330908141-9-13-2023-10-CC-PBER-CW2LJW-20230926084837

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 330908141
Report Date: 09/13/2023
Date Signed: 09/13/2023 02:33:47 PM

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
08/23/2023 and conducted by Evaluator Anastasia Flores

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20230823144457

FACILITY NAME:	V.I.P. TOTS		FACILITY NUMBER:	330908141
ADMINISTRATOR:	DEBBIE HANEY		FACILITY TYPE:	850
ADDRESS:	41915 E. ACACIA AVENUE		TELEPHONE:	(951) 652-7611
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	63	CENSUS: 37	DATE:	09/13/2023
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Kingsley Bouldin		TIME COMPLETED:	02:24 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff allow day care children to use equipment that is not age appropriate
Unqualified staff are providing care and supervision to day care children

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On September 13, 2023, at 1:40 PM, Licensing Program Analyst (LPA) Anastasia Flores, met with Director of Education, Kinglsey Bouldin to deliver the findings of the above stated allegations. On August 31, 2023, at 1:43 PM, LPA conducted a health and safety inspection, and no immediate concerns were observed. Copies of staff roster, photos of infant/toddler playground, and unusual incident report dated 9/05/23 were obtained. LPA reviewed staff files and conducted interview with Site supervisor.

On August 23, 2023, this agency received allegation that staff allow day care children to use equipment that is not age appropriate. Interview with staff #1 (S1) disclosed that the playground in question is currently not being used due to the equipment is not age appropriate. LPA observation on 8/31/23 revealed the playground was taped off and was not being used. Records received 09/05/23, revealed that the playground in question has not been used since July 1, 2023 and the playground was made inaccessible to children in care. (continued on next page)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia Flores	TELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

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-20230823144457

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: V.I.P. TOTS	FACILITY NUMBER: 330908141
	VISIT DATE: 09/13/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

An additional allegation that unqualified staff are providing care and supervision to day care children. Interview with staff #1 (S1) disclosed that the staff #2 (S2) had recently made changes to the infant/toddler room due to some staff not having the qualifications to meet Title 5 regulations. On 8/31/23, LPA conducted record review of five out of five staff files, that met the qualifications to be in an infant and toddler classroom.

Based on interview, record review and due to lack of corroboration from reporting party, the allegations that Staff allow day care children to use equipment that is not age appropriate and Unqualified staff are providing care and supervision to day care children, may have occurred, however, it is not supported or proven by evidence. Therefore, the allegations are unsubstantiated. A copy of this report, appeal rights and Notice of Site Visit were provided to Director.

The Notice of Site Visit will be posted by the Director prior to LPA leaving the facility and the Director was reminded this notice must be posted for 30 days.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia Flores	TELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2