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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334846127
Report Date: 10/10/2023
Date Signed: 10/10/2023 12:20:36 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 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
08/10/2023 and conducted by Evaluator Jeanette Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230810132147
FACILITY NAME:CHILDREN'S PLACE CHILD DEVELOPMENT CENTER LLC, THEFACILITY NUMBER:
334846127
ADMINISTRATOR:FIGUEROA, AMERICA LETICIAFACILITY TYPE:
850
ADDRESS:45-114 SMURR STTELEPHONE:
(760) 619-3286
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY:25CENSUS: 17DATE:
10/10/2023
UNANNOUNCEDTIME BEGAN:
11:51 AM
MET WITH:America Figueroa TIME COMPLETED:
12:29 PM
ALLEGATION(S):
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Staff did not prevent child from harming another child in care
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to deliver final investigative findings for the allegation as listed above. An initial complaint inspection was conducted on 8/17/2023. During the investigation, LPA reviewed facility and children records, conducted interviews and observed classroom.

On 8/10/2023, a complaint allegation was reported to Community Care Licensing (CCL); more specifically that: staff did not prevent child from harming another child in care. On the same date, CCL received an Unusual Incident Report (UIR) regarding the incident.

On 8/11/2023, LPA Sanchez requested and received a Ring camera video of the incident. The video is 43 seconds in length and begins 2 seconds before the incident. During the video the Director and S1 are observed engaged in conversation with their backs to the children and S2 is observed walking across the
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
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-20230810132147
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: CHILDREN'S PLACE CHILD DEVELOPMENT CENTER LLC, THE
FACILITY NUMBER: 334846127
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/11/2023
Section Cited
CCR
101229(a)(1)
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101229 (a) (1) Responsibility for Providing Care and Supervision.
The licensee shall provide care and supervision as necessary to meet the children's needs...Supervision shall include visual observation. This requirement was not met as evidenced by:
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Licensee will provide a written statement of how similar incidents will be avoided in the future. Licensee will also contract outside training regarding supervision.
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Based on interviews and video observations, the facility did not ensure staff provided visual supervision at all times, to children in care, which resulted in one child being injued. This poses an immediate risk to the health, safety and personal rights of the 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: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20230810132147
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDREN'S PLACE CHILD DEVELOPMENT CENTER LLC, THE
FACILITY NUMBER: 334846127
VISIT DATE: 10/10/2023
NARRATIVE
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room to tend to a child as C2 hits C1 in the face with a toy. S2 turns and goes to C1. During the remainder of the video the other children are not being actively supervised as the focus by the Director and S1 & S2 are on C1. As this is occurring a child is seen in the video grabbing and pulling other children and trying to take toys from them and another child is seen hitting a peer. Additional information obtained during interviews with staff on 8/17/23 revealed that staff were cleaning and preparing for lunch at the time of the incident.

Based on all the information obtained from pertinent parties the department has determined the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED

See LIC 9099-D deficiencies. A civil penalty was assessed due to repeat violation.

An exit interview was conducted, and this report was reviewed with Licensee America Figueroa. Licensee was offered Technical Support Program (TSP) services. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5