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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334814895
Report Date: 10/03/2022
Date Signed: 10/03/2022 03:13:38 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/29/2022 and conducted by Evaluator Andrea Taylor
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220929085335
FACILITY NAME:ABC CHILD CARE VILLAGEFACILITY NUMBER:
334814895
ADMINISTRATOR:MALINDA J. MARGIOTTAFACILITY TYPE:
830
ADDRESS:40045 VILLAGE ROADTELEPHONE:
(951) 491-0940
CITY:TEMECULASTATE: CAZIP CODE:
92591
CAPACITY:47CENSUS: 27DATE:
10/03/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Angel Anton-DirectorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Personal Rights-A staff member left sunflower seeds and shells on the shelves in the class room where children could possibly have access them.
INVESTIGATION FINDINGS:
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The purpose of this inspection was to conduct a Complaint Investigation of the facility. On 9/29/22 a complaint was filed with the Licensing office. Census was taken in individual classrooms. The overall census observed was 8 infant staff and 27 infant children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During inspection on this date LPA interviewed infant staff and inspected the classrooms.

The allegation is sunflower seeds and sunflower seed shells were in the classroom on the shelves where the toys are kept in the non-mobile children's area. The reporting party submitted pictures of the seeds and shells on the shelves. LPA observed these same shelves in the non mobile area of classroom. Although this is a non mobile children's area if any of the sunflower seeds or shells fell on the floor they would be accessible.
During staff interviews the seeds and shells on the shelves was confirmed by other staff.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022
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 5
Control Number 10-CC-20220929085335
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: ABC CHILD CARE VILLAGE
FACILITY NUMBER: 334814895
VISIT DATE: 10/03/2022
NARRATIVE
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Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, 101223 (a) (2) is being cited on the attached LIC 9099D.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20220929085335
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: ABC CHILD CARE VILLAGE
FACILITY NUMBER: 334814895
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/24/2022
Section Cited
CCR
101223a2
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Personal Rights-To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement was not met as evidenced by: During inspection LPA
interviewed staff who
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Hold a staff meeting with the infant staff.
Review policy of no personal food in the classroom.

Director will submit meeting agenda to LPA Taylor at : andrea.taylor@dss.ca.gov
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confirmed sunflower seeds and shells.
These were on selves in classroom and could fall on the floor making them accessible to children.
This poses a potential risk to the Health and Safety of 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.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5