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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367700236
Report Date: 11/03/2023
Date Signed: 11/03/2023 01:56:35 PM

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
07/24/2023 and conducted by Evaluator Kristina Diaz
COMPLAINT CONTROL NUMBER: 12-CC-20230724162233
FACILITY NAME:YARBER FAMILY CHILD CAREFACILITY NUMBER:
367700236
ADMINISTRATOR:HEATHER YARBERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 519-1444
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: 11DATE:
11/03/2023
UNANNOUNCEDTIME BEGAN:
12:08 PM
MET WITH:Angelina DadoTIME COMPLETED:
01:58 PM
ALLEGATION(S):
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Uncleared adult living in the home.
INVESTIGATION FINDINGS:
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On 11.3.23 Licensing Program Analyst (LPA) Kris Diaz conducted an unannounced complaint investigation to deliver complaint findings for a complaint received 7.24.23. LPA met with Assistant, Angelina Dado. Licensee was not present; However, she arrived shortly after. LPA completed a safety inspection where 0 deficiencies were found. Upon arrival LPA observed 11 children with 1 assistant.

During this investigation, LPA completed confidential interviews and licensee provided copies of facility roster and other documentation pertinent to the investigation. The allegation is that there is an uncleared adult living in the home.

Based on observation, interviews, and records review it is determined that the above allegation is not true and at the time of this investigation there was not an uncleared adult living in the home. There is not a preponderance of evidence to prove the alleged violation(s) has occurred, therefore the allegation is UNSUBSTANTIATED.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023
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-20230724162233
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: YARBER FAMILY CHILD CARE
FACILITY NUMBER: 367700236
VISIT DATE: 11/03/2023
NARRATIVE
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Notice of Site Visit was given and shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100 civil penalty.

An exit interview was conducted and a signed copy of this report, the Notice of Site Visit and Appeal Rights have been provided to Licensee, Heather Yarber.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2