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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300663
Report Date: 05/16/2023
Date Signed: 05/16/2023 11:38:24 AM

Unsubstantiated


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
01/13/2023 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230113074207
FACILITY NAME:MACEDO FAMILY CHILD CAREFACILITY NUMBER:
336300663
ADMINISTRATOR:MACEDO,ERICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 970-4485
CITY:WILDOMARSTATE: CAZIP CODE:
92595
CAPACITY:14CENSUS: 8DATE:
05/16/2023
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Erica MacedoTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Child sustained injury while in care.
INVESTIGATION FINDINGS:
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At 11:15AM on May 16, 2023, Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced complaint visit. LPA Wilburn met with Licensee Erica Macedo, to deliver findings on the above stated allegation. The investigation was conducted by Investigator Georgina Tallagua with the Investigations Branch (IB).

It was alleged that Child #1 (C1) was picked up from day care and observed to have unexplained “finger like welts” injuries on C1’s back. During the investigation, interviews were conducted with complainant, Licensee, Assistant, Mother of Licensee, 6 Day Care Children and a review of relevant documentation was completed. All parties interviewed denied allegations of physical abuse to C1 and denied observing anyone else having caused the scratch or mark on C1's back. The day care children interviewed did not recall C1, as the child only attended the day care for one day. The Licensee stated it was C1’s first day and that C1 “whined and cried for most of the time.” The Licensee reported her assistant observed C1 scratching their back and upon closer look observed the child’s back to be “blotchy” with scratches on the lower back and what appeared
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023
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 2
Control Number 10-CC-20230113074207
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: MACEDO FAMILY CHILD CARE
FACILITY NUMBER: 336300663
VISIT DATE: 05/16/2023
NARRATIVE
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to be a rash. This was communicated with C1’s mom via text during the day. In addition, the The local Riverside County Sheriff’s Department investigated the allegation as well, and they determined there was not enough information to substantiate the allegations of physical abuse by anyone at the day care.
Based on record review and confidential interviews conducted, the allegation that Child sustained injury while in care, 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 Erica Macedo.

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: Deborah Mullen
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2