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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300077
Report Date: 11/30/2021
Date Signed: 11/30/2021 12:42:08 PM

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
10/18/2021 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20211018102831
FACILITY NAME:SHENOUDA FAMILY CHILD CAREFACILITY NUMBER:
336300077
ADMINISTRATOR:SHENOUDA,ROSELYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 516-1495
CITY:SAN JACINTOSTATE: CAZIP CODE:
92583
CAPACITY:14CENSUS: 8DATE:
11/30/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Rosely ShenoudaTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee yells at day care children

Licensee handles children roughly
INVESTIGATION FINDINGS:
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On 11/30/2021 at 12:00 PM, Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced inspection to deliver the findings on the above stated complaint allegation. LPA Wilburn met with Licensee Rosely Shenouda and discussed the purpose of today’s inspection.

Investigation consisted of an initial inspection on 10/28/2021, a subsequent visit on 11/10/21, interviews with Licensee, Assistant, potential witnesses and parent of Child #1 (C1).

On 10/18/2021, a complaint allegation was received by the Community Care Licensing (CCL) office that Licensee yells at day care children, and Licensee handles children roughly. Investigation revealed the following: Licensee and Assistant deny the allegations. The vast majority of children interviewed deny being yelled at by Licensee, or observing Licensee yell at other day care children. Also, children interviewed deny being handled roughly by Licensee, or observing Licensee handle other day care children roughly.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
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 4
Control Number 10-CC-20211018102831
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: SHENOUDA FAMILY CHILD CARE
FACILITY NUMBER: 336300077
VISIT DATE: 11/30/2021
NARRATIVE
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Based on interviews with staff and observation conducted, the allegations that Licensee yells at day care children and Licensee handles children roughly, may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED at this time.

Exit interview conducted and a copy of the report along with the appeal rights were provided to Licensee Rosely Shenouda.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4