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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334840166
Report Date: 02/11/2021
Date Signed: 03/18/2021 11:46:01 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
11/17/2020 and conducted by Evaluator James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20201117121338
FACILITY NAME:BARRERA FAMILY CHILD CAREFACILITY NUMBER:
334840166
ADMINISTRATOR:BARRERA, REBECCAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 940-0853
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY:14CENSUS: 2DATE:
02/11/2021
UNANNOUNCEDTIME BEGAN:
07:50 AM
MET WITH:Rebecca BarreraTIME COMPLETED:
08:30 AM
ALLEGATION(S):
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Licensee hit child in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) James Wilkerson arrived at this facility to amend a report dated 02/11/21. An initial visit was conducted on 11/18/20 via (FaceTime) and extended at that time. Thre are six children present during this visit today. During the course of this investigation, interviews were conducted with the licensee and children in care. A child had stated that he/she was hit on hand and it made him/her feel sad and cry. Other interviews with children in care stated that the licensee has not been observed to hit any child at all. A parent of the child who stated that he/she was hit on the hand did not observe any markings on the child's hand. The licensee denies ever hitting a child on the hand. LPA received conflicting information as to whether or not the above allegation did or did not happen and cannot prove or disprove the allegation. 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 discussed and provided along with a copy of this report to Ms. Barrera on this date. This is an amended report from an original report dated 02/11/21.

A Notrice of Site Visit was posted and a copy of this report must be made available upon request for three years.

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: 03/18/2021
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)
Page: 1 of 3
Control Number 10-CC-20201117121338
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: BARRERA FAMILY CHILD CARE
FACILITY NUMBER: 334840166
VISIT DATE: 02/11/2021
NARRATIVE
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The preponderance of evidence has been met and the above allegation is SUBSTANTIATED. SEE LIC 9099D FOR DEFICIENCY CITED.

A copy of this report will be emailed to Ms. Barrera on 02/11/21. A return email acknowledging the receipt of this report will be used in lieu of a signature due to the COVID-19 pandemic.

Due to the COVID-19 State of Emergency, this report was completed via Tele-Inspections Report Delivery Instructions.

Appeal Rights discussed and will be provided along with a copy of this report via email to Ms. Barrera on this date.

A copy of this report must be available, 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: 02/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20201117121338
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: BARRERA FAMILY CHILD CARE
FACILITY NUMBER: 334840166
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
03/15/2021
Section Cited
CCR
102423(a)(4)
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Personal Rights - Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (4) To be free from
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Licensee agrees to submit in writing that she has read and will abide by the regulations set forth in Title 22 Regulations regarding Personal Rights.


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corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature. This requirement was not met as evidenced by a child who was “smacked” on the hand for an unknown reason by the Licensee that made the child feel sad and cry.
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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: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3