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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330900842
Report Date: 09/19/2024
Date Signed: 09/19/2024 02:56:13 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
08/22/2024 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240822092107
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: 73DATE:
09/19/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Tanya SoleskiTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Facility staff neglected to follow own discipline policy resutling in aggressive actions between children and other persons.
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido arrived at the facility to investigate the above complaint received on 08/22/24. An initial visit was conducted on 08/27/24, at which time LPA conducted interviews and reviewed records. LPA was granted entry by facility representative Tanya Soleski. LPA discussed purpose of visit, took census, and toured the facility. LPA met with the facility representatives to further discuss the complaint allegations and deliver findings.
It was alleged facility staff neglected to follow facility discipline policy resulting in aggressive actions between children. During the investigation, LPA interviewed all pertinent parties, including facility staff and children, and reviewed records.
Pertinent parties stated subject child has a history of aggression (grabbing, hitting, slapping, pushing) towards individuals, including other children. Pertinent parties described recent incidents of the subject child hitting another child. Pertinent parties stated behavior concerns have been present since last school year and have increased since the summer of this year.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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 4
Control Number 09-CC-20240822092107
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: TEMPLE BETH EL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 330900842
VISIT DATE: 09/19/2024
NARRATIVE
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Pertinent parties stated staff verbally redirect, and shadow (one on one supervision) the subject child, but shadowing is not always possible or consistent. Pertinent parties stated no formal resources have been provided for the child, and the development of a behavior plan was being considered at the end of August however is not completed. Pertinent parties stated no plan of action for behavior interventions or training resources have been implemented or provided.
Pertinent parties stated they were scared and did not want to come to school due to the subject child’s behavior and confirmed incidents of the subject child’s aggressive behavior.
During the visit on 08/27/24, at approximately 9:11AM, LPA observed the subject child running and grabbing items from other children during a table activity, attempt to hit another child four times, and walk/run away from staff’s redirection/guidance.
LPA reviewed the facility’s admission agreement in conjunction with parent handbook and incident reports (please notes). Handbook sections 32-36 identified steps for addressing behaviors (development of strategies; teaching replacement behaviors); notification to parent; incident reports, and development of behavior plans/strategies to address behavior and support in the classroom. For persistent or continued aggressive behavior, handbook identified the steps above in addition to having a strategy meeting and developing a behavior plan with weekly monitoring/review by teacher and office staff - management. LPA reviewed eighteen incidents reports from July to August 2024, confirming aggressive actions from the subject child to other individuals. As of the initial visit date from records reviewed neither a strategy meeting nor formal behavior plan has been completed.
Based on interviews conducted and documentation reviewed, the Department has determined the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED, per California Code of Regulations, Title 22, Division 12.
See LIC9099D for deficiency cited.
LPA Carbullido informed facility representative Tanya Soleski at this report dated 09/19/24 document(s) one Type A citation 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 facility representative to provide a copy of this licensing report dated 09/19/24 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.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 09-CC-20240822092107
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: TEMPLE BETH EL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 330900842
VISIT DATE: 09/19/2024
NARRATIVE
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Appeal rights issued and discussed with licensee 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 was provided to facility representative, Tanya Soleski. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 09-CC-20240822092107
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: TEMPLE BETH EL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 330900842
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/20/2024
Section Cited
CCR
101219(f)
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Admission Agreements-101219(f) The licensee shall comply with all terms and conditions set forth in the admission agreement. This requirement is not met as evidenced by:
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Facility will complete a strategy meeting and formal behavior plan as oulined in parent handbook to address behaviors and to include resources for child and teachers by POC due date.
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Based on LPA’s record review and interviews conducted the facility did not comply with the section cited above in following their discipline policy as noted in admission agreement and parent handbook resulted in aggressive actions between children and other persons. This is an immediate risk to the health and safety 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: 09/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4