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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334818396
Report Date: 04/27/2021
Date Signed: 04/27/2021 10:12:24 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, 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
04/07/2021 and conducted by Evaluator James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210407095144
FACILITY NAME:DISCOVERY ISLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334818396
ADMINISTRATOR:KRISTI POLKFACILITY TYPE:
850
ADDRESS:32220 HIGHWAY 79 S.TELEPHONE:
(951) 303-3055
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY:188CENSUS: 77DATE:
04/27/2021
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Kristi PolkTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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Teacher handled the daycare child roughly.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) James Wilkerson arrived at this faciity to conclude an investigation into the above allegation. LPA toured the facility and conducted census. It was alleged that a staff member had hurt a child's ear by grabbing it. LPA conducted interviews with staff and the child. The child showed how the alleged incident occurred by grabbing his/her parent's ear and pulling on the lobe. Staff denies this happens. Staff stated that they touch their own ears as an example to children to show they have to use them to listen. Staff stated that they tell the children to use their listening ears when this happens. A staff member did state that he/she may have touched the child's ear on an occasion but doesn't know for sure. The parent of the child stated that there were no marks left on the child's ear. Other staff stated that they never touch any children's ears and that it would be inappropriate to do so. Information received by LPA from these interviews are conflicting and LPA cannot prove or disprove that the allegation is true or untrue.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Dawn Parker
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2021
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 10-CC-20210407095144
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: DISCOVERY ISLE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 334818396
VISIT DATE: 04/27/2021
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted, a Notice of Site Visit posted, appeal rights discussed and were provided along with a copy of this report to Ms. Polk on this date.

A copy of this report must be made available to the public, upon request for three years.
SUPERVISORS NAME: Dawn Parker
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2