334816335-6-7-2021-10-CC-AROS-C5AQ7H-20210726115509

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334816335
Report Date: 06/07/2021
Date Signed: 06/07/2021 01:59:43 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
04/28/2021 and conducted by Evaluator Alaina Wilburn

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20210428134217

FACILITY NAME:	RIVERO FAMILY CHILD CARE		FACILITY NUMBER:	334816335
ADMINISTRATOR:	RIVERO, YOLANDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 654-7957
CITY:	SAN JACINTO	STATE: CA	ZIP CODE:	92582
CAPACITY:	14	CENSUS: 5	DATE:	06/07/2021
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Yolanda Rivero		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Licensee did not adhere to child's special diet.

Licensee is not present enough in facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced tele-inspection complaint visit, due to COVID-19. LPA met with Licensee Yolanda Rivero via FACETIME, to deliver findings on the above mentioned allegations. LPA observed 5 children in care at time of visit.

Investigation consisted of interviews with Licensee and pertinent parties.

Investigation revealed the following; During interviews with facility staff, they denied ever giving Child #1 (C1) whole milk. Licensee advised she only served C1 lactose free milk, and the Assistant is aware of the C1's special dietary needs. In addition, Licensee advised she only leaves the facility to run quick errands to the store or to pay a bill, and she makes sure the ratio is satisfactory for the Assistant. The Assistant confirmed all of this information. The facility only has small children, who were unable to be interviewed. There are two school age children, but they are related to the Licensee. LPA attempted to interview two School Age children, but the parent declined the interviews on behalf of the children.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2021

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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Control Number 10-CC-20210428134217

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: RIVERO FAMILY CHILD CARE	FACILITY NUMBER: 334816335
	VISIT DATE: 06/07/2021

NARRATIVE

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Although the allegation regarding (1. Licensee did not adhere to child's special diet. 2. Licensee is not present enough in facility) 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.

Exit interview conducted.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2021

LIC9099 (FAS) - (06/04)

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