198015763-2-23-2021-54-CC-BVON-BYRVKB-20210303153000

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198015763
Report Date: 02/16/2021
Date Signed: 02/23/2021 04:21:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/13/2020 and conducted by Evaluator Susann Sanchez

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20200713155814

FACILITY NAME:	RIVERS FAMILY CHILD CARE		FACILITY NUMBER:	198015763
ADMINISTRATOR:	RIVERS, TERRI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 843-5558
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90813
CAPACITY:	14	CENSUS: 7	DATE:	02/16/2021
		ANNOUNCED	TIME BEGAN:	04:15 PM
MET WITH:	Terri Rivers, Licensee		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Other- Child injury was not reported to authorized representative or documented in her file.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Susann Sanchez conducted an announced complaint inspection to the above facility via Zoom due to the COVID19 Pandemic. LPA met with Terri Rivers, Licensee and delivered the findings of the complaint. LPA observed 7 children and 2 staff members (including Licensee) during the inspection. LPA asked Licensee for a tour of the facility.

During the investigation LPA interviewed parents and staff. LPA obtained a copy of the facility roster and copies of other supporting documentation. Complainant stated child injury was not reported to authorized representative. Based on interviews with Licensee, staff (1), and parents (5) there was no disclosures made and there is a system in place on handling injuries at the FCCH. Licensee and staff were all consistent and follow injury procedures. Per Licensee and staff, parents are notified by phone call or text message and an ouch report is given to parents. Per Licensee and assistant first aid is provided when handling injuries if needed.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20200713155814

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RIVERS FAMILY CHILD CARE	FACILITY NUMBER: 198015763
	VISIT DATE: 02/16/2021

NARRATIVE

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In this investigation it was disclosed to LPA by staff that when child #1 fell there was no sign of injury. Staff checked on child and witnessed the fall but child seemed fine. Staff wrote ouch report but did not notify authorized representative by phone when incident occurred. When authorized representative questioned injury the next day, an ouch report was given but authorized representative refused to take it. Based on interviews, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur, therefore these allegation are unsubstantiated.

Exit interview was conducted with Licensee Terri Rivers, via tele-inspection, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the licensee via email with a read receipt or confirmation of receipt of email, which will act as the licensee's signature

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021

LIC9099 (FAS) - (06/04)

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