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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376300126
Report Date: 11/04/2021
Date Signed: 11/04/2021 09:38:14 AM

Substantiated


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
09/02/2021 and conducted by Evaluator Jeanette Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210902153853
FACILITY NAME:KIDS PARADISE DAYCAREFACILITY NUMBER:
376300126
ADMINISTRATOR:IRMA J GUERRERO ESPINOZAFACILITY TYPE:
850
ADDRESS:1701 N SANTA FE AVETELEPHONE:
(760) 407-6737
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:30CENSUS: 18DATE:
11/04/2021
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Administrator Daniel EspinosaTIME COMPLETED:
09:40 AM
ALLEGATION(S):
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Hazardous material in play yard.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Jeanette Sanchez and Ana Noble made an unannounced visit to the facility to deliver complaint findings. LPAs conducted COVID-19 screening questions prior to entry. LPAs met with Administrator Daniel Espinosa. The investigation consisted of observation and interviews.

On 9/2/21, the Department received a complaint regarding the facility having hazardous material in the play yard. Specifically, it was alleged that there are nails sticking out of a fence. LPA Sanchez observed several areas on the fence with screw ends protruding from the other side. The screws were found to be from signs attached on the opposite side of the fence. The height of the exposed screw ends was low enough to cause harm to a child.

Based on LPA observations and interviews conducted, the preponderance of evidence standard has been met, therefore the allegation that facility is providing inadequate food service is found to be SUBSTANTIATED.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
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-20210902153853
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: KIDS PARADISE DAYCARE
FACILITY NUMBER: 376300126
VISIT DATE: 11/04/2021
NARRATIVE
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A Technical Violation Advisory Notice has been issued

An exit interview was conducted. The appeal rights were discussed and provided along with a copy of this report to Administrator Daniel Espinosa on this date. A Notice of Site Visit was posted.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3