334843486-4-28-2021-10-CC-DPAR-C2MNNR-20210502103708

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334843486
Report Date: 04/28/2021
Date Signed: 04/28/2021 09:30:05 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
03/19/2021 and conducted by Evaluator Alaina Wilburn

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20210319112535

FACILITY NAME:	MCGOWAN FAMILY CHILD CARE		FACILITY NUMBER:	334843486
ADMINISTRATOR:	KELLY MCGOWAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 760-1561
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	14	CENSUS: 10	DATE:	04/28/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Kelly McGowan		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Child was spoken inappropriately by staff.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced tele-inspection complaint visit, due to COVID-19. LPA met with Licensee Kelly McGowan via FACETIME, to deliver findings on the above mentioned allegation.
Investigation consisted of interviews with Licensee and pertinent parties.
Investigation revealed the following; During interviews, Assistant admitted that she became frustrated with Child #1's behavior and said something she shouldn't have said, but she did not use the words alleged. Interviews conducted with children and staff indicated that Assistant didn't say anything inappropriate.

Although the allegation regarding Personal Rights may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted.
A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021

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 1