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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334815272
Report Date: 02/01/2022
Date Signed: 02/01/2022 12:37:58 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
12/10/2021 and conducted by Evaluator Samuel Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20211210105447
FACILITY NAME:VAZQUEZ FAMILY CHILD CAREFACILITY NUMBER:
334815272
ADMINISTRATOR:VAZQUEZ, GLORIA & VICTORFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 534-0231
CITY:RIVERSIDESTATE: CAZIP CODE:
92501
CAPACITY:14CENSUS: 3DATE:
02/01/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Gloria VazquezTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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License – the licensee is not present at the facility during the hours of operation
Lack of Supervision – children are not being supervised while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct an inspection regarding a complaint received concerning the above allegations. LPA was given access to the facility by the Licensee Gloria Vazquez. LPA toured the facility and took a census. LPA met with Gloria to further discuss the complaint/allegations. Previously, on 12/16/2021, an inspection was conducted regarding the complaint, on that visit, interviews were conducted, and files were reviewed.

The following was alleged: The licensee is not always at the facility, during the time children are being picked up, from 5:30pm to 6:00pm. Also, the licensee is gone from the facility for long periods of time during the day. In addition, two children were involved in an incident where one of the children (Child #2), allegedly, grabbed a child (Child #1) by the neck, pulled their hair, and slapped them. Part of the allegation was that this incident was not observed by the licensee and that the two children in question have been involved in other similar incidents.
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: 02/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022
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 2
Control Number 09-CC-20211210105447
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: VAZQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 334815272
VISIT DATE: 02/01/2022
NARRATIVE
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The Licensing Program Analyst (LPA) Samuel Lopez investigated the above allegations and gathered the following information: On 12/9/2021, the children in question were observed, by the licensee, playing and then fighting. Child #2 was described as an aggressive child that likes for play rough or “rough house” with other children in care. Child #1 complained about it. Later in the day, Licensee’s assistant observed the children playing once again. Child #1 complained to the assistant that Child #2 had pulled their hair and when asked, Child #2 did not deny the occurrence. The assistant requested that Child #2 apologize to Child #1. Soon after, the parent of Child #1 arrived and noticed their child visually upset. When the parent asked the assistant that they wanted to speak to the Licensee, the parent was informed that the Licensee was not present. Per Licensee’s own admission, they left the facility due to a personal/family emergency and had just left about 10 to 20 minutes prior to the parent’s arrival. The Licensee then asked how much time was allowed for an assistant be present, while the licensee is away from the facility. LPA Lopez was not able to conduct interviews with all pertinent parties. Also, LPA Lopez, was not able to determine timeframe in which the licensee had been away from the facility. However, LPA informed the Licensee that temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. Also, that she shall ensure that children in care are supervised at all times.

Although the allegations of operating out of the terms of the License and 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.

A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, and the report was reviewed with the Licensee Gloria Vazquez.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2