<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334842136
Report Date: 11/28/2023
Date Signed: 11/28/2023 09:30:34 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 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
10/13/2023 and conducted by Evaluator Courtnee Peebles
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20231013091914
FACILITY NAME:KELLEY FAMILLY CHILD CAREFACILITY NUMBER:
334842136
ADMINISTRATOR:MONICA KELLEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 657-9491
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY:14CENSUS: 8DATE:
11/28/2023
UNANNOUNCEDTIME BEGAN:
08:41 AM
MET WITH:Monica KelleyTIME COMPLETED:
09:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff smokes cigarettes on the facility premises during the hours of operation
Staff drinks an alcoholic beverage while providing care to daycare children
Staff leaves daycare children unattended
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On November 28, 2023, at 08:41 AM, Licensing Program Analyst (LPA) Courtnee Peebles arrived unannounced to Kelley Child Care Home (FCCH) and met with licensee, Monica Kelley to discuss the investigative finding of the allegation listed above. On November 28, 2023, at 08:41 AM, LPA conducted a tour and census of the FCCH. During the investigation, LPA conducted confidential interviews with licensee (L) and three staff (S1, S2, S3).

On October 30, 2023, a complaint was received with allegations stating, Staff smokes cigarettes on the facility premises during the hours of operation, Staff drinks an alcoholic beverage while providing care to daycare children, and staff leaves daycare children unattended. Confidential interviews disclosed that L does drink alcoholic beverages outside the hours of operation, it was revealed that when L does drink alcoholic beverages L will occasionally smoke a cigarette. L has multiple staff members ensuring supervision over the day care children.
Unsubstantiated
Estimated Days of Completion: 45
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Courtnee PeeblesTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
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-20231013091914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: KELLEY FAMILLY CHILD CARE
FACILITY NUMBER: 334842136
VISIT DATE: 11/28/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on confidential interviews conducted during the investigation the allegation that Staff smokes cigarettes on the facility premises during the hours of operation, Staff drinks an alcoholic beverage while providing care to daycare children, and staff leaves daycare children unattended is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated. A notice of site visit was provided and must remain posted for 30 days. A copy of this report and appeal rights were given and explained to licensee Monica Kelley.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Courtnee PeeblesTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2