY NUMBER: 364814533
VISIT DATE: 01/17/2025
NARRATIVE
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Further interviews revealed that C1 was found by a citizen on Armory Road, a major thoroughfare with a 25 MPH speed limit, about to step into oncoming traffic. The citizen performed a U-turn, moved C1 to safety, and called 911. C1 had wandered approximately 150-200 feet away from the facility. 2 City of Barstow employees also witnessed the incident. One of the city employees later found C2 outside the facility, banging on the gate on the side of the house. The worker reunited C2 with the licensee and informed her where to find C1.

Review of video footage, police reports, and interviews indicate the children were left unattended by the licensee for nearly an hour. The licensee stated she was watching the children through a glass sliding door and her camera but did not see C1 leave the premises. The weather on the day of the incident was around 51 degrees with 24 MPH winds, making it an unsafe environment for children to be outside without direct supervision.

The licensee self-reported the incident to CCL the following day but only mentioned C1 eloping, failing to report C2's departure. Based on LPAs observations, interviews conducted, and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

3 Type A Citations were issued and 1 Civil Penalty in the amount of $500 was assessed today. CCR (Title 22, Division 12, Chapter 1, Article 6) and HSC 1596.885(c) (See LIC9099D). Licensee was advised that Community Care Licensing may take further Administrative Action as a result of these complaint findings.
An LIC9224 - Acknowledgement of Licensing Reports shall be provided to the parent/guardian of any child currently enrolled in the facility by the next business day or immediately upon return as well as the parent/guardian of any child newly enrolled within the next 12 months. Failure to comply with this requirement will result in Civil Penalty.

This inspection was conducted in person. This report was read, and a copy provided to licensee, Un Salazar. Appeal Rights and Notice of Site visit was provided. Failure to post this report and Notice of Site Visit for 30 days could result in civil penalties. Exit interview conducted.
NAME OF LICENSING PROGRAM MANAGER: Claretta Yates
NAME OF LICENSING PROGRAM ANALYST: Kristina Diaz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 12-CC-20250108094151
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: SALAZAR FAMILY CHILD CARE
FACILITY NUMBER: 364814533
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/21/2025
Section Cited
CCR
102423(a)(4)
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102423(a)(4) – Personal Rights
Each child receiving services from a family childcare home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. ...To be free from corporal
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Licensee was advised that the department may seek further Administrative Action as a result of this incident; Licensee stated she will watch the Personal Rights video and submit a statement of summary and completion to LPA by the POC due date.
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or unusual punishment... This requirement was not met as evidenced by: Based on video, interviews, and record review the licensee placed C1 and C2 outside during unfavorable weather conditions which poses an immediate health, safety, and personal rights risk to the children in care.
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Type A
01/21/2025
Section Cited
CCR
102417(a)
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102417(a) Operation of a Family Childcare Home The licensee shall be present in the home and shall ensure that children in care are supervised at all times.This requirement was not met as evidenced by: Based on video evidence, C1 and C2 were left unattended for at least one hour which led to both
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Licensee was advised that the department may seek further Administrative Action as a result of this incident; Licensee stated she will watch the Supervising children in a FCCH video and submit a statement of summary and completion to LPA by the POC due date.
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children eloping from the family childcare home which poses an immediate health, safety and personal rights risk to children 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.
NAME OF LICENSING PROGRAM MANAGER: Scott Herring
NAME OF LICENSING PROGRAM ANALYST: Claretta Yates
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 12-CC-20250108094151
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: SALAZAR FAMILY CHILD CARE
FACILITY NUMBER: 364814533
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/21/2025
Section Cited
HSC
1596.885(c)
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HSC 1596.885(c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. This requirement is not met as evidenced by: Based on video, interviews, and records
review licensee’s conduct was inimical
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The department will seek Administrative Actions.
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when she left C1 and C2 unattended in unfavorable weather conditions resulting in both children eloping, Licensee failed to report to the department that C2 eloped, which poses an immediate health, safety, and personal rights risk to children 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.
NAME OF LICENSING PROGRAM MANAGER: Scott Herring
NAME OF LICENSING PROGRAM ANALYST: Claretta Yates
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4