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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330900318
Report Date: 12/19/2024
Date Signed: 12/19/2024 03:30:40 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 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
12/11/2024 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20241211122028
FACILITY NAME:FIRST CHRISTIAN CHURCH PRESCHOOLFACILITY NUMBER:
330900318
ADMINISTRATOR:ELIZABETH MARTINEZFACILITY TYPE:
850
ADDRESS:4055 JURUPA AVENUETELEPHONE:
(951) 683-5780
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY:50CENSUS: 9DATE:
12/19/2024
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Elizabeth MartinezTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Staff yells at day care child.
Staff doesn't treat day care children with dignity.
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido conducted a subsequent complaint investigation to deliver final findings. An initial visit was conducted on 12/13/24, at which time LPA conducted interviews and reviewed records. LPA met with facility representative(s), Elizabeth Martinez, and Carol Silva; toured facility, and took a census.
During the investigation, LPA interviewed all pertinent parties, including facility staff and children and reviewed records. LPA attempted to review video regarding the allegations; however, the video system does not record and is not available to review.
It was alleged staff yells and does not treat children in care with dignity in their interactions with staff. Staff stated they have observed a staff raise their voice, call names and yell at children in care that results in children reporting being afraid, resisting going to their classroom and staff notifying facility management of concern. Children stated they are mad and sad when yelled at.
LPA reviewed Employee handbook (page 15) which outlines employee expectations to speak in a positive
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
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 09-CC-20241211122028
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: FIRST CHRISTIAN CHURCH PRESCHOOL
FACILITY NUMBER: 330900318
VISIT DATE: 12/19/2024
NARRATIVE
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and affirmative way to both adults and children, including disciplining (redirection of children) with positive phrases.
Based on LPA interviews conducted and information received, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, CCR 101223(a)(1) is being cited on the attached LIC9099D. Appeal rights issued and discussed with licensee and their signature on this form acknowledges receipt of these rights.

LPA Carbullido informed facility representative, Elizabeth Martinez that this report dated 12/19/24 document(s) (1) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
Also, LPA Carbullido informed the facility representative, Elizabeth Martinez to provide a copy of this licensing report dated 12/19/24 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted and a copy of this report and notice of site visit were provided to facility representative, Elizabeth Martinez. A copy of this report must be made available to the public upon request for three years.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 09-CC-20241211122028
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FIRST CHRISTIAN CHURCH PRESCHOOL
FACILITY NUMBER: 330900318
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/20/2024
Section Cited
CCR
101223(a)(1)
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Personal Rights: 101223(a)(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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Facility will submit proof of an in-service training for all staff on personal rights and submit agenda, resources, and staff attendance with signatures to the department by POC due date.
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Based upon LPA interviews conducted, and records obtained the facility did not accord dignity in children’s personal relationships with staff and other persons. This is an immediate risk to the health and safety risk of children in care.
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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: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
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 CC RO, 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
12/11/2024 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20241211122028

FACILITY NAME:FIRST CHRISTIAN CHURCH PRESCHOOLFACILITY NUMBER:
330900318
ADMINISTRATOR:ELIZABETH MARTINEZFACILITY TYPE:
850
ADDRESS:4055 JURUPA AVENUETELEPHONE:
(951) 683-5780
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY:50CENSUS: 9DATE:
12/19/2024
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Elizabeth MartinezTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Staff inappropriately punishes day care child.
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido conducted a subsequent complaint investigation to deliver final findings. An initial visit was conducted on 12/13/24, at which time LPA conducted interviews and reviewed records. LPA met with facility representative(s), Elizabeth Martinez and Carol Silva; toured facility, and took a census.
During the investigation, LPA interviewed all pertinent parties, including facility staff and children and reviewed records. LPA attempted to review video regarding the allegations; however, the video system does not record and is not available to review.
It was alleged staff inappropriately punishes a child while in care. Staff stated they follow the facility procedure for redirection with verbal prompts and may include redirection to another table or activity for the safety of all children in care. LPA toured classroom and noted tables/carpet areas are near each other.
LPA reviewed phone texts, incident reports regarding subject child and Parent handbook – Section-discipline /rules. Documentation reveals notification to parents for behaviors and action taken and parents sign for handbooks on the receipt acknowledgement form.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
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 09-CC-20241211122028
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: FIRST CHRISTIAN CHURCH PRESCHOOL
FACILITY NUMBER: 330900318
VISIT DATE: 12/19/2024
NARRATIVE
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 Parent Handbook outlines gaining social and problem-solving skills from interactions with others. Additionally, that an alternate activity or removal from current activity may be used when a child is not behaving appropriately, to avoid conflicts, and to allow the child to settle down.

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

Appeal rights issued and discussed with director and their signature on this form acknowledges receipt of these rights. An exit interview was conducted, a copy of this report and Notice of Site Visit were provided to Director, Elizabeth Martinez. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5