330908141-9-13-2023-10-CC-PBER-CW2KQJ-20230926080622

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 330908141
Report Date: 09/13/2023
Date Signed: 09/13/2023 02:34:34 PM

Unsubstantiated

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
08/22/2023 and conducted by Evaluator Anastasia Flores

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20230822113848

FACILITY NAME:	V.I.P. TOTS		FACILITY NUMBER:	330908141
ADMINISTRATOR:	DEBBIE HANEY		FACILITY TYPE:	850
ADDRESS:	41915 E. ACACIA AVENUE		TELEPHONE:	(951) 652-7611
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	63	CENSUS: 37	DATE:	09/13/2023
		UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Kingsley Bouldin		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is out of ratio

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On September 13, 2023, at 2:25 PM, Licensing Program Analyst (LPA) Anastasia Flores, met with Director of Education, Kinglsey Bouldin to deliver the findings of the above stated allegation. On August 31, 2023, at 1:07 PM, LPA conducted a health and safety inspection, and no immediate concerns were observed. Copies of staff roster and daily staff to child ratio records were obtained. LPA reviewed staff files and conducted interview with Site supervisor.

On August 23, 2023, this agency received allegation that facility staff is out of ratio. It was reported that facility is breaking fire marshal and state licensing laws due to some classrooms being over the child allowed occupancy plus teachers. It was also reported that teachers are left alone for a great amount of time in a room and the faciity is understaffed. Interview with staff #1 (S1) disclosed that the staff are moved around to different classrooms at naptime to make coverage happen. LPA observation on 8/31/23 revealed that all classrooms in session at time of inspection had appropriate staff to child ratio. Records received on 9/13/23 reveal that all classrooms are maintained in ratio daily.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia Flores	TELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

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 2

Control Number 10-CC-20230822113848

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: V.I.P. TOTS	FACILITY NUMBER: 330908141
	VISIT DATE: 09/13/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Based on interview, and LPA observation and due to lack corroboration from reporting party, the allegation that facility is out of ratio, may have occurred, howeve, it is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. A copy of this report, appeal rights and Notice of Site Visit were provided to Director, Kingsley Bouldin.

The Notice of Site Visit will be posted by the Director prior to LPA leaving the facility and the Director was reminded this notice must be posted for 30 days.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia Flores	TELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2