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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334812819
Report Date: 07/16/2024
Date Signed: 07/16/2024 10:59:54 AM

Unsubstantiated


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
06/12/2024 and conducted by Evaluator Sumayya Habeebulla
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240612152759
FACILITY NAME:FSA-HEMLOCK CDCFACILITY NUMBER:
334812819
ADMINISTRATOR:CYNTHIA OLIVAS FLETCHERFACILITY TYPE:
850
ADDRESS:23270 HEMLOCK AVE.TELEPHONE:
(951) 243-3192
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92557
CAPACITY:110CENSUS: 59DATE:
07/16/2024
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Cynthia OlivasTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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- Facility licensee is not providing a comfortable indoor temperature for
children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sumayya Habeebulla arrived at the facility for the purpose of conducting a subsequent complaint visit, which includes concluding the investigation and delivering the investigation findings regarding the compliant investigation initiated on 06/12/24. LPA met with Director Cynthia Olivas and discussed the above allegation.

On 06/18/24 LPA Habeebulla conducted interviews with 4 staff members including the facility director. Along with the interviews, the investigation revealed that:

See LIC 9099C for continuation.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya HabeebullaTELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
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-20240612152759
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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: FSA-HEMLOCK CDC
FACILITY NUMBER: 334812819
VISIT DATE: 07/16/2024
NARRATIVE
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The allegation is Facility licensee is not providing a comfortable indoor temperature for
children in care. Interviews revealed that the facility air conditioner unit began to malfunction sometime in the month of May, so the Facility Director contacted the maintenance service for the facility, and they sent out an air conditioner technician. The AC unit then started to function once again the following day and finally gave out in the afternoon. The technician was notified of the issue and when evaluated it was determined that the HVAC system required to be replaced. Further interviews revealed that the Facility Director was closely monitoring the temperatures to ensure it did not reach uncomfortable temperature and portable cooling systems were brought in on May 30th for Rooms 3 & 6. On 05/31/24, wall fans were purchased and installed in all classrooms. LPA confirmed that all classrooms were set up with portable cooling units on June 11th and A/C floor units were also ordered due to the delay in obtaining approval for purchase of the HVAC system. LPA also verified that staff were keeping track of the temperature in all classrooms and maintained logs to ensure they met licensing regulation requirements. As per the staff and facility director, the children were at no time distressed due to the temperature and the classroom temperatures did not exceed 85 degrees at any point in the weeks of June. In July when the temperatures began to soar, the children were relocated to other classrooms to maintain a safe and comfortable environment. The HVAC units were installed on July 1st and as per the Facility program administrator, the temperatures have been recorded as between 72 and 78 degrees in July. The new HVAC unit was installed on July 1st , 2024 and the children were back in Room 6 and Room 3 on July 8th after verifying the units were functioning properly in the respective classrooms.

From the information received by interviews with staff, and facility documents the above allegation cannot be verified. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya HabeebullaTELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2