334840336-7-8-2021-10-CC-GSEA-C4XW5Y-20210715165951

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334840336
Report Date: 07/08/2021
Date Signed: 07/08/2021 01:01:30 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 STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/01/2021 and conducted by Evaluator James Wilkerson

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20210401091938

FACILITY NAME:	PROMISE CHRISTIAN KIDS CLUB		FACILITY NUMBER:	334840336
ADMINISTRATOR:	PATRICIA GREEN		FACILITY TYPE:	840
ADDRESS:	25664 MADISON AVENUE		TELEPHONE:	(951) 600-8201
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92562
CAPACITY:	60	CENSUS: 17	DATE:	07/08/2021
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Patricia Green		TIME COMPLETED:	01:10 PM

ALLEGATION(S):

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Child not accorded safe, healthful and comfortable accommodations at facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) James Wilkerson arrived at this facility to conclude an investigation into the above allegation. LPA toured the facility and conducted census. An initial tele-visit was conducted on 04/09/21 followed by a physical visit on 06/08/21 and the two visits were extended at those times. There is an allegation that a staff member would put his/her arm around a child and sometimes hug the child. The allegation is that the child would feel uncomfortable with this interaction. LPA attempted to interview the child, however, was unable to do so. LPA was provided with a typewritten statement from the facility and there is an admission that a staff member "gently put his/her arm around a child's shoulder to protect the child from incoming traffic" outside the facility, however, LPA cannot prove that this made chid feel uncomfortable. LPA cannot prove how the child felt about this situation or any other regarding the staff member or child. LPA cannot disprove or prove that the above allegation is true or false. 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. An exit interview was conducted, appeal rights discussed and provided along with a copy of this report to Ms. Green on this date. A copy of this report must be made available, upon request for three years.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

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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