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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372005131
Report Date: 10/30/2025
Date Signed: 10/30/2025 11:09:50 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
10/24/2025 and conducted by Evaluator Kelly Gerth
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20251024131615
FACILITY NAME:BALDERRAMA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
372005131
ADMINISTRATOR:MENDOZA, JESUSFACILITY TYPE:
850
ADDRESS:709 SAN DIEGO ST.TELEPHONE:
(760) 757-1931
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY:80CENSUS: 33DATE:
10/30/2025
UNANNOUNCEDTIME BEGAN:
08:48 AM
MET WITH:Facility Representative Patricia LiBrizziTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not follow custodial parents court order to prevent other parent from picking up child
INVESTIGATION FINDINGS:
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 On the above date and time, Licensing Program Analyst (LPA) Kelly Gerth conducted an unannounced complaint inspection and met with Balderrama Child Development Center (CCC) Facility Representative Patricia LiBrizzi, and
LPA provided the purpose of the inspection, to initiate an investigation of the above stated allegation(s) made to CCL on October 24, 2025. During this visit, LPA toured the facility, took census, gathered pertinent evidence, and interviewed staff.
Regarding the allegation Staff did not follow custodial parents court order to prevent other parent from picking up child. On 10/30/2025, LPA Gerth conducted an interview and gathered evidence from/with the Reporting Party (RP). On 10/30/2025, during the visit to the CCC, LPA conducted interviews with Staff 1-2 (S1-S2) and collected evidence. All interviews corroborated that within the same week the court order was issued, the parent/guardian provided a hard copy of the court order to the CCC and that staff understood that the court order provided specific information of authorized pick-up person(s), authorized pick-up day(s) and authorized pick up time(s). See Next Page
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
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 10-CC-20251024131615
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: BALDERRAMA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 372005131
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/07/2025
Section Cited
CCR
101218.1(b)(6)
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101218.1(b)(6) Admission Procedures and Parental and Authorized Representative's Rights
(b) At the time of acceptance of each child in care, the licensee shall inform each child's parent or authorized representative of his/her rights that include, but are not limited to, the following:
(6) To request in writing that a parent not be allowed to visit a child or take a child from the child care center provided the custodial parent has shown a certified copy of a court order pursuant to Health and Safety Code Section 1596.857.
This requirement was not met as evidenced by;
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By COB, Licensee/Facility Representative agrees to conduct a training with all staff at the location, on the cited regulation and submit a sign in/out sheet to CCL reflecting the signed understanding and attendance of staff during the training.
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Based on interviews conducted and evidence gathered, on October 24, 2025 the CCC allowed a pick up that conflicted with a court order, which poses/posed a potential health, safety or personal rights risk to persons 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: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20251024131615
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: BALDERRAMA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 372005131
VISIT DATE: 10/30/2025
NARRATIVE
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Page 2

Interviews conducted and evidence collected support that on October 24, 2025 the CCC authorized a pickup that conflicted with the court order. Therefore, based on interviews conducted and documents gathered, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

A Deficiency is being issued. See 9099 D Page

An exit interview was conducted, and this report was reviewed with Facility Representative Patricia LiBrizzi, Appeal rights were discussed and provided during the exit interview. A notice of site visit was given and licensee understands this must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3