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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364817504
Report Date: 09/26/2025
Date Signed: 09/26/2025 02:31:50 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/17/2025 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20250917091122
FACILITY NAME:JUMPSTART LEARNING CENTER, INC.FACILITY NUMBER:
364817504
ADMINISTRATOR:MIREYA GOMEZFACILITY TYPE:
840
ADDRESS:10213 BASE LINE ROADTELEPHONE:
(909) 373-1831
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:28CENSUS: 0DATE:
09/26/2025
UNANNOUNCEDTIME BEGAN:
01:11 PM
MET WITH:Gloria Gonzalez/ assistant directorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility did not safeguard the confidentiality of child's file
INVESTIGATION FINDINGS:
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On 9/26/25 at 1:11 pm, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation. LPA met with Gloria Gonzales and was granted access into the facility. LPA observed no children present during the visit.

It was alleged that the facility failed to safeguard the confidentiality of a child’s file. During the investigation, the Licensing Program Analyst (LPA) interviewed all relevant parties and reviewed applicable documentation. Interviews revealed that facility staff submitted a copy of a signed document from a child’s file to a third-party agency. The LPA reviewed documentation that corroborated the information obtained during the interviews.


(Cont on 9099C)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
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 3
Control Number 09-CC-20250917091122
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: JUMPSTART LEARNING CENTER, INC.
FACILITY NUMBER: 364817504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/30/2025
Section Cited
CCR
101221(1)
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Child Record All information and records obtained from ...shall be confidential. (1) The licensee shall be responsible for safeguarding the confidentiality of record contents.
This requirement was not met as evidenced by

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Assistant director (AD) stated she will send a plan on how the facility will comply with the regulation going forward. AD stated she will send the plan to CCL by 9/30/2025.
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Based on interviews and documents reviewed child's file was not safeguarded.


This is a potential risk to the health, safety and personal rights of 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: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20250917091122
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: JUMPSTART LEARNING CENTER, INC.
FACILITY NUMBER: 364817504
VISIT DATE: 09/26/2025
NARRATIVE
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Based on interviews and documents reviewed, the above allegation is substantiated; meaning, the preponderance of evidence standard has been met, therefore the above allegation is substantiated. California Code of Regulations is being cited on the attached LIC 9099D.


Exit interview with assistant director, report, appeal rights and notice of site visit issued.



Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3