334844206-4-25-2019-09-CC-AROS-BBTPZJ-20190503114537

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334844206
Report Date: 04/25/2019
Date Signed: 04/25/2019 11:58:22 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 ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2019 and conducted by Evaluator Blanca Ruiz-Silva

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20190328095044

FACILITY NAME:	BORJON JACINTO FAMILY CHILD CARE		FACILITY NUMBER:	334844206
ADMINISTRATOR:	LORENA BORJON JACINTO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 541-1754
CITY:	INDIO	STATE: CA	ZIP CODE:	92201
CAPACITY:	14	CENSUS: 4	DATE:	04/25/2019
		UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Lorena Borjon		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Daycare staff hit daycare child.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Blanca Ruiz-Silva arrived at the facility to conclude an investigation into the above allegation, prior visit was made on 04/03/19. Visit was conducted in Spanish. LPA met with Licensee, Lorena Borjon who granted LPA access into the facility.

The facility was toured, and a census was taken. It was alleged that Daycare staff hit daycare child. Witness interviews revealed that the incident was alleged to have happened, in or around early March of 2019. Witness statements also revealed that no incident has been reported or alleged occurred. Statements were obtained by those who were alleging to be present during the alleged incident; however, they did not corroborate the allegations and did not corroborate stating that they observed any hitting occurring from staff to child in care.

During the inspection on 04/03/19, LPA Blanca Ruiz-Silva observed children's activities, licensee and spouse supervising children and interviews were conducted pertinent parties to gathered additional information concerning the allegation.
Continue LIC 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva	TELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2019

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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Control Number 09-CC-20190328095044

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: BORJON JACINTO FAMILY CHILD CARE	FACILITY NUMBER: 334844206
	VISIT DATE: 04/25/2019

NARRATIVE

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LPA obtained information that a legal guardian of a child in care alleged that his/her child was hit in the head by staff due to child waking up before nap time was over.

However, based on witness interviews, and information obtained investigation by an outside agency the allegation is deemed Unsubstantiated, at this time. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview was conducted with Mrs. Lorena Borjon. Notice of Site Visit was issued and must be posted for 30 day. A copy of this report was provided to the facility.

A copy of this report must be made available to the public for 3 years

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva	TELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2019

LIC9099 (FAS) - (06/04)

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