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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364843851
Report Date: 05/10/2019
Date Signed: 05/10/2019 11:59:16 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
05/01/2019 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20190501165845
FACILITY NAME:RIVAS FAMILY CHILD CAREFACILITY NUMBER:
364843851
ADMINISTRATOR:RIVAS, DIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 285-4974
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91739
CAPACITY:14CENSUS: 11DATE:
05/10/2019
UNANNOUNCEDTIME BEGAN:
11:34 AM
MET WITH:Diana Rivas/LicenseeTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Daycare children are left unsupervised.
Daycare child climbs the tool shed.
INVESTIGATION FINDINGS:
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Licensing program analyst (LPA) Patricia Berry conducted subsequent complaint investigation regarding allegations. LPA toured facility and took census. Regarding allegations:

Allegation: Daycare children are left unsupervised. Licensee stated she does not leave her children unattended. Licensee stated her, or her husband are always with the children. Licensee stated during day-care hours she is not in the front yard while children are in the backyard. Licensee stated maybe the complaint is referring to her own children after day-care hours. Based on information received and interviews conducted, allegation Daycare children are left unsupervised is unsubstantiated.


(Cont on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
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-20190501165845
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: RIVAS FAMILY CHILD CARE
FACILITY NUMBER: 364843851
VISIT DATE: 05/10/2019
NARRATIVE
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Allegation: Day-care child climbs the tool shed, Licensee stated the children do not try and climb the tool shed. License stated there is no place on the tool shed for the children to climb on. Licensee stated because she watches the children they don’t even play around the tool shed. However, LPA did observe the possibility children could climb up the toolshed. Based on information received and interviews conducted allegation day-care children climb on toolshed is unsubstantiated.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.


Exit interview conducted with licensee and report given.


Notice of site visit issued.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3