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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372005131
Report Date: 07/13/2023
Date Signed: 07/13/2023 10:03:20 AM

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
05/01/2023 and conducted by Evaluator Cindy Hamilton
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230501084712
FACILITY NAME:BALDERRAMA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
372005131
ADMINISTRATOR:KHAN, ALIYAFACILITY TYPE:
850
ADDRESS:709 SAN DIEGO ST.TELEPHONE:
(760) 757-1931
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY:80CENSUS: 31DATE:
07/13/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Andrea Yates, DirectorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff hit day care child.
INVESTIGATION FINDINGS:
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On July 13, 2023, at 9:21 a.m., Licensing Program Analyst (LPA) Cindy Hamilton, met with Balderrama Child Development Center’s (CCC) Director Andrea Yates to deliver the findings for the above stated allegation.   LPAs Hamilton and Keely Messerschmidt conducted health and safety inspections of the CCC on May 10, 2023 and June 8, 2023 and no safety concerns were noted.  During the investigation, LPA Hamilton conducted interviews with three staff and program director. LPA also obtained and reviewed pertinent documentation.

On May 1, 2023, Community Licensing (CCL) received information stating staff hit day care child. A review of the facilities’ prior complaint history was conducted, and LPA noted that in March, a similar allegation involving the same child and staff was investigated. That investigation revealed that staff violated C1’s personal rights and consequently the facility was issued deficiencies; However, LPA could not corroborate whether that complaint and this allegation are separate and/or isolated incidents due to available information revealing that they occurred around the same timeframe. LPA made an attempt to
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
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-20230501084712
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: BALDERRAMA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 372005131
VISIT DATE: 07/13/2023
NARRATIVE
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interview the child, but was unable to do so, per parent’s request, and therefore could not gather pertinent information regarding the incident. In addition, confidential interviews disclosed that no one had witnessed this incident and could not corroborate if the child had been hit by S1 or any other staff at the childcare. LPA was also unable to conduct an interview with S1 because LPA was informed that S1 was let go due to previous substantiated complaint, therefore, due to a lack of pertinent information, LPA could not corroborate allegation that staff hit day care child.

Based on confidential interviews, the allegations that staff hit daycare child, may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated.

An exit interview was conducted, a copy of this report, appeal rights and Notice of Site Visit were provided to Director. The director was reminded that the Notice of Site Visit must remain posted for 30 consecutive days
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2