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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334819620
Report Date: 01/24/2020
Date Signed: 01/24/2020 11:40:31 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
11/18/2019 and conducted by Evaluator Carlos Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20191118142726
FACILITY NAME:MACIEL FAMILY CHILD CAREFACILITY NUMBER:
334819620
ADMINISTRATOR:MACIEL, MARINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 343-5924
CITY:THOUSAND PALMSSTATE: CAZIP CODE:
92276
CAPACITY:14CENSUS: 4DATE:
01/24/2020
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Marina Maciel, LicenseeTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Provider uses inappropriate forms of discipline with children.
INVESTIGATION FINDINGS:
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LPA, Carlos Martinez, made a subsequent unannounced complaint investigation visit to deliver the findings for the above referenced allegation. LPA met with Marina Maciel, Licensee, who was informed of the decision rendered.


Per interviews conducted, eye witness accounts and admission by the licensee, LPA Martinez was able to corroborate allegation that the provider used innapropriate forms of discipline with children. During interview, Maciel confirmed that she had sprayed water on a child's face on (2) seperate occassions, but denied using any other form of discipline. This allegation was also corroborated via information received by an indivdual who was a direct witness and physically observed the licensee in the act. Therefore, based on the information collected, the allegation is SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos MartinezTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
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 5
Control Number 09-CC-20191118142726
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: MACIEL FAMILY CHILD CARE
FACILITY NUMBER: 334819620
VISIT DATE: 01/24/2020
NARRATIVE
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Exit interview was conducted with Marina Maciel, Licensee, appeal rights were explained, and a Notice of Site Visit was issued and must be posted for 30 days.

A copy of this report was provided to the facility. This report must be made available for public review for 3 years upon request.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos MartinezTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
LIC9099 (FAS) - (06/04)
Page: 4 of 5
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
11/18/2019 and conducted by Evaluator Carlos Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20191118142726

FACILITY NAME:MACIEL FAMILY CHILD CAREFACILITY NUMBER:
334819620
ADMINISTRATOR:MACIEL, MARINAFACILITY TYPE:
810
ADDRESS:30980 CALLE JESSICATELEPHONE:
(760) 343-5924
CITY:THOUSAND PALMSSTATE: CAZIP CODE:
92276
CAPACITY:14CENSUS: 4DATE:
01/24/2020
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Marina Maciel, LicenseeTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Provider administering unauthorized medication to children
INVESTIGATION FINDINGS:
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LPA, Carlos Martinez, made a subsequent unannounced complaint investigation visit to deliver the findings for the above referenced allegation. LPA met with Marina Maciel, Licensee, who was informed of the decision rendered.


It was alleged, that the provider was administering medication to children, therefore, during inspection of the home, LPA Martinez focused specifically on the storage of medication during complaint investigation visit. LPA observed that the Licensee kept her medications locked in the kitchen pantry, and upon inspection, did not observe any medication from Mexico, including any medication used to help children sleep. LPA Martinez noted that there was medication for children (Ibuprofen- Motrin), but it did not belong to the children in care. Maciel denied allegation, and without any physical evidence and/or eye witnesses, LPA was unable to corroborate allegation. Therefore, the allegation that the provided is administering unauthorized medication to children is UNSUBTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos MartinezTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 09-CC-20191118142726
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: MACIEL FAMILY CHILD CARE
FACILITY NUMBER: 334819620
VISIT DATE: 01/24/2020
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.

An exit interview was conducted. A copy of this report was provided to the facility.

This report must be made available for public review for 3 years upon request.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos MartinezTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 09-CC-20191118142726
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: MACIEL FAMILY CHILD CARE
FACILITY NUMBER: 334819620
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/07/2020
Section Cited
CCR
102423(a)(4)
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PERSONAL RIGHTS:

Each child receiving services from a family child care home and shall be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other
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Licensee to refrain from using any type of discipline that violates children's personal rights, and will review the Regulation on Personal Rights (102423). Once regulation is reviewed, the LIcensee will provide a statement to CCL by POC due date, stating that they understand that children in care shall be free from corporal and/or unusual
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actions of a punitive nature regardless of consent or authorization from the child's authorized representative. This requirement was not met as evidenced by: Investigation revealed that the Licensee sprayed water on a child's face on (2) seperate occassions as a form of discipline.
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punishmet while providing care to children.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos MartinezTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
LIC9099 (FAS) - (06/04)
Page: 5 of 5