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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334802965
Report Date: 08/15/2024
Date Signed: 08/15/2024 01:24:47 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
07/02/2024 and conducted by Evaluator Tiffanie Diep
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240702113140
FACILITY NAME:UC RIVERSIDE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334802965
ADMINISTRATOR:KIMBERLY PIXLEYFACILITY TYPE:
830
ADDRESS:3333 WATKINS DRIVETELEPHONE:
(951) 827-3854
CITY:RIVERSIDESTATE: CAZIP CODE:
92507
CAPACITY:54CENSUS: 20DATE:
08/15/2024
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Kimberly PixleyTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Other - Facility staff are not utilizing changing tables to change day care children's diapers
INVESTIGATION FINDINGS:
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On 08/15/2024 at 10:45 AM, Licensing Program Analyst (LPA) Tiffanie Diep met with Site Supervisor Kimberly Pixley for the purpose of an unannounced complaint visit to deliver the finding regarding the above allegation. LPA observed nine staff supervising 20 children.

It was alleged that facility staff are not utilizing changing tables to change day care children's diapers. Throughout the course of the investigation, LPA made observations at the facility, obtained relevant documents, and conducted interviews with the reporting party and staff.

Continues on LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
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 3
Control Number 09-CC-20240702113140
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: UC RIVERSIDE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 334802965
VISIT DATE: 08/15/2024
NARRATIVE
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Continued from LIC 9099 (Page 2)

During a previous visit, LPA observed a wooden bench in a restroom in a toddler classroom for children ages 18 to 30 months. LPA did not observe a changing table or changing pad in the classroom. Interviews conducted disclosed consistent statements indicating the wooden bench is used to change older toddlers standing up. It was also disclosed that changing pads are not utilized as an alternative to changing tables. Records reviewed indicated a child who was under the age of two was present during the visit. Information obtained revealed the wooden bench was used to change the child standing up during the visit.

Based on observations made at the facility, information obtained during interviews, and records reviewed, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter 1), are being cited on the attached LIC 9099-D.

LPA conducted a file review prior to conducting the visit and observed a deficiency was issued on 04/25/2024 for not utilizing changing tables for toddlers ages 18 to 24 months. LPA reminded Site Supervisor that each infant must be diapered on a changing table or on a changing pad placed on the floor that meets the requirements of Title 22 section 101439(h). Infants are children under the age of two.

LPA Tiffanie Diep informed the site supervisor, Kimberly Pixley, that this report dated 08/15/2024 documents one Type B citation as there was a potential risk to the personal rights of children in care.

Also, LPA Tiffanie Diep informed Site Supervisor that this is defined as a repeat violation since this is the second time within a 12-month period for the same violation. Therefore, a deficiency and civil penalty are being cited on the attached LIC 9099-D. This repeat violation results in an immediate civil penalty of $250. A civil penalty of $100 per day will continue to be assessed until the violation is corrected.

An exit interview was conducted and report was reviewed with the site supervisor, Kimberly Pixley. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20240702113140
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: UC RIVERSIDE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 334802965
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/13/2024
Section Cited
CCR
101428(d)(1)
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101428 Infant Care Personal Services (d) When changing an infant's diapers, the following shall apply: (1) Each infant shall be diapered on a changing table.

This requirement is not met as evidenced by:
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LPA discussed diapering requirements with Site Supervisor. Site Supervisor agreed to conduct diapering training for staff and provide LPA with a copy along with signatures from staff for verification by 09/13/2024. A civil penalty of $250 is being assessed and provided.
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Based on observations, interviews conducted, and records reviewed, it was revealed that a wooden bench is used to change infants standing up and changing pads are not utilized as an alternative to changing tables which poses a potential personal rights risk to 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: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3