334830676-4-25-2023-09-CC-GSEA-CREK3R-20230501073306

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334830676
Report Date: 04/25/2023
Date Signed: 04/25/2023 02:44:37 PM

Substantiated

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
01/24/2023 and conducted by Evaluator Giselle Carbullido

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20230124122555

FACILITY NAME:	DIAZ FAMILY CHILD CARE		FACILITY NUMBER:	334830676
ADMINISTRATOR:	DIAZ, LORENA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 785-8978
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92505
CAPACITY:	14	CENSUS: 4	DATE:	04/25/2023
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Lorena Diaz, Licensee		TIME COMPLETED:	02:50 PM

ALLEGATION(S):

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Sexual Abuse

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Giselle Carbullido visited the facility to deliver the findings of the investigation based on the Investigation Report of Community Care Licensing Investigations Branch, Investigator Marlon Williams. LPA Carbullido was granted entry by Licensee, Lorena Diaz and Marta De Perez.
During the course of the investigation, Investigator Marlon Williams conducted interviews and obtained information from Riverside Police Department and Riverside County Children’s Assessment Team. It was reported a non-daycare child was sexually abused by an adult while living in the home. During the investigation, it was discovered a current daycare child was inappropriately touched by the same adult. A forensic interview was conducted with both children, where both children confirmed the incidents involving the adult.

Additionally, per Licensee the adult remains out of the home. LPA Carbullido informed Licensee a non-compliance meeting with CDSS, Community Care Licensing will be scheduled. During this visit, A Non-Compliance Conference has been scheduled with Licensee for May 3, 2023 at 3PM at the Riverside Regional Office.

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: 04/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023

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-20230124122555

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: DIAZ FAMILY CHILD CARE	FACILITY NUMBER: 334830676
	VISIT DATE: 04/25/2023

NARRATIVE

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Based on interviews conducted and information obtained during the investigation process, the preponderance of evidence standard has been met; therefore, the allegation of Sexual Abuse is Substantiated. See LIC9099 D for deficiency cited per California Code of Regulations Title 22, Division 12.
An enhanced civil penalty has been assessed by the department.

IF a Civil Penalty has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

LPA Carbullido informed Licensee Lorena Diaz this report, dated 04/25/23, documents one Type A citation, which shall be posted for 30 consecutive days as there is immediate risk to the health and safety of children in care.

Also, LPA Carbullido informed the Licensee to provide a copy of this licensing report dated 04/25/23 which documents a Type A citation, to parents/guardians of all children currently enrolled by either the next business day, or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with Licensee, Lorena Diaz and appeals rights were discussed. LPA Carbullido provided Licensee a copy of this report, appeal rights, and Notice of Site Visit form. LPA observed the Notice of Site Visit form was posted by Licensee. THIS REPORT MUST BE 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: 04/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20230124122555

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: DIAZ FAMILY CHILD CARE	FACILITY NUMBER: 334830676
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/25/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/26/2023 Section Cited CCR 102423(a)(1)	1 2 3 4 5 6 7	Personal Rights 102423 (a)(1) To be treated with dignity in his/her personal relationship with staff and other persons. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Enhanced Civil Penalties for a Serious Injury and/or Physical Abuse have been approved by the Department and assessed in the amount of $2,000.00. A Non-Compliance Conference has been scheduled during this visit with Licensee for May 3, 2023 at 3PM.
	8 9 10 11 12 13 14	Based on information gathered and interviews conducted, the licensee did not comply with the section cited above in that the facility did not treat children in care with dignity in their personal relationships with staff and other persons which poses an immediate health, safety, and personal rights risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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 Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023

LIC9099 (FAS) - (06/04)

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