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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376605870
Report Date: 10/25/2022
Date Signed: 10/25/2022 12:34:14 PM

Substantiated


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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/23/2022 and conducted by Evaluator Sumayya Habeebulla
COMPLAINT CONTROL NUMBER: 10-CC-20220923120806
FACILITY NAME:RENNER, ROBIN & MARTIN FAMILY CHILD CAREFACILITY NUMBER:
376605870
ADMINISTRATOR:RENNER, ROBINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 721-6746
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY:14CENSUS: 4DATE:
10/25/2022
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Robin RennerTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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 - Licensee humiliated child in front of other children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sumayya Habeebulla arrived at the facility for the purpose of conducting a subsequent complaint visit, which includes concluding the investigation and delivering the investigation findings regarding the compliant investigation initiated on 09/23/22. LPA met with Licensee Robin Renner and discussed the above allegations.

On 09/27/22, LPA Habeebulla interviewed Licensee and collected all pertinent evidences to this investigation. Along with interviews, the investigation revealed that:

There is an allegation that Licensee humiliated child in front of other children.

See LIC 9099C for Continuation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
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 5
Control Number 10-CC-20220923120806
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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: RENNER, ROBIN & MARTIN FAMILY CHILD CARE
FACILITY NUMBER: 376605870
VISIT DATE: 10/25/2022
NARRATIVE
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 During investigation LPA obtained information that when C1 had an accident in the classroom, Licensee recorded C1 in the presence of other children to send to C1’s parent. While the child was being recorded, Licensee stated in the video that the Parent needs to ensure C1 uses the restroom before arrival or informs Licensee that C1 needs to use the restroom. The voice recording reflects that Licensee was frustrated with the incident. After the recording was sent to the Parent of C1, Licensee asked C1 to step out of the classroom and remove his clothes. While C1 was outside removing his clothes, another Parent arrived with their child for drop off.

Based on the information obtained through interviews, it was determined that on 09/21/22 Licensee failed to ensure C1 changed his soiled clothes in private and did not feel embarrassed about having an accident in the classroom and Licensee recording C1 in soiled clothes in the presence of other children violated the Personal Rights of the child in care. From the information received by interviews with Licensee and other involved parties, the above allegation of Personal Rights of a child has been Substantiated at this time.

Licensee understands she will need to provide a copy of LIC 9099D to all enrolled families along with LIC 9224 and obtain signatures on LIC 9224 for each child. Licensee also understands she will need to obtain signatures for all future enrollees up to one year and keep the signed form for all enrolled children at the facility for 3 years.


See LIC 9099D for Deficiency cited.

An exit interview was conducted, and this report was reviewed with the licensee Robin Renner. Appeal rights were discussed and provided during the exit interview.

A notice of site visit was given and Licensee understands it must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/23/2022 and conducted by Evaluator Sumayya Habeebulla
COMPLAINT CONTROL NUMBER: 10-CC-20220923120806

FACILITY NAME:RENNER, ROBIN & MARTIN FAMILY CHILD CAREFACILITY NUMBER:
376605870
ADMINISTRATOR:RENNER, ROBINFACILITY TYPE:
810
ADDRESS:3402 LAS VEGAS DRIVETELEPHONE:
(760) 721-6746
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY:14CENSUS: DATE:
10/25/2022
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:TIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
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9
 - Licensee left child in soiled clothing
INVESTIGATION FINDINGS:
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5
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Licensing Program Analyst (LPA) Sumayya Habeebulla arrived at the facility for the purpose of conducting a subsequent complaint visit, which includes concluding the investigation and delivering the investigation findings regarding the compliant investigation initiated on 09/23/22. LPA met with Licensee Robin Renner and discussed the above allegations.

On 09/27/22, LPA Habeebulla interviewed Licensee and collected all pertinent evidences to this investigation. Along with interviews, the investigation revealed that:

The second allegation is Licensee left child in soiled clothing.

See LIC 9099C for Continuation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 10-CC-20220923120806
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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: RENNER, ROBIN & MARTIN FAMILY CHILD CARE
FACILITY NUMBER: 376605870
VISIT DATE: 10/25/2022
NARRATIVE
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Based on the information obtained, Licensee after recording the incident and sending it to the Parent had asked the child to go outside and take off his clothing. Licensee then cleaned the floor (during which time another child arrived) and then asked C1 to go to the restroom. After which the child was helped to change into clean clothes.
From the information received by interviews with pertaining Parties, and facility documents the above allegation cannot be verified. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted, and this report was reviewed with the licensee Robin Renner. Appeal rights were discussed and provided during the exit interview.

A notice of site visit was given and Licensee understands it must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20220923120806
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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: RENNER, ROBIN & MARTIN FAMILY CHILD CARE
FACILITY NUMBER: 376605870
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/26/2022
Section Cited
CCR
102423
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(a) Each child receiving services from a family childcare home shall have certain rights that shall not be waived ..... licensee regardless of consent ... from the child's authorized representative...
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This requirement was not met as evidenced by: Based on the interviews Licensee failed to ensure the Rights of the child in care was protected.
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(1) To be treated with dignity in his/her personal relationship...(2) To receive safe, healthful,...(4) To be free from corporal... humiliation, intimidation, ridicule, coercion, threat......
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Licensee will review Title 22 Personal Rights and submit a written statement to the Department by the POC that in future all steps will be taken to ensure the Personal Rights of Children in care are protected.
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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: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5