364844011-8-30-2021-09-CC-KWIS-C772LS-20210924173002

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364844011
Report Date: 08/30/2021
Date Signed: 08/30/2021 12:35:40 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 ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/25/2021 and conducted by Evaluator Rachel Zeron

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20210625091953

FACILITY NAME:	VOLUNTEERS OF AMERICA EHS CC PP		FACILITY NUMBER:	364844011
ADMINISTRATOR:	WALKER, KEITH		FACILITY TYPE:	830
ADDRESS:	799 E. RIALTO AVENUE		TELEPHONE:	(909) 332-6690
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92408
CAPACITY:	80	CENSUS: 16	DATE:	08/30/2021
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Herlinda Velazquez- Acting Site Coordinator and Deb Gunn EHS Director		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Teacher inappropriately disciplined day care child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rachel Zeron arrived at the facility to conclude a complaint investigation that was initiated June 25, 2021. LPA met with Helinda Velazquez, Acting Site Coordinator . A census was taken, and the facility was toured. It was alleged that a Provider inappropriately disciplined day care child.

It was alleged . the teacher would discipline a child inappropriately.

LPA conducted interviews with all pertinent individuals and was unable to confirm that a incidents took place as alleged. In addition, when questioned about allegation, the teacher indicated that children are re-directed when children are misbehaving or not following directions. Based on interviews with pertinent sources, LPA Zeron was unable to corroborate allegation due to lack if corroborate evidence, therefore the allegation that the teacher inappropriately disciplined a day-care children is UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021

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 09-CC-20210625091953

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: VOLUNTEERS OF AMERICA EHS CC PP	FACILITY NUMBER: 364844011
	VISIT DATE: 08/30/2021

NARRATIVE

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Although the allegation 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 allegations are UNSUBSTANTIATED.

An exit interview was conducted with Deb Gunn and Herlinda Velazquez.. LPA Zeron provided the applicant with a copy of this report. A copy of this report was provided to the licensee on this date and must be made available to the public upon request for the next 3 years.

A NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED IN A PROMINENT LOCATION AT THE FACILITY. An exit interview was conducted. A copy of this report was provided to the facility. This report must be made available for public review for 3 years upon request.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021

LIC9099 (FAS) - (06/04)

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