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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364830057
Report Date: 09/05/2024
Date Signed: 09/05/2024 12:44:48 PM

Unsubstantiated


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
07/18/2024 and conducted by Evaluator Tiffanie Diep
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240718124004
FACILITY NAME:FLORES FAMILY CHILD CAREFACILITY NUMBER:
364830057
ADMINISTRATOR:FLORES MARTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 820-4717
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:14CENSUS: 4DATE:
09/05/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Martha FloresTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Personal Rights - Licensee caused an injury to a child in care
Personal Rights - Licensee hit a child in care
INVESTIGATION FINDINGS:
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On 09/05/2024 at 12:00 PM, Licensing Program Analyst (LPA) Tiffanie Diep met with Licensee Martha Flores for the purpose of an unannounced complaint visit to deliver the findings regarding the above allegations. LPA observed four napping children present in the home with Licensee and their spouse/assistant (S1).

It was alleged that Licensee caused an injury to a child in care and hit a child in care. Throughout the course of the investigation, LPA made observations at the home, obtained relevant documents, and conducted interviews with the reporting party, Licensee, staff, day care children, and multiple parents.

Continues on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie DiepTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
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 2
Control Number 09-CC-20240718124004
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: FLORES FAMILY CHILD CARE
FACILITY NUMBER: 364830057
VISIT DATE: 09/05/2024
NARRATIVE
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Continued from LIC 9099 (Page 2)

During a previous visit, LPA did not observe Licensee hit day care children. LPA did not observe any children with injuries while in care. Interviews conducted disclosed children typically sustained injuries while in care when playing with others. It was revealed most injuries were accidental involving jumping, playing outside, and running into walls. Information obtained indicated Licensee uses redirection and timeouts when handling challenging behaviors. Interviews conducted did not disclose consistent statements regarding Licensee hitting children as an additional form of discipline. Throughout interviews, there were no disclosures made regarding concerns with Licensee’s ability to care for children at the facility. Due to conflicting information, it is determined there was not sufficient information evident to support the allegations that Licensee caused an injury to a child in care and hit a child in care.

Based on observations made at the facility, information obtained during interviews, and records reviewed, it is determined that the allegations could not be substantiated or dismissed. 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 and report was reviewed with the licensee, Martha Flores. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie DiepTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2