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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334840382
Report Date: 10/28/2021
Date Signed: 10/28/2021 11:39:13 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
05/20/2021 and conducted by Evaluator Jeanette Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210520084712
FACILITY NAME:CRAYON RANCH CHILD CARE CENTERFACILITY NUMBER:
334840382
ADMINISTRATOR:CRYSTAL SHOULTSFACILITY TYPE:
840
ADDRESS:25145 VISTA MURRIETA ROADTELEPHONE:
(951) 677-3303
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:52CENSUS: 0DATE:
10/28/2021
UNANNOUNCEDTIME BEGAN:
11:32 AM
MET WITH:Director Alisha FranklinTIME COMPLETED:
11:48 AM
ALLEGATION(S):
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Daycare child sustained injuries while in care
Facility failed to notify child's authorized representative of incidents
Facility failed to provide a safe environment for children in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jeanette Sanchez made an unannounced visit to the facility to deliver complaint findings. LPA conducted COVID-19 screening questions prior to entry. LPA met with Director Alisha Franklin. The investigation consisted of observation, record review, and interviews of children and parents.

On 5/20/21, the Department received a complaint regarding a child sustaining injuries while in care, facility failing to notify authorized representative of incidents, and facility failing to provide a safe environment for children in care. Confidential interviews disclosed that some injuries occurred days after the complaint was received however none were noted prior to the complaint. Other interviews disclosed that no inuries had been witnessed or reported prior to or after the complaint was received.

Review of records did not result in finding any "ouchie reports" regarding injuries. No pictures were taken of any of the said injuries.
See continuation page LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
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 2
Control Number 10-CC-20210520084712
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: CRAYON RANCH CHILD CARE CENTER
FACILITY NUMBER: 334840382
VISIT DATE: 10/28/2021
NARRATIVE
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Interviews disclosed that the teacher to child ratio was consistently maintained and constant supervision was applied. Records of children sign in sheets for the month of May were not located at the time of request.

Although the allegations may have happened or are 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. The appeal rights were discussed and provided along with a copy of this report to Director Alisha Franklin on this date. A Notice of Site Visit was posted.
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2