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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364843157
Report Date: 02/09/2026
Date Signed: 02/09/2026 12:09:04 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
12/24/2025 and conducted by Evaluator Chase Atherton
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20251224164448
FACILITY NAME:CREATIVE EXPLORERSFACILITY NUMBER:
364843157
ADMINISTRATOR:SUSAN STUBBSFACILITY TYPE:
840
ADDRESS:1335 W. FOOTHILL BLVD.TELEPHONE:
(909) 946-3500
CITY:UPLANDSTATE: CAZIP CODE:
91786
CAPACITY:60CENSUS: 12DATE:
02/09/2026
UNANNOUNCEDTIME BEGAN:
08:24 AM
MET WITH:Director Susan StubbsTIME COMPLETED:
12:17 PM
ALLEGATION(S):
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Facility failed to report an incident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Chase Atherton arrived at the facility to deliver final findings of a complaint investigation for the above allegation. LPA met with the Assistant Director Tina Vasquez and informed them of the purpose of visit. LPA Chase Atherton toured the facility and took census at the start of this visit.
During the investigation, LPA gathered information that included: observations, interviews conducted with pertinent parties, records reviewed, and reviewed photographs.

It was alleged that the Facility failed to report an incident.

Information gathered alleged that there was an incident where a staff member accidentally drove a facility vehicle through the fence of the facility and damaged the exterior door of classroom 104, commonly known as the "back play room".
SEE LIC9099C for a continuation of this report...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Chase Atherton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2026
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 09-CC-20251224164448
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: CREATIVE EXPLORERS
FACILITY NUMBER: 364843157
VISIT DATE: 02/09/2026
NARRATIVE
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Information gathered stated that no children or staff were in the room at the time of the incident. Information gathered stated no one was injured because of this accident. Information gathered stated that this occurred on 7/15/2024 and was not reported to licensing as required by Title 22 requirements. An internal review of documents from licensing stated that there is no existing Unusual Incident Report from the facility regarding this unusual incident. Information gathered displayed a van with “Kiddie Academy” written on the side, positioned so that the front of the van was up against the door to classroom 104. Information gathered displayed a van with “Kiddie Academy” written on the side, positioned so that the facility's exterior fence was on either side of the van and above the van. Information gathered displayed that the fence and door to classroom 104 were damaged. Information gathered stated that the fence and door were repaired in a timely manner. Information gathered stated classroom 104 has been used since the incident.

Based on information gathered, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, CCR 101212(d) is being cited on the attached LIC9099D.

Appeal Rights issued and discussed with facility representative and their signature on this form acknowledges receipt of these rights.

Exit interview conducted and report was reviewed with the Director Susan Stubbs. A notice of site visit was given to Director Susan Stubbs and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. This report must be made available to the public for 3 years. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Chase Atherton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 09-CC-20251224164448
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: CREATIVE EXPLORERS
FACILITY NUMBER: 364843157
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/23/2026
Section Cited
CCR
101212(d)
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Upon the occurrence...of any of the events specified in (d)(1) below, a report shall be made to the Department within the Department's next working day...In addition, a written report...shall be submitted to the Department within seven days...
This requirement is not met as evidenced by:
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Facility will submit a detailed Unusual Incident Report (UIR) regarding the van damaging the fence & room 104 that includes: the time/date, name of driver, all children involved, all staff present, name of the company that completed repairs, inspection stating the room is safe to utilize for children,...
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Based on interview and record review, the licensee did not comply with the section cited above in that the facility did not report an incident on 7/15/2024 where a facility van damaged a fence and the door of classroom 104. This poses/posed a potential health, safety, or personal rights risk to persons in care.
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...and all relvent information required for a UIR. The facility will submit this to the department by the POC due date.
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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: Ana Noble
LICENSING EVALUATOR NAME: Chase Atherton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5