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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334830482
Report Date: 02/01/2022
Date Signed: 02/01/2022 05:02:26 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
01/28/2022 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220128122644
FACILITY NAME:CHILDRENS LIGHTHOUSE OF RIVERSIDE, CAFACILITY NUMBER:
334830482
ADMINISTRATOR:JANICE WILSONFACILITY TYPE:
840
ADDRESS:19743 LURIN AVENUETELEPHONE:
(951) 653-6688
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY:30CENSUS: 17DATE:
02/01/2022
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Bonnie Acosta Director and Abree Fuentes OwnerTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Covid masking protocols are not being followed
Covid 19 reporting protocols are not being followed.
INVESTIGATION FINDINGS:
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On 02/01/2022 at 2:30PM Licensing Program Analyst (LPA) Giselle Carbullido conducted an unannounced visit regarding a complaint received concerning the above allegations. LPA was given access to the facility by Director , Bonnie Acosta and Owner Abree Fuentes. LPA discussed purpose of visit, took census and toured the facility. LPA met with Ms. Acosta to further discuss the complaint allegation(s) and deliver findings.
It was alleged the facility is not following Covid-19 guidelines for masks by staff and children nor reporting COVID incidents to California Department of Public Health (CDPH) or California Department of Social Services (CDSS) as required.

At 2: 45 PM LPA observed school age arrive and not required to wear masks. LPA conducted interviews with staff and management. Interviews revealed that staff considered face masks for children to be optional and required for staff. Staff interviews also acknowledged that some parents are divided on mask wearing and the facility makes attempts to meet their requests. Interviews also revealed that staff have not worn masks consistently and that recently staff have been instructed to so to make Parents more comfortable.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022
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 4
Control Number 09-CC-20220128122644
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: CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA
FACILITY NUMBER: 334830482
VISIT DATE: 02/01/2022
NARRATIVE
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Additionally, staff and management interviews revealed not knowing or implementing current guidance from CDPH for face coverings. Management interviews disclosed not reporting to CDPH or CDSS for COVID incidents occurring at the facility.

Based on evidence gathered and staff interviews the complaint allegations are substantiated, meaning the allegation is valid and the preponderance of the evidence standard has been met.

LPA 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 and updated January 5, 2022
b. https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/guidance-for-face-coverings.aspx
3) Face mask question and answer Updated January 31, 2022
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Face-Coverings-QA.aspx
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 09-CC-20220128122644
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: CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA
FACILITY NUMBER: 334830482
VISIT DATE: 02/01/2022
NARRATIVE
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An exit interview was conducted, and appeal rights discussed. LPA 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 SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 09-CC-20220128122644
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: CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA
FACILITY NUMBER: 334830482
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/03/2022
Section Cited
CCR
101212(d)(1)
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 101212(d) Reporting requirements-(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and …. This requirement is not met as evidenced by:
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Facility Director and Owner will submit individual statement of understanding for Reporting requirements and how they will comply with reporting to CDSS and CDPH.

* LPA provided copy of reporting requirements to facility Director and discussed Unusual Incident Report LIC624.
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Based on staff interviews conducted and management admission facility failed to report COVID incidents as required. This poses a potential health and safety risk to children in care.
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Facility will also submit letter for COVID exposure for children and submit to LPA Carbullido by POC due date of 02/04/2022
Type B
02/04/2022
Section Cited
CCR
101223(a)(2)
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101223(a)(2) Personal Rights
2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement is not met as eveidenced by:
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Facility will post additional signs at facility for mask wearing and implement CDPH face mask guidance including email notification to parents. Facility will send pictures of additional signs, letter to parents to LPA Carbullido at giselle.carbullido@dss.ca.gov.
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Based on LPA observation and staff interviews, the facility is not following COVID-19 best practices for mask wearing by children or staff This poses a potential health and safety risk for children in care.
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Facility will hold a staff meeting to review CDPH guidance for child care and face coverings and submit staff attendance list to the Department. Facility will complete these items by POC due date of 02/04/2022.
* LPA provide copies of current CDPH guidance to facility Director and Owner.
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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4