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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330927502
Report Date: 05/14/2024
Date Signed: 05/14/2024 10:37:13 AM

Unsubstantiated


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
04/02/2024 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240402130734
FACILITY NAME:DIAZ FAMILY DAY CAREFACILITY NUMBER:
330927502
ADMINISTRATOR:DIAZ, YFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 924-4846
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY:12CENSUS: 3DATE:
05/14/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Ying Diaz, LicenseeTIME COMPLETED:
10:55 AM
ALLEGATION(S):
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Provider did not ensure minor's diapering needs were met.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced subsequent complaint visit to the facility. LPA met with Licensee Ying Diaz (S1) and informed them of the purpose of this visit. During this investigation LPA conducted interviews with staff and witnesses and obtained supportive documentation for review to assist with determining the finding for the above noted allegations.

It was alleged that the Licensee did not ensure that C1’s diapering needs were met. Interviews with 2 of 3 witnesses revealed their children do not require the use of diapers, therefore they had no concerns. Licensee interview, and record review indicated that there were no other children who wore diapers.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
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 10-CC-20240402130734
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: DIAZ FAMILY DAY CARE
FACILITY NUMBER: 330927502
VISIT DATE: 05/14/2024
NARRATIVE
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Licensee indicated that C1 was sleeping when parent arrived, and that once the child was awakened the parent changed the child’s diaper. Although C1 did have a soiled diaper, the child had been sleeping up until the moment the parent arrived. Thus, the Licensee did not have an opportunity to change the child before the parent arrived.
Based on the investigation, the allegation that child’s diaper needs were not met is Unsubstantiated.

A finding of UNSUBSTANTIATED means that 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.

An exit interview was conducted where a copy of this report was provided along with copies of the LIC811 (confidential names) and of the Appeal Rights.

A Notice of Site visit was given, and the Licensee understands that it must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4