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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330929388
Report Date: 12/20/2023
Date Signed: 12/20/2023 10:14:06 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 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
12/06/2023 and conducted by Evaluator Jeanette Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20231206155319
FACILITY NAME:MC PETERS FAMILY DAY CAREFACILITY NUMBER:
330929388
ADMINISTRATOR:MC PETERS, LFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 393-6803
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY:14CENSUS: 8DATE:
12/20/2023
UNANNOUNCEDTIME BEGAN:
09:18 AM
MET WITH:Loretta Mc Peters TIME COMPLETED:
10:23 AM
ALLEGATION(S):
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Licensee did not ensure reporting requirements were followed
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to deliver final investigative findings for the allegation as listed above. An initial complaint inspection was conducted on 12/12/2023. During the investigation, LPA reviewed facility and children records and conducted interviews.

On 12/6/2023, a complaint allegation was reported to Community Care Licensing (CCL) alleging that the licensee did not ensure reporting requirements were followed.

During the interview with licensee, LPA confirmed that an incident was reported to Child Protective Services (CPS) on 11/21/2023. The incident in question allegedly took place at the facility. Licensee failed to report the incident to CCL. While licensee states it was due to a misunderstanding, it is known to CCL that another agency talked to licensee about reporting incident to CCL.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
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 5
Control Number 10-CC-20231206155319
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MC PETERS FAMILY DAY CARE
FACILITY NUMBER: 330929388
VISIT DATE: 12/20/2023
NARRATIVE
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Based on LPA's interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

See LIC 9099-D deficiencies.

An exit interview was conducted, and this report was reviewed with Licensee Loretta Mc Peters. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20231206155319
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MC PETERS FAMILY DAY CARE
FACILITY NUMBER: 330929388
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/05/2024
Section Cited
CCR
102416.2(b)(3)(C)
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The licensee shall report to the Department any of the events...Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement was not met as evidenced by:
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Licensee will submit to CCL a written, signed and dated statement acknowledging understanding of reporting requirements.
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Licensee reported to CPS an alleged incident that occured at the facility but did not report to CCL. This poses 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: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 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
12/06/2023 and conducted by Evaluator Jeanette Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20231206155319

FACILITY NAME:MC PETERS FAMILY DAY CAREFACILITY NUMBER:
330929388
ADMINISTRATOR:MC PETERS, LFACILITY TYPE:
810
ADDRESS:81-250 SIROCCO AVENUETELEPHONE:
(760) 393-6803
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY:14CENSUS: 8DATE:
12/20/2023
UNANNOUNCEDTIME BEGAN:
09:18 AM
MET WITH:Loretta Mc Peters TIME COMPLETED:
10:23 AM
ALLEGATION(S):
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9
Licensee did not provide care and supervision resulting in a child inappropriately touching another child.
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to deliver final investigative findings for the allegation as listed above. An initial complaint inspection was conducted on 12/12/2023. During the investigation, LPA reviewed facility and children records and conducted interviews.

On 12/6/2023, a complaint allegation was reported to Community Care Licensing (CCL) alleging that licensee did not provide care and supervision resulting in a child inappropriately touching another child.

On 12/12/2023, LPA conducted interviews of staff and children. Not one interview was able to corroborate the allegations. Furthermore, staff denied leaving children unsupervised at any time, citing sufficient staff support.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20231206155319
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MC PETERS FAMILY DAY CARE
FACILITY NUMBER: 330929388
VISIT DATE: 12/20/2023
NARRATIVE
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LPA made several unsuccessful attempts to speak with the parent of and with the child who was allegedly touched inappropriately.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove
the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted, and this report was reviewed with Licensee Loretta Mc Peters. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5