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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300927
Report Date: 04/11/2024
Date Signed: 04/11/2024 04:04:33 PM

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
03/05/2024 and conducted by Evaluator Lorena Valenzuela
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240305151558
FACILITY NAME:HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
336300927
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
04/11/2024
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Daena HernandezTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Uncleared adult providing care to day care children
Licensee is not meeting day care child's toileting needs
INVESTIGATION FINDINGS:
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On April 11, 2024, Licensing Program Analyst (LPA) Lorena Valenzuela conducted an unannounced visit and met with Licensee, Daena Hernandez to deliver the findings of the above allegations.
On March 12, 2024, LPA Valenzuela conducted a health and safety inspection of the facility, and no immediate concerns were noted. On 03/12/2024, LPA Valenzuela obtained children and facility records. Interviews were conducted with licensee, assistant #1, three parents/authorized representatives, and another relevant party.
On March 5, 2024, the Department received information that uncleared adult is providing care to day care children and licensee is not meeting day care child's toileting needs.
Regarding the allegation an uncleared adult is providing care to day care children, it was reported that Assistant 1 (A1) was providing transportation for school age children under care. Records review, indicated A1 has a fingerprint clearance that is required by the Department, however A1 was not associated to the day care home facility number.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
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 2
Control Number 10-CC-20240305151558
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: HERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 336300927
VISIT DATE: 04/11/2024
NARRATIVE
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Regarding the allegation licensee is not meeting day care child’s toileting needs, it was reported on 03/04/2024, Child 1 (C1) was picked up from the day care home and had been in soiled underwear for an extended period. Confidential interviews revealed licensee and assistant checked often on 03/04/2024, with C1 to see if C1 needed to go to the restroom as C1 was already potty trained. Interviews revealed the licensee checks often if the children need to be changed diapers or underwear and licensee will change them throughout the day.
Based on interviews and records review, the allegations that uncleared adult is providing care to day care children and licensee is not meeting day care child's toileting needs, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. A copy of this report, appeal rights and Notice of Site Visit were provided to licensee, Daena Hernandez.
The Notice of Site Visit was posted by the licensee prior to LPA leaving the facility and the licensee was reminded this notice must be posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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