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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334830940
Report Date: 05/23/2024
Date Signed: 05/23/2024 03:07:58 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
05/09/2024 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240509171747
FACILITY NAME:THEDFORD FAMILY CHILD CAREFACILITY NUMBER:
334830940
ADMINISTRATOR:THEDFORD, KEICHELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 377-3671
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY:14CENSUS: 3DATE:
05/23/2024
UNANNOUNCEDTIME BEGAN:
01:48 PM
MET WITH:Keichel ThedfordTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Licensee does not allow parents inside the facility
Child sustained unexplained injury at the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced subsequent complaint visit to the facility. LPA met with Licensee Keichel Thedford and informed them of the purpose of this visit. During this investigation LPA conducted interviews with staff and confidential witnesses, made observations, and obtained supportive documentation for review to assist with determining the finding for the above noted allegations.

It was alleged that the Licensee does not allow parents inside the facility. 4 of 4 confidential witness interviews were conducted, and 3 of 4 confidential witnesses reported that parents are allowed, and frequently enter the facility to pick up their children and to inspect the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
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 10-CC-20240509171747
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: THEDFORD FAMILY CHILD CARE
FACILITY NUMBER: 334830940
VISIT DATE: 05/23/2024
NARRATIVE
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Based upon interviews conducted, the allegation is Unsubstantiated.

It was alleged that Child One (C1) has cuts and bruises on them upon being picked up by their parents. This was reported to be observed on 5/7/24. Photographic evidence provided revealed an abrasion to the inner side of C1’s lip and scratches to C1’s right shin. Child Two (C2) was noted to have scratches to the top of C2’s foot, and C2’s right knee. CCL completed an investigation to C2’s injuries (see complaint # 10-CC-20240416130125). Confidential witness revealed that C1’s injuries occurred outside of the facility on 5/5/24 while at a playground. Staff interview revealed that scratches were observed and documented by the provider on 5/6/24, as well as C1’s parent. Based on staff and confidential witness interviews, the allegation was Unsubstantiated.

A finding of UNSUBSTANTIATED means that 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.

An exit interview was conducted where a copy of this report was provided along with a copy of the LIC811 (confidential names list), and Appeal Rights.

A Notice of Site visit was given, and the Licensee understands that it must remain posted for 30 days.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4