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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334830641
Report Date: 06/11/2024
Date Signed: 06/11/2024 12:14:29 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
05/13/2024 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240513130537
FACILITY NAME:KIDD STREET PRESCHOOL OF RIVERSIDEFACILITY NUMBER:
334830641
ADMINISTRATOR:MARIA TEELFACILITY TYPE:
830
ADDRESS:10250 KIDD STREETTELEPHONE:
(951) 688-4242
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY:28CENSUS: 9DATE:
06/11/2024
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Lucy CasillasTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Day care child sustained unexplained injuries while in care.
Staff were distracted by their personal phones and not meeting the needs of day care children.
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido arrived at the facility to investigate regarding the above complaint received on 05/13/24. An initial visit was conducted on 05/14/24 at which time LPA conducted interviews and reviewed records. LPA was given access to the facility by the Director, Lucia Casillas. LPA discussed purpose of visit, took census, and toured the facility. LPA met with the Director to further discuss the complaint allegations and deliver findings.
It was alleged a day care infant sustained unexplained injuries while in care and staff were distracted by personal phones and not meeting the needs of children. During the investigation, LPA interviewed all pertinent parties, including facility staff.
Staff stated the policy for personal phones is to be put away and not used. Staff reported some staff put phones in their back pocket but were not distracted by phones from their job tasks. Additionally, during visits on 05/14/24 and 06/1124, LPA did not observe teachers using or distracted by phones.
It was alleged an infant sustained an unexplained bruise on forehead and cheek. During the investigation,
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024
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 4
Control Number 09-CC-20240513130537
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: KIDD STREET PRESCHOOL OF RIVERSIDE
FACILITY NUMBER: 334830641
VISIT DATE: 06/11/2024
NARRATIVE
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LPA interviewed all pertinent parties, including facility staff.
Staff stated when a child sustains an injury, staff document in a classroom log and write corresponding incident reports for the child’s authorized representative. Staff stated sometimes a phone call is made as well.
LPA reviewed a child’s record. Child’s record noted the child sustained bruising; however, it was undetermined where and when the child sustained the bruising.
Due to conflicting information obtained from interviews and records from what was alleged, LPA is unable to determine if staff were not meeting the needs of children due to phones or how a child sustained bruising. The evidence collected was not sufficient to substantiate or refute the above allegations. Although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.
Appeal rights issued and discussed with licensee and their signature on this form acknowledges receipt of these rights. An exit interview was conducted, a copy of this report and Notice of Site Visit was provided to Lucia Casillas. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS UPON REQUEST.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4