334819319-7-22-2022-10-CC-PBER-CGPQB8-20220726120103

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334819319
Report Date: 07/22/2022
Date Signed: 07/22/2022 10:09:15 AM

Unsubstantiated

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
04/29/2022 and conducted by Evaluator Andrea Taylor

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20220429101630

FACILITY NAME:	GUTIERREZ FAMILY CHILD CARE		FACILITY NUMBER:	334819319
ADMINISTRATOR:	GUTIERREZ, ROSEMARY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 301-3808
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92563
CAPACITY:	14	CENSUS: 3	DATE:	07/22/2022
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Rosemary Gutierrez-Licensee		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Day care child was inappropriately touched by another day care child.
Day care provider did not adequately supervise day care children.

INVESTIGATION FINDINGS:

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The purpose of this inspection was to conduct a Complaint Investigation of the facility. On 4/29/22 a complaint was filed with the Licensing office. The overall census observed was 3 children. A review of criminal clearance records on this date indicates that all individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During prior inspection on 5/4/22 LPA Taylor conducted interviews and obtained a current children’s roster.

During prior inspection on 5/18/22 LPA Taylor conducted interviews and reviewed records.

During the course of the investigation, interviews with persons pertinent to the investigation and record reviews the allegation a child in care touched another child in care inappropriately the information gathered is conflicting.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Andrea Taylor	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2022

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-20220429101630

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: GUTIERREZ FAMILY CHILD CARE	FACILITY NUMBER: 334819319
	VISIT DATE: 07/22/2022

NARRATIVE

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Although the allegation 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.

During the course of the investigation, interviews with persons pertinent to the investigation and record reviews and Licensing Program Analyst (LPAs) observation the allegation of inadequate supervision resulting in a child in care touched another child in care inappropriately there is conflicting information.

Although the allegation 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.

In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Andrea Taylor	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2022

LIC9099 (FAS) - (06/04)

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