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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334806776
Report Date: 07/06/2023
Date Signed: 07/06/2023 11:12:05 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
06/16/2023 and conducted by Evaluator Courtnee Peebles
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230616135456
FACILITY NAME:MURRIETA VALLEY USD/CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334806776
ADMINISTRATOR:KATHLEEN ISRAELSENFACILITY TYPE:
850
ADDRESS:24300 LAS BRISAS ROADTELEPHONE:
(951) 696-2183
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:132CENSUS: 63DATE:
07/06/2023
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Kathleen IsraelsenTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff do not adequately supervise child's behavior.
INVESTIGATION FINDINGS:
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On July 6 2023, at 10:14 am, Licensing Program Analyst (LPA), Courtnee Peebles arrived unannounced to MURRIETA VALLEY USD/CHILD DEVELOPMENT CENTER (CCC) and met with director, Kathleen Israelsen to discuss the investigative finding of the allegation listed above. On this date, at 10:14 am, LPA conducted a tour and census of the CCC. During the investigation, LPA conducted confidential interviews with 4 staff (S1, S2, S3, S4) 1 child (C1) and 1 parent (P1).

On June 16, 2023, a complaint was received alleging CCC Staff do not adequately supervise child's behavior. Confidential interviews with parents, staff and child disclosed that C1 has been in classroom 10 for three years. Classroom 10 occupies three- and four-year olds, while C1 is five years old. C1 was placed in classroom 11, however because the staff could not handle C1’s behavior he was placed back in classroom 10. There is no record on file to show the staff in classroom 11 have tried to work with C1’s behavior in classroom 11. There have been multiple occasions where C1 has had behavioral issues including kicking, biting, and scratching towards both staff and other children.

Based on confidential interviews conducted during the investigation, the preponderance of evidence standard has been met and the allegation that Staff do not adequately supervise child's behavior have been made substantiated. A copy of this report and appeal rights were given and explained to Kathleen Israelsen.
Substantiated
Estimated Days of Completion: 16
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Courtnee PeeblesTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
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-20230616135456
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: MURRIETA VALLEY USD/CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 334806776
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/10/2023
Section Cited
HSC
101229(a)
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Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.
This requirment has not been met as evidence by...
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Director stated she will provide Licensing with a waiver for C1 to stay in classroom 11 with younger children ages 3 to 4. Director also stated she will provide additional staff in classroom 11 to supervise and ensure the safety of all children.
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Based on interviews and record review, the licensee did not comply with the section cited above which 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.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Courtnee PeeblesTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2