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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334812664
Report Date: 01/25/2022
Date Signed: 01/25/2022 01:50:19 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
11/30/2021 and conducted by Evaluator Samuel Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20211130105038
FACILITY NAME:ESCUELA DE LA RAZA UNIDA, INC. CHILD DEV. CTR.FACILITY NUMBER:
334812664
ADMINISTRATOR:ANGELA GREENFACILITY TYPE:
850
ADDRESS:316 NORTH CARLTON AVENUETELEPHONE:
(760) 922-9080
CITY:BLYTHESTATE: CAZIP CODE:
92225
CAPACITY:52CENSUS: 18DATE:
01/25/2022
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Carmela GarnicaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Lack of Supervision - Staff did not provide adequate supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Samuel Lopez and Licensing Program Manager (LPM) Aaron Ross arrived at the facility to conduct an inspection regarding a complaint received concerning the above allegation. LPA and LPM were given access to the facility by the Assiatnat Director Margarita Talamantes. LPA toured the facility and took a census. While touring, Licensee Carmela Garnica arrived and met with LPA and LPM to further discuss the complaint/allegation. Previously, on 12/7/2021, an inspection was conducted regarding the complaint, on that visit, interviews were conducted, and files were reviewed.

The following was alleged: A child was observed with a bruise near the eye, upon being picked up from the facility

The Licensing Program Analyst (LPA) Samuel Lopez investigated the above allegation and gathered the following information: A child did suffer an injury to the face, near the eye.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2022
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 4
Control Number 09-CC-20211130105038
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: ESCUELA DE LA RAZA UNIDA, INC. CHILD DEV. CTR.
FACILITY NUMBER: 334812664
VISIT DATE: 01/25/2022
NARRATIVE
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There were two staff members present when the incident occurred however, in trying to obtain information as to how the injury occurred, different accounts/versions were provided. One version was that the child became upset when their teacher left the classroom. The child climbed on a chair and then onto a table. As the child tried standing on the table, the child lost their balance causing them to fall, face first, onto the floor. This first version was most consistent with the written internal Incident Report that was obtained. However, another version was that the child was trying to sit down on a chair, lost their balance, fell, and hit their face on the table. Yet, another account of the incident was that the child was running, slipped, and hit their face on the table.

Due to the inconsistent accounts/versions of how the incident occurred and although the allegation regarding Lack of Supervision 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 the report was reviewed with the Licensee Carmela Garnica.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4