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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360911516
Report Date: 08/27/2024
Date Signed: 12/04/2024 10:18:00 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 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
08/22/2024 and conducted by Evaluator Rachel Zeron
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240822115522
FACILITY NAME:PSD/CHINO HEAD STARTFACILITY NUMBER:
360911516
ADMINISTRATOR:MARIA BRIONESFACILITY TYPE:
850
ADDRESS:5585 RIVERSIDE DRIVETELEPHONE:
(909) 627-0206
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY:110CENSUS: 32DATE:
08/27/2024
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Monica Parga - Site Supervisor TIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9

Using a classroom that has not been licensed for use
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
**This is an amended report**

Licensing Program Analyst (LPA) Rachel Zeron arrived at the facility to initiate a 10-day complaint investigation concerning the above allegation, LPA was able to conclude the investigation on this visit. During the visit, LPA Zeron took a census of the children present, and this time met with the Site Supervisor, Monica Parga to discuss the complaint investigation. Based on all the information obtained, the following is the outcome of the investigation regarding the allegation above.

During the investigation, LPA conducted a file review and interviewed pertinent individuals. Facility file review revealed the facility is licensed for eight toddlers (ages 18-36 months) in classroom 30 only. Interviews revealed the facility was caring for 16 Toddlers from 07/02/2024-08/22/2024 in classrooms 30 and 31, resulting in the facility operating beyond the capacity specified on the license for toddlers.

Based upon the information gathered and interviews conducted, the preponderance of evidence standard has been met, therefore the complaint is substantiated. See LIC 9099D for deficiency cited.
An exit interview was conducted, and a copy of this report was reviewed and provided to the Site Supervisor, Monica Parga. Appeal rights were discussed and provided during the exit interview. A notice of site visit was given and must remain posted for the next 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024
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 3
Control Number 09-CC-20240822115522
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: PSD/CHINO HEAD START
FACILITY NUMBER: 360911516
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/03/2024
Section Cited
CCR
101161(a)
1
2
3
4
5
6
7
Limitations on Capacity: A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Site Director agrees to not use room 31 or any other room at the facility for additional toddlers. Director indicated that an application has been submitted to increase the number of toddlers the facilty can have.
Site Director agrees to write a letter of understanding in regards to 101161, and
8
9
10
11
12
13
14
Based on information obtained, the Licensee did not operate the facility according to the License. The facility was providing care in Room #31 which was not approved by the department. This poses a potential health & safety risk to persons in care.
**This is an amended report**
8
9
10
11
12
13
14
send it to LPA by POC date.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3