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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701024
Report Date: 09/30/2024
Date Signed: 09/30/2024 10:24:23 AM

Substantiated


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
07/02/2024 and conducted by Evaluator Kelly Gerth
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240702130738
FACILITY NAME:INFUSION CHRISTIAN PRESCHOOLFACILITY NUMBER:
376701024
ADMINISTRATOR:THELMA AVILEZFACILITY TYPE:
850
ADDRESS:777 W FELICITA AVENUETELEPHONE:
(760) 746-5030
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:75CENSUS: 36DATE:
09/30/2024
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Director Thelma AvilezTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff yell at the daycare children
INVESTIGATION FINDINGS:
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 On the above listed date and time, Licensing Program Analyst (LPA) Kelly Gerth arrived unannounced to the CCC to deliver the results of the investigation from control number 10-CC-20240702130738. LPA Gerth met with Director Thelma Avilez and discussed the findings of the above allegations. On 07/03/24, 08/01/24 and 08/12/24, the investigation was opened and subsequent visits were made, where evidence including photos, communication records, staff and center schedules, Admission Agreement, Parent handbook, copies of documents from file reviews were obtained as well as confidential interviews with staff and children were conducted. On 08/13/24 a collateral visit was made where LPA Gerth collected further evidence and conducted additional confidential interviews.

Regarding the allegation Staff yell at the daycare children During the Investigation, LPA Gerth conducted confidential interviews with children, staff and witnesses and was able to corroborate allegation that Staff yell at the daycare children.

Please See Contiuation page
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
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 5
Control Number 10-CC-20240702130738
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: INFUSION CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376701024
VISIT DATE: 09/30/2024
NARRATIVE
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Continuation Page 2/2

Staff interviews deny ever yelling at the children, nor have they overheard other staff yelling at children; however, child interviews and witnesses reported that some staff have a tendency to raise their voice and even yell at children which causes them to be frightened of the staff. Further interviews revealed that one Staff would get close to children’s ears and yell at them to get them to listen and correct behaviors. Based on confidential interviews, the allegation was Substantiated.

Please See 9099 D for citations issued

An exit interview was conducted and a copy of this report along with appeal rights were provided to Director Thelma Avilez, A notice of site visit was also provided and must remain posted for 30 days.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20240702130738
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: INFUSION CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376701024
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/30/2024
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights (1) To be accorded dignity in his/her personal relationships with staff and other persons.This requirement is not met as evidenced by:
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By COB on 10/28/24, Facility Representative agrees to provide proof of the cited regulation training for all staff, by submitting sign in/out sheet and training materials used.
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Based on evidence gathered and corroborating interviews, the licensee did not comply with the section cited above in ensuring each childs dignity in his/her relationship with staff, is accorded.
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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: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
07/02/2024 and conducted by Evaluator Kelly Gerth
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240702130738

FACILITY NAME:INFUSION CHRISTIAN PRESCHOOLFACILITY NUMBER:
376701024
ADMINISTRATOR:THELMA AVILEZFACILITY TYPE:
850
ADDRESS:777 W FELICITA AVENUETELEPHONE:
(760) 746-5030
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:75CENSUS: 36DATE:
09/30/2024
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Director Thelma AvilezTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff did not provide adequate supervision to the daycare children
Staff did not properly report an incident involving a daycare child
INVESTIGATION FINDINGS:
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Regarding the allegation Staff did not provide adequate supervision to the daycare children Staffing schedules confirm the staff members present during the time and dates of the specific incident referenced in the allegation and although it cannot be confirmed that incident did or did not occur at the CCC at the time alleged, the CCC was operating in ratio according to Title 22 regulations and the required ratios for appropriate supervision were met. Additionally, 7/8 children’s interviews revealed that they have not sustained an ouch or injury at school that went unnoticed by staff members. 5/5 staff members interviewed revealed they take the same steps if a child is known to be injured, which includes attending to the child, providing first aid as needed and reporting the incident to the center director and parent. From the information received by interviews with the staff and children 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 allegations are UNSUBSTANTIATED.

See Continuation page
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20240702130738
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: INFUSION CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376701024
VISIT DATE: 09/30/2024
NARRATIVE
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Page 2/2

Regarding the allegation Staff did not properly report an incident involving a daycare child . During the investigation, LPA Gerth conducted confidential interviews reviewed children’s files which included copies of ouch reports from incidents occurring at the CCC. Documents collected also revealed correspondence between staff and parents where ouch/incidents that occurred during the school day were discussed. Interviews with 5/5 staff members revealed that all follow the same incident report handbook policy outlined on page 9 of the parent handbook. The reporting party and staff member 2 also revealed that although an incident report was offered for the specific incident that occurred in these allegation details, RP declined receiving a written incident report. Based on confidential interviews, record review and evidence gathered, at this time there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report along with appeal rights were provided to Director Thelma Avilez, A notice of site visit was also provided and must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5