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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334820565
Report Date: 05/06/2020
Date Signed: 05/06/2020 11:07:50 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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/12/2020 and conducted by Evaluator James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20200212102148
FACILITY NAME:GOLD/RODRIGUEZ FAMILY CHILD CAREFACILITY NUMBER:
334820565
ADMINISTRATOR:AMY GOLDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 766-5132
CITY:WINCHESTERSTATE: CAZIP CODE:
92596
CAPACITY:14CENSUS: DATE:
05/06/2020
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:TIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Child in care was sexually abused
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) James Wilkerson contacted Licensee, Amy Gold at the facility via phone to deliver the findings of the investigation into the above allegation based on the investigation report of Community Care Licensing Investigations Branch Investigator, Hector Quintanar.

Community Care Licensing received an allegation that a child stated that he/she had touched an adult's genitalia at the facility. The alleged victim was forensically interviewed by at the Riverside County Children's Assessment Team unit and addtional interviews were conducted by the Riverside County Sheriff's Department and Riverside County CPS. All daycare residence occupants, and daycare staff, were interviewed by Riverside County CPS. From the information received from the interviews, the investigations did not produce evidence to support an allegation of sexual abuse. The case wiil be closed as UNSUBSTANTIATED at this time.

SEE LIC 9099C for continuance of report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE:
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-20200212102148
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: GOLD/RODRIGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 334820565
VISIT DATE: 05/06/2020
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Appeal rights were discussed over the phone with Ms. Gold and she stated that she understands her appeal rights. A copy of this report was emailed to Ms. Gold due to the COVID-19 pandemic on 05/06/20. The report will be emailed with a "read receipt" notification to verify that Ms. Gold did receive the report. LPA requested a return email from Ms. Gold acknowledging that she received the report.

A copy of this report must be made available to the public, upon request for three years.

SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE:
LIC9099 (FAS) - (06/04)
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