334845139-2-10-2023-09-CC-AROS-CNZUTN-20230213145214

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334845139
Report Date: 02/10/2023
Date Signed: 02/10/2023 10:32:07 AM

Unsubstantiated

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
08/18/2022 and conducted by Evaluator Elyse Jones

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20220818105151

FACILITY NAME:	STAVNESS EARLY LEARNING		FACILITY NUMBER:	334845139
ADMINISTRATOR:	STAVNESS, MICHELLE		FACILITY TYPE:	850
ADDRESS:	35275 SINGLETON RD		TELEPHONE:	(909) 226-1048
CITY:	CALIMESA	STATE: CA	ZIP CODE:	92320
CAPACITY:	45	CENSUS: 38	DATE:	02/10/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Michelle Stavness, Licensee/Director		TIME COMPLETED:	10:40 AM

ALLEGATION(S):

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Sexual Abuse

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elyse Jones arrived at the facility for the purpose of concluding and delivering findings for a complaint investigation, regarding the above allegation. LPA was given access to the facility, LPA toured the facility inside & outside and census were taken. Records were previously requested. Interviews were conducted by Investigator R. Kujawa with the Community Care Licensing Investigations Bureau.

On August 18, 2022 a complaint was received alleging that a child’s personal rights were violated while in care at the facility. It was noted that the child sustained an injury to his/her anus area. The injury was observed away from the facility by the child’s parents. During interviews with pertinent individuals it was stated that they did not observe any injuries to the child. It is unclear if the incident took place while the child was in care. The child was in care at the facility for approximately four days. Information obtained during staff interviews stated that they did not observe the child’s rights being violated or any unusual behaviors from the child while in care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse Jones	TELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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-20220818105151

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: STAVNESS EARLY LEARNING	FACILITY NUMBER: 334845139
	VISIT DATE: 02/10/2023

NARRATIVE

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During the investigation forensic interviews and testing were completed. The Department has received medical documentation which has been reviewed and did not provide any evidence of sexual abuse. Other agencies investigated this allegation, performed tests and did not obtain any deception.

This agency has investigated the complaint alleging Sexual Abuse. Based on the interviews conducted and information disclosed, inability to interview the subject child, the review of pertinent medical documentation, and conflicting information, the allegation is UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation occurred.

Exit interview was conducted and a copy of this report and a Notice of Site Visit was provided to the Licensee, Michelle Stavness. The Notice of Site Visit must be posted for 30 days.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse Jones	TELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

LIC9099 (FAS) - (06/04)

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