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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334812764
Report Date: 06/05/2020
Date Signed: 06/05/2020 04:19:39 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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/23/2020 and conducted by Evaluator Lakesha Edwards
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20200423082259

FACILITY NAME:JONES FAMILY CHILD CAREFACILITY NUMBER:
334812764
ADMINISTRATOR:JONES, BRENDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 924-1052
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92557
CAPACITY:14CENSUS: 3DATE:
06/05/2020
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Brenda Jones-LicenseeTIME COMPLETED:
09:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left child unattended for a period of time
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Regarding Allegation 2: Staff left child unattended for a period of time: It was reported that one day (exact date unknown) the reporting party (RP) arrived earlier than normal to the facility to pick up a child. RP stated she noticed a child was lying on the changing table crying left unattended. LPA asked the RP if they had discussed this with the licensee or the licensee’s husband or the assistant worker? The RP stated they never mentioned it, she just thought it was strange. LPA interviewed the licensee, the licensee’s husband and the assistant worker regarding this allegation and what their normal protocol is when changing infants. All 3 individuals stated they have never left any child(ren) unattended while changing a diaper. Based on interviews conducted and the information gathered during the investigation, it could not be determined if a child was left unattended. 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.

Due to the COVID-19 State of Emergency, this report was completed via Tele-Inspections Report Delivered via email.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lakesha EdwardsTELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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