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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153807157
Report Date: 10/01/2021
Date Signed: 10/01/2021 09:31:16 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/28/2021 and conducted by Evaluator Caroline Harris
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210628164521
FACILITY NAME:BAKER, KIMBERLY FAMILY CHILD CAREFACILITY NUMBER:
153807157
ADMINISTRATOR:BAKER, KIMBERLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 204-3110
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:14CENSUS: 3DATE:
10/01/2021
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Kimberly BakerTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day care child molested by male adult residing in the home.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/1/2021, Licensing Program Analyst (LPA) Caroline Harris conducted an unannounced complaint inspection with Licensee, Kimberly Baker to close the above complaint investigation. A census was taken and the above listed allegation was explained to the licensee. The investigation was completed by IB Investigator Mariana Lomeli.

Although the allegation may have happened or is valid, based on the findings of the investigation, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted with licensee, Kimberly Baker. Per California Code of Regulations, Title 22, Division 12, Chapter 3, there were no deficiencies cited. A copy of this report was provided to the licensee along with appeal rights and a Notice of Site Visit which is to be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021
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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