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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330900842
Report Date: 08/24/2023
Date Signed: 08/24/2023 02:07:13 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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/25/2023 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20230725092514
FACILITY NAME:TEMPLE BETH EL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
330900842
ADMINISTRATOR:TRUDY OLIVERFACILITY TYPE:
850
ADDRESS:2675 CENTRAL AVENUETELEPHONE:
(951) 682-7282
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY:140CENSUS: 87DATE:
08/24/2023
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Tanya SoleskiTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff inappropriately handled day care child.
Staff yelled at day care child.
Staff are not following reporting requirements.
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido arrived at the facility regarding the above complaint received on 07/24/23. Initial visits were conducted on 07/27/23 and 08/15/23 at which time LPA conducted interviews and reviewed records. LPA was given access to the facility by the Director,Tanya Soleski. LPA discussed purpose of visit, took census, and toured the facility. LPA met with the Director to further discuss the complaint allegations and deliver findings.
It was alleged staff mishandled and yelled at a child in care. During the investigation, LPA reviewed records and interviewed all pertinent parties.
Pertinent party interviews revealed a staff member yelled and held a child by their arms after the child was running and making fluttering noises. Pertinent party interviews described the voice/tone used was loud in volume and firm, causing the child to cry briefly.
It was alleged staff are not following reporting requirements. During the investigation, LPA reviewed records and interviewed pertinent parties, including staff.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
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 3
Control Number 09-CC-20230725092514
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: TEMPLE BETH EL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 330900842
VISIT DATE: 08/24/2023
NARRATIVE
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Staff admitted the incident described above was not reported to Community Care Licensing Division (CCLD). Staff acknowledged understanding the reporting requirements per CCLD regulations.

Based on interviews conducted the preponderance of evidence standard has been met, therefore the above allegation(s) are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 ), See LIC9099D for cited deficiencies.

An exit interview was conducted, and appeal rights discussed. A copy of this report, Notice of Site Visit and appeal rights were provided to the Director, Tanya Soleski. 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: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Citations on this Visit Report are Under Appeal!

Control Number 09-CC-20230725092514
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: TEMPLE BETH EL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 330900842
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
08/28/2023
Section Cited
CCR
101223(a)(1)
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Personal Rights- 101223(a) (1): (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 conduct an in-service training for all staff on personal rights and submit agenda, resources, and staff attendance to the department by POC due date. Facility will provide a copy of this licensing report dated 08/24/23 to parents/guardians of all children currently enrolled by the next business day
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Based on interviews conducted the facility did not comply with the section cited above in that a child was not accorded dignity in their personal relationships with staff. This poses an immediate health, safety, or personal rights risk to persons in care.
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or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from date of this report. A signed Acknowledgement of Receipt of Licensing Report LIC9224 must be placed in the child's file for verification.

Type B
08/28/2023
Section Cited
CCR
101212(d)(1)(C)
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Reporting Requirements: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
This requirement is not met as evidenced by:
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Facility will submit an unusual incident report to the department by POC due date 08/28/23.
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Based on record review and interviews the facility did not report an unusual incident per Title 22 regulations. This poses a potential health, safety, or personal rights risk to persons 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: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3