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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374844881
Report Date: 09/05/2024
Date Signed: 09/05/2024 01:58:35 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/09/2024 and conducted by Evaluator Kelli Waters
COMPLAINT CONTROL NUMBER: 10-CC-20240809163559
FACILITY NAME:LEAPS AND BOUNDSFACILITY NUMBER:
374844881
ADMINISTRATOR:VALERIE RODRIGUEZFACILITY TYPE:
840
ADDRESS:270 WEST CREST STREETTELEPHONE:
(408) 420-1682
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:34CENSUS: 0DATE:
09/05/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Alinah LopezTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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-Facility has cockroaches
INVESTIGATION FINDINGS:
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On 09/05/24, Licensing Program Analyst (LPA) Kelli Waters, arrived for the purpose of delivering the findings on the above stated allegation. On 08/15/24, LPA conducted a health and safety inspection, and no immediate concerns were observed. LPA conducted interviews with and gathered pertinent evidence.

On 08/04/24, this agency received allegations the facility has cockroaches.

During facility inspection on 08/15/24 and on subsequent visit conducted this date, LPA did observe minor evidence of cockroach dropping and shed skin shells in the kitchen area but did not witness any live insects. Interviews revealed that staff have seen evidence of dead cockroaches in the kitchen area after the pest control company sprays, however 4 out of 4 staff interviewed had not seen live cockroaches and confirmed that the kitchen was cleaned regularly. Record review revealed that facility has had a contract for pest control services at least monthly since January 2024 and traps in the kitchen area were also witnessed by LPA. Evidence shows that proper techniques have been followed to remediate the cockroaches in the facility and there is no evidence of an infestation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelli Waters
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 10-CC-20240809163559
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: LEAPS AND BOUNDS
FACILITY NUMBER: 374844881
VISIT DATE: 09/05/2024
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 allegation is UNSUBSTANTIATED.

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.

A notice of site visit was given and must be posted for 30 days.
SUPERVISOR'S NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelli Waters
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