334845044-9-15-2021-10-CC-CMAZ-C7QQG9-20211012120911

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334845044
Report Date: 09/15/2021
Date Signed: 09/15/2021 04:24:09 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
08/16/2021 and conducted by Evaluator Sumayya Habeebulla

COMPLAINT CONTROL NUMBER: 10-CC-20210816143650

FACILITY NAME:	MUNIZ-DEWOLF FAMILY CHILD CARE		FACILITY NUMBER:	334845044
ADMINISTRATOR:	MUNIZ-DEWOLF,APRIL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 652-7472
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	14	CENSUS:	DATE:	09/15/2021
		UNANNOUNCED	TIME BEGAN:	02:40 PM
MET WITH:			TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Personal Rights

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Sumayya Habeebulla and James Wilkerson arrived at this facility to conclude an investigation into the above allegations. LPAs toured the facility and conducted census. An initial visit was conducted on 08/24/21 and extended at that time. During the investigation on 08/24/21 and 09/15/2, interviews were conducted.
Based on LPAs observation during the tour of the facility and interviews conducted it has been determined that the facility is kept clean and no signs of pests visible. Information received from the children during the interviews were conflicting regarding being bitten by mosquitos. Although the child did sustain mosquito bites, LPAs are unable to determine when the bites were sustained. Based on the interviews of the 4 children LPAs are unable to verify that the allegation is true or false.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya Habeebulla	TELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021

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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Control Number 10-CC-20210816143650

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: MUNIZ-DEWOLF FAMILY CHILD CARE	FACILITY NUMBER: 334845044
	VISIT DATE: 09/15/2021

NARRATIVE

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As for the second allegation of the child being disciplined inappropriately, the Licensee uses time-out for discipline as per her discipline policy of 2 minutes after 3 warnings. As per Ms. April, she does not inappropriately correct the children and there are rules at the facility to ensure the safety and well being of the children in care. Based on the interviews of the 4 children LPAs are unable to verify that the allegation is true or false.
Regarding the third allegation of Licensee speaking inappropriately in front of children, both parties agree that verbal interaction occurred however there is not enough evidence to support that the child’s right to be treated with dignity and respect was compromised. Based on the interviews of the 4 children LPAs are unable to verify that the allegation is true or false.
Licensee denied ALL Allegations.
During the complaint investigation, LPA received conflicting information. 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. A Notice of Site Visit posted.

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya Habeebulla	TELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021

LIC9099 (FAS) - (06/04)

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