<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334817477
Report Date: 03/29/2023
Date Signed: 03/29/2023 03:48:34 PM

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
02/15/2023 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230215163329
FACILITY NAME:FIGUEROA FAMILY CHILD CAREFACILITY NUMBER:
334817477
ADMINISTRATOR:FIGUEROA, CARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 656-2199
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY:14CENSUS: 13DATE:
03/29/2023
UNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Carmen FigueroaTIME COMPLETED:
03:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unexplained injury to child.

Parents Rights were violated.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At 3:05PM, on March 29, 2023, Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced complaint visit, to deliver findings on the above stated allegations.

Investigation consisted of: review of records and interviews with the Licensee and pertinent parties.

On 02/15/2023, a complaint was received by the Community Care Licensing (CCL) office alleging that an unexplained injury to child occurred and Parents Rights were violated. LPA conducted a review of the Child #1’s (C1) file and verified that a few incidents did occur where C1 sustained minor injuries. On 09/02/22, C1 was scratched on the cheek by another child, as a result of children not sharing and taking turns with a toy. On 10/26/22, C1 was scratched on the cheek by another child, as they were battling over who enters a play structure first. On 0210/23, C1 was coloring and a crayon fell to the ground. C1 got off the chair, to pick up crayon. When C1 lifted up, C1 bumped lip on the table. LPA confirmed through interviews with Licensee and parents, review of Ouch Reports with signed confirmation and screen shots of text messages that the parents
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
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-20230215163329
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: FIGUEROA FAMILY CHILD CARE
FACILITY NUMBER: 334817477
VISIT DATE: 03/29/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
were notified of the occurrences and provided copies of Ouch Reports that explained what happened. In addition, per interviews conducted with Licensee and parents, the incident involving C1, where child bumped lip on table, was observed by the licensee who stated she was unable to prevent it from happening as it was an accident. Licensee applied ice to C1’s lip and sent pictures to the mother immediately after the incident occurred. LPA observed a copy of the picture showing the lip injury of C1 on 02/17/23, which shows a small bump on lip. Per interview with mother of C1, it was a bump on C1’s lip, not a busted lip.
A review of the court order between parents of C1 dated 04/13/2022, revealed there was a stipulation addressing Holidays, which did not include Valentine's Day, as it is not a state recognized holiday. There was an agreement between both parents on 02/14/23, where the co-parent with physical custody, (the mother of C1) extended the day as a courtesy to allow the co-parent (father) to spend time with the child on this day. During drop off that morning around 6:30AM, the mother of C1 informed Licensee that the father would be picking C1 up at 1:30PM. However, due to a disagreement, the courtesy was terminated by the mother of C1. Consequently, during the course of the morning, mother verbally communicated with Licensee that there may be a change to the plan. Then at 11:25AM, Licensee received a text by mother that she was terminating the arrangement. When the father arrived to pick up C1 at 1:00PM, the Licensee honored what she was advised of by mother to not allow father to pick C1 up from the day-care. Based on the evidence included in the court order and interview with mother of C1 confirming the directions given to the licensee, LPA determined that there was no violation of the parent’s rights.

Based on interviews conducted and records review, the allegations that an unexplained injury to child and Parents Rights were violated, may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegations are UNSUBSTANTIATED at this time.

Exit interview conducted. A copy of this report and appeal rights were discussed and provided to the Licensee Carmen Figueroa on this date.

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.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2