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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334813056
Report Date: 10/13/2023
Date Signed: 10/13/2023 11:07:52 AM

Unsubstantiated


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
08/16/2023 and conducted by Evaluator Lorena Valenzuela
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230816152805
FACILITY NAME:NEGRON FAMILY CHILD CAREFACILITY NUMBER:
334813056
ADMINISTRATOR:NEGRON, ANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 698-6663
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:14CENSUS: 5DATE:
10/13/2023
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Anna Lorena NegronTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Provider left daycare children unattended.
INVESTIGATION FINDINGS:
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On 10/13/2023, Licensing Program Analyst (LPA) Lorena Valenzuela met with Anna Lorena Negron to deliver the findings of the complaint investigation for the above allegation. The investigation included an inspection of family childcare home and a review of records on 08/17/2023. In addition, LPA interviewed licensee, assistant, and other relevant parties.
On 08/16/2023, Community Care Licensing (CCL) received information that the childcare provider left day care children unattended. It was reported on one occasion, the licensee was observed to not be in the home and children were left in the home with an adult who was upstairs, but not attending to the children downstairs.
Confidential interviews revealed the licensee was observed leaving the home and the children in care unattended on one or more occasions. Witness interviews revealed the licensee does leave the home temporarily to pick up children from school or for personal appointments, however, licensee ensures that children are under the care of an assistant.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Lorena ValenzuelaTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
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-20230816152805
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: NEGRON FAMILY CHILD CARE
FACILITY NUMBER: 334813056
VISIT DATE: 10/13/2023
NARRATIVE
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Based on interviews and records review, the allegation that provider left day care children unattended, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time.

A copy of this report, appeal rights and Notice of Site Visit were provided to Licensee, Anna Lorena Negron.

The Notice of Site Visit was posted by the licensee prior to LPA leaving the facility and the licensee was reminded this notice must be posted for 30 days.
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Lorena ValenzuelaTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2