334816075-10-7-2019-09-CC-GSEA-BHP2UV-20191106164256

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334816075
Report Date: 09/17/2019
Date Signed: 10/07/2019 07:22:47 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
09/13/2019 and conducted by Evaluator Diana Brasel

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20190913103947

FACILITY NAME:	PVUSD-EARLY CHILDHOOD PROGRAM		FACILITY NUMBER:	334816075
ADMINISTRATOR:	MARIA SANTOS		FACILITY TYPE:	850
ADDRESS:	295 EAST CHANSLORWAY		TELEPHONE:	(760) 922-8454
CITY:	BLYTHE	STATE: CA	ZIP CODE:	92225
CAPACITY:	160	CENSUS: 104	DATE:	09/17/2019
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Cindy Floyd/Acting Director		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff hit child.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Due to computer problems a handwritten copy was provided on the date and time listed above. The following is the exact verbage that was provided on the report given to Cindy Floyd on the above date.
Licensing Program Analyst (LPA's) Diana Brasel and Nelson Zuniga conducted an on-site investigation into the above allegation. LPA's met with Cindy Floyd to discuss the alleged allegation and gather information. Interviews were conducted on the above noted date with staff and children. The staff in quiestion denied the above allegation. Conflicting information was obtained from the interviews that were conducted on today's visit. The Department has investigated the above allegation and although it may have happened or been valid, there is not a preponderance of the evidence to prove that the alleged violaiton occurred. As of January 1, 2017, the term "inconclusive" is no longer used to refer to the outcome of certain complaint investigations. Such complaint allegations are now deemed "unsubstantiated". This document has not this change and for puposes of this complaint, investigation the Department's finding is that this allegtion was unsubstantiated.
Exit interview was conducted and a copy of this report was provided.
A Notice of Site Visit issued and shall be posted for 30 days.
Appeal rights were provided and a copy of this report must be available to the public for three years.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Diana Brasel	TELEPHONE: 951-782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2019

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 1