334820304-8-18-2021-09-CC-GSEA-C69KRD-20210826080742

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334820304
Report Date: 08/18/2021
Date Signed: 08/18/2021 05:01:59 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 ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/11/2021 and conducted by Evaluator Giselle Carbullido

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20210811112107

FACILITY NAME:	STEVENS FAMILY CHILD CARE		FACILITY NUMBER:	334820304
ADMINISTRATOR:	STEVENS, CASSANDRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 907-2645
CITY:	CORONA	STATE: CA	ZIP CODE:	92883
CAPACITY:	14	CENSUS: 10	DATE:	08/18/2021
		UNANNOUNCED	TIME BEGAN:	03:10 PM
MET WITH:	Cassandra Stevens, Licensee		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

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Licensee does not require children to wear a mask.

INVESTIGATION FINDINGS:

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On 08/18/2021 at 3:00 PM Licensing Program Analysts (LPAs) Giselle Carbullido and Sumayya Habeebulla conducted an unannounced visit regarding a complaint received concerning the above allegation. LPAs were given access to the facility by Licensee, Cassandra Stevens. LPAs discussed purpose of visit, took census and toured the facility. LPAs met with Ms. Stevens to further discuss the complaint allegation(s) and deliver findings.
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It was alleged the facility is no longer following Covid-19 guidelines by staff and children by not wearing masks.

At 3:10 pm, LPAs observed staff and children not wearing masks outdoors. Additionally, LPA’s observed children were not socially distancing in either settings. LPAs conducted interviews with staff and children. Interviews revealed school age children are required to wear masks indoors but not outdoors and non -school age children are not wearing masks indoors or outdoors. Licensee interview acknowledged younger children do not wear masks unless a parental request is made.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021

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 09-CC-20210811112107

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: STEVENS FAMILY CHILD CARE	FACILITY NUMBER: 334820304
	VISIT DATE: 08/18/2021

NARRATIVE

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Based on LPAs observation, staff and children interviews, and Licensee’s own admission, the complaint allegation is substantiated, meaning the allegation is valid and the preponderance of the evidence standard has been met.

LPAs provided technical assistance to Licensee by reviewing and providing a copy of the current guidelines (as outlined by the California Department of Public Health) for family child care as follows:

1) California Department of Public Health
a. Guidance for Child Care Providers and Programs
i. Released on June 29, 2021
b. https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Child-Care-Guidance.aspx#

2) California Department of Public Health
a. Guidance for Face Coverings
i. Released on July 28, 2021
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/guidance-for-face-coverings.aspx

An exit interview was conducted, and appeal rights discussed. LPAs provided Licensee with a copy of this report, appeal rights and notice of site visit. A copy of this report must be made available to the public upon request for three years.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021

LIC9099 (FAS) - (06/04)

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