334830727-1-10-2023-10-CC-PBER-CLMQSR-20221129112557

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334830727
Report Date: 11/22/2022
Date Signed: 01/10/2023 09:50:41 AM

Unsubstantiated

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
11/21/2022 and conducted by Evaluator Anastasia Flores

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20221121115633

FACILITY NAME:	RAWLINS CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	334830727
ADMINISTRATOR:	RAWLINS, MARIA		FACILITY TYPE:	830
ADDRESS:	18215 CLARK STREET		TELEPHONE:	(951) 642-8234
CITY:	PERRIS	STATE: CA	ZIP CODE:	92570
CAPACITY:	50	CENSUS: 5	DATE:	11/22/2022
		UNANNOUNCED	TIME BEGAN:	10:06 AM
MET WITH:	Yasmin Rawlins		TIME COMPLETED:	11:20 AM

ALLEGATION(S):

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Facility is providing expired food to children in care.

INVESTIGATION FINDINGS:

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On January 10, 2023 at 9:11 AM, Licensing Program Manager (LPM) Pauline Beschorner, Licensing Program Analyst’s (LPA’s) Anastasia Flores and Courtnee Peebles arrived to the facility for the purpose of delivering the findings of the above allegation. On November 22, 2022 at 10:06 AM, LPA Flores conducted a health and safety inspection, and no immediate risks were observed. LPA toured the facility with Yasmin Rawlins. LPA observed that during this time, the facility was operating within ratio. LPA gathered evidence and took a photo in regard to the allegation. LPA conducted interviews with Staff #1, #2 during inspection.

On November 21,2022 this agency received allegation that facility is providing expired food to children in care. LPA observed there to be a gallon of milk, quarter of the way full of a date of 11/15. Interview with S1 disclosed that she was not sure why there was expired milk in the fridge and that S2 is in charge of the infant program. Interview with S2 disclosed that CDC guidelines state the milk can be served and the date on the milk is sell by not serve by. During inspection the expired milk was removed from the infant classroom and replaced it with a milk that expires on 11/30/22.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia Flores	TELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

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 3

Control Number 10-CC-20221121115633

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: RAWLINS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 334830727
	VISIT DATE: 11/22/2022

NARRATIVE

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The guidelines from Kroger is the date on the milk is best if used by, however the milk should be good for an additional seven days after that date.
Due to conflicting records reviewed, LPA was unable to corroborate allegation and/or gather supporting evidence. Therefore, the allegation is unsubstantiated.  Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted and copy of this report, appeal rights and Notice of Site Visit were provided to Yasmin Rawlins. Licensee was reminded that the Notice of Site Visit must be posted in the facility in a visible area for 30 days.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia Flores	TELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 10-CC-20221121115633

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: RAWLINS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 334830727
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/22/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed Type B 11/29/2022 Section Cited CCR 101227(a)(8)	1 2 3 4 5 6 7	101227(a)(8) Food Services; In child care centers providing meals to children, the following shall apply: Commercial foods shall be approved by appropriate federal, state and local authorities. All foods shall be selected, transported, stored, prepared and served so as to be free from contamination and spoilage and shall be fit for human consumption. Food in damaged containers shall not be accepted, used or retained.	1 2 3 4 5 6 7	Director Yasmmin Rawlins immediately removed the expired milk from the infant room refridgerator and replaced with a miilk that expires on 11/30/22.
	8 9 10 11 12 13 14	Based on LPA’s observation at time of investigation, the faciity is providing expired food to children in care, which poses a potential health, safety or 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: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia Flores	TELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

LIC9099 (FAS) - (06/04)

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