197409137-9-25-2026-12-CC-LKIG-DYGUQT-20261002154738

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197409137
Report Date: 09/25/2026
Date Signed: 09/25/2026 03:22:46 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
08/07/2026 and conducted by Evaluator Mayra Rivera

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20260807114613

FACILITY NAME:	NOTRE DAME INFANT CENTER		FACILITY NUMBER:	197409137
ADMINISTRATOR:	ANGELICA RODRIGUEZ		FACILITY TYPE:	830
ADDRESS:	21704 GOLDEN TRIANGLE RD.#120		TELEPHONE:	(661) 255-0053
CITY:	SAUGUS	STATE: CA	ZIP CODE:	91350
CAPACITY:	30	CENSUS: 6	DATE:	09/25/2026
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Tracy Melvin, Administrator		TIME COMPLETED:	03:25 PM

ALLEGATION(S):

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Staff allow day care children to return to care with contagious illness symptoms

INVESTIGATION FINDINGS:

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On Friday, September 25, 2026, Licensing Program Analyst (LPA), Mayra Rivera conducted an unannounced complaint inspection in regard to the above allegation. LPA Rivera entered infant #1 (6 weeks to 12 months) and observed 3 infants and staff #1 present. LPA entered classroom infant #2 (12 months to 18 months) and observed 3 infants with staff #2. LPA entered toddler’s classroom and observed 5 toddlers with staff #3 and observed the facility to be operating within ratio and present staff background cleared.

As part of this investigation, LPA Rivera conducted confidential interviews with staff and parents and reviewed relevant reports. The reporting party alleged that staff allow day care children to return to care with contagious illness symptoms. Based on evidence Child #1 attended school on 7/13/26 no symptoms and was absent 7/14/26-7/15/26, school closed due to fire 7/16/26-7/17/26. Child #1 returned to school on 7/24/26 with doctor note stating child may return to school on 7/24/26. Child #2 attended school on 7/13/26 and had no symptoms. Child #2 was absent on 7/14/26 and attended school on 7/15/26 with no symptoms.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026

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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Control Number 12-CC-20260807114613

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: NOTRE DAME INFANT CENTER	FACILITY NUMBER: 197409137
	VISIT DATE: 09/25/2026

NARRATIVE

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and school was closed 7/16/26-7/17/26. Child #2 returned to school on 7/24/26 with doctor note stating patient is unable to attend school from 7/23/26 through 7/23/26. Child #3 attended school on 7/13/26 and had no symptoms. Child #3 was absent on 7/14/26 and attended school on 7/15/26 no symptoms and school was closed 7/16/26-7/17/26. Child #3 returned to school 7/22/26 with doctor note dated 7/21/26 stating cleared to return to school.

Based on the interviews conducted and reports reviewed, there’s insufficient evidence to support or confirm the above allegation. This agency has investigated the complaint alleging that staff allow day care children to return to care with contagious illness symptoms. At this time, it is determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated. No deficiencies issued.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview conducted and appeal rights were given and explained with Administrator Tracy Melvin.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026

LIC9099 (FAS) - (06/04)

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