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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334809551
Report Date: 11/23/2020
Date Signed: 12/16/2020 04:39:10 PM



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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/15/2020 and conducted by Evaluator Sharleen Robinson
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20201015103559
FACILITY NAME:MARTHA'S VILLAGE & KITCHENFACILITY NUMBER:
334809551
ADMINISTRATOR:ROSA VERDUZCOFACILITY TYPE:
830
ADDRESS:83-791 DATE AVENUETELEPHONE:
(760) 347-4741
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY:23CENSUS: 7DATE:
11/23/2020
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maria Beltran and Rosa Verduzco, DirectorsTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Personal Rights: Staff held child while forcing child to put mask on for a long period of time
on more than one occasion.
INVESTIGATION FINDINGS:
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**This is an amended report of the Complaint Investigation Report issued on 11/23/2020. The finding of the complaint remain the same Unsubstantiated.** Due to COVID-19, Licensing Program Analyst (LPA) Sharleen Robinson conducted a Tele-inspection with Directors Maria Beltran and Rosa Verduzco, for the purpose of delivering findings of this complaint that was initiated October 16, 2020. LPA met with the Directors, via Zoom, (facility toured virtually) there were 7 children in care. It was alleged Staff held child while forcing child to put mask on for a long period of time on more than one occasion.

During the investigation, LPA Robinson reviewed facility documentation, conducted interviews with relevant individuals pertinent to this investigation. It was alleged that on or about July 7, 2020 an observation was made while entering a child’s classroom and observed a staff member “hovering over the child, pinning the child in the little kitchen, telling the child to put on their mask”. The child was crying, the staff member told the child they were not allowed to play until they put their mask on. An individual spoke with the Directors, they assured the individual they were working with staff on encouraging children to wear masks, not forcing children to wear a mask. See LIC9099C for the remainder of the report>>>>>>
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 233-7183
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2020
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 09-CC-20201015103559
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MARTHA'S VILLAGE & KITCHEN
FACILITY NUMBER: 334809551
VISIT DATE: 11/23/2020
NARRATIVE
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On or about September 24, 2020 allegedly an individual observed a staff member holding the child on their lap, the child was crying at the top of their lungs and wiggling to get away. Allegedly, the child was being held on the staff members lap for more than 15 minutes, the staff tried to force the child to put on the mask”. The directors stated they are encouraging the children to wear mask.

During staff interviews, it was disclosed on or about July 7, 2020 a staff member verbally encouraged a child to wear their mask, staff deny cornering a child in a corner threatening the child that they could not go out to play unless they wore the mask. On or about September 24, 2020 staff recall letting the child sit on their lap while they encouraged the child to wear their mask for approximately 1-2 minutes. On or about July 7, 2020 it was disclosed that staff did not witness another staff member cornering a child in a corner threatening the child that they could not go out to play unless they wore the mask. On or about September 24, 2020 it was disclosed that other staff witnessed the staff member holding the child on their lap for approximately 3-5 minutes, the child was crying very loud and appeared to be scared. For discipline the facility use time out and verbally redirect children. The subject child was not interviewed by California Department of Social Services Child Care Licensing Division due to being unavailable.

LPA learned the subject child was not taken to seek medical attention. On or about June 19, 2020 Facility forwarded a letter to all parents asking all parents to encourage children to wear a mask, the facility provided mask for all children. The facility advised parents that staff would also encourage children to wear mask. The facility provided parents with the department of public health guidance and direct phone number. Facility provided training to staff, during the training staff were advised to verbally encourage children to wear mask and to try putting mask ear straps on children’s ears to get children familiar with the mask.

There were conflicting statements regarding Staff holding child while forcing a child to put mask on for a long period of time, on more than one occasion. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated at this time.

An exit interview was conducted via Zoom notice of site visit posted and verified via Zoom. LPA Robinson provided the Director with a copy of this report via email with an electronic “read receipt”. The electronic read receipt of the emailed report acknowledges receipt of this report and appeal rights. A copy of this report was emailed to the Director during this Tele-inspection on December 16, 2020. No Deficiencies cited at this time.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 233-7183
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2020
LIC9099 (FAS) - (06/04)
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