334805816-9-17-2025-09-CC-ANOE-DM3SQK-20251002140448

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334805816
Report Date: 09/17/2025
Date Signed: 09/17/2025 04:59:32 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/05/2025 and conducted by Evaluator Tiffanie Diep

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20250605091016

FACILITY NAME:	LIFE CHRISTIAN ACADEMY		FACILITY NUMBER:	334805816
ADMINISTRATOR:	KIMBERLY FREDERIQUE		FACILITY TYPE:	850
ADDRESS:	3270 RUBIDOUX BOULEVARD		TELEPHONE:	(951) 684-3639
CITY:	JURUPA VALLEY	STATE: CA	ZIP CODE:	92509
CAPACITY:	60	CENSUS: 5	DATE:	09/17/2025
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Lavette Gibson		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Personal Rights - Licensee did not prevent day care child from being inappropriately touched while in care

INVESTIGATION FINDINGS:

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On 09/17/2025 at 12:15 PM, Licensing Program Analyst (LPA) Tiffanie Diep met with Facility Representative Lavette Gibson for the purpose of an unannounced complaint visit to deliver the finding regarding the above allegation. LPA observed two staff supervising five napping children.

It was alleged that Licensee did not prevent a day care child from being inappropriately touched while in care. Throughout the course of the investigation, LPA made observations at the facility, obtained relevant documents, and conducted interviews with pertinent individuals.

Continues on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025

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 09-CC-20250605091016

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: LIFE CHRISTIAN ACADEMY	FACILITY NUMBER: 334805816
	VISIT DATE: 09/17/2025

NARRATIVE

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Continued from LIC 9099 (Page 2)

Interviews conducted disclosed there is a tunnel attached to a play structure in the facility’s outdoor activity area. It was disclosed children have pushed one another while going through the tunnel. Consistent statements disclosed children are instructed to refrain from staying in the tunnel for extended periods of time. Information obtained indicated staff use redirection when handling challenging behaviors. Records reviewed revealed staff document and notify parents of any incidents pertaining to challenging behaviors through an incident report. During a previous visit, LPA observed appropriate ratios were maintained by staff. LPA observed staff during outdoor play stationed in different areas of the outdoor play area and occasionally moved to different areas ensuring adequate supervision. During the investigation, LPA made multiple attempts to contact pertinent individuals and obtain additional information. Due to insufficient information available at this time, it is determined there is not sufficient information evident to support the allegation that Licensee did not prevent a day care child from being inappropriately touched while in care.

Based on observations made at the facility, information obtained during interviews, and records reviewed, it is determined that the allegation could not be substantiated or dismissed. Although the allegation may have happened or is valid, 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 and report was reviewed with the facility representative, Lavette Gibson. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025

LIC9099 (FAS) - (06/04)

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