334806287-6-12-2025-10-CC-DMUN-DHZSB6-20250626134322

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334806287
Report Date: 06/12/2025
Date Signed: 06/12/2025 01:12:15 PM

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
05/15/2025 and conducted by Evaluator Jesse Gardner

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20250515151341

FACILITY NAME:	BOEHM CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	334806287
ADMINISTRATOR:	KNUDSEN, CATHY		FACILITY TYPE:	850
ADDRESS:	74-200 COUNTRY CLUB DRIVE		TELEPHONE:	(760) 346-6829
CITY:	PALM DESERT	STATE: CA	ZIP CODE:	92260
CAPACITY:	66	CENSUS: 44	DATE:	06/12/2025
		UNANNOUNCED	TIME BEGAN:	12:21 PM
MET WITH:	Cathy Knudsen, Director		TIME COMPLETED:	01:35 PM

ALLEGATION(S):

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Child sustained a head injury due to lack of supervision

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced subsequent complaint visit to deliver the findings of the above allegation. LPA met with Director Cathy Knudsen and informed them on the purpose of this visit. During this investigation, LPA conducted interviews with staff and confidential witnesses, obtained and reviewed supportive documentation and video surveillance of the incident.

On 5/15/2025, an allegation was received alleging a lack of supervision of Child 1 (C1) resulted in C1 sustaining an injury to the forehead. Staff 1 (S1) was interviewed and stated they were on the playground supervising ten children.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20250515151341

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: BOEHM CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 334806287
	VISIT DATE: 06/12/2025

NARRATIVE

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S1 stated there was an abundance of sand on the cement near the playground, and S1 didn't want children slipping, so they began sweeping the sand back into the playground area. S1 suddenly observed two children on the ground and walked over to find C1 bleeding from the forehead. S1 reached out to other staff for assistance and to provide C1 with first aid treatment while another staff contacted C1’s parent.

On 5/14/2025, LPA reviewed video surveillance footage of the incident which took place on 04/29/2025 at approximately 1542 hours (3:42 PM). The video showed C1 and Child 2 (C2) playing on the outdoor jungle gym and C1 walking toward C2. As C1 approached C2, they placed their arms around C2 resulting in both children falling simultaneously from the platform to the ground below. S1 was seen facing the children, in the area of the incident, sweeping sand back into the area of the playground. S1 immediately went over to assess the situation with the two children. S1 picked up C1 and brought C1 over to the concrete area away from the playground. Another staff is seen walking up to S1, slowing for a brief second to engage S1 in conversation, and then running into the building.

Based on interviews, a review of records and review of the video surveillance, the allegation 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 along with copies of the LIC811 (Confidential Names List), Appeal Rights, and notice of site visit was provided to Director Cathy Knudsen.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2025

LIC9099 (FAS) - (06/04)

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