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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334819141
Report Date: 02/10/2022
Date Signed: 02/10/2022 09:50:22 AM



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
10/27/2021 and conducted by Evaluator Taadhimeka Zeigler
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20211027155005
FACILITY NAME:RAMIREZ-RUIZ FAMILY CHILD CAREFACILITY NUMBER:
334819141
ADMINISTRATOR:RAMIREZ-RUIZ, NUBIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 795-9646
CITY:CALIMESASTATE: CAZIP CODE:
92320
CAPACITY:14CENSUS: 6DATE:
02/10/2022
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Nubia Ramirez-RuizTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Daycare child was inappropriately touched while in care.
INVESTIGATION FINDINGS:
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On 02/10/2022, Licensing Program Analyst (LPA) Taadhimeka Zeigler conducted an inspection to deliver complaint findings for the above allegation. The investigation was initiated on 10/29/2021 by LPAs Destinee Hogue and Laura Mejorado. The purpose of today’s inspection was discussed, census was taken, and a tour of the facility was conducted.

The finding is based on the investigation conducted by the Investigations Branch (IB) of Community Care Licensing assigned to Investigator, Georgina Tallagua, in collaboration with other official agencies.

During the course of the investigation, records were reviewed, documents were obtained, interviews were conducted, and observations were made. Con't on LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
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-20211027155005
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: RAMIREZ-RUIZ FAMILY CHILD CARE
FACILITY NUMBER: 334819141
VISIT DATE: 02/10/2022
NARRATIVE
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Regarding the allegation that a day care child was inappropriately touched while in care, facility staff denied the allegation. Children interviews were conducted; however, due to their ages and inability to communicate and/or be qualified for interviews, the investigator was not able to corroborate or negate the allegation. Medical documentation obtained during the investigation did not confirm or deny the allegation.

Based on the information obtained during this IB investigation, it has been determined that although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Licensee, Appeal Rights were discussed and issued, a copy of this report was provided, and a Notice of Site Visit was issued.

The Notice of Site Visit (LIC 9213) shall be posted where the parent/guardian of children enter and exit the facility. The Notice of Site Visit (LIC 9213) must remain posted for 30 days.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2