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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334807214
Report Date: 06/14/2023
Date Signed: 06/14/2023 09:15:08 AM

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
05/12/2023 and conducted by Evaluator Sumayya Habeebulla
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230512152237
FACILITY NAME:JAN PETERSON CHILD DAY CARE CENTERFACILITY NUMBER:
334807214
ADMINISTRATOR:LINDA BEDNARFACILITY TYPE:
850
ADDRESS:26895 BRODIAEA AVENUETELEPHONE:
(951) 601-9200
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92555
CAPACITY:92CENSUS: DATE:
06/14/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Linda BednarTIME COMPLETED:
09:25 AM
ALLEGATION(S):
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- Staff did not assist daycare child with toileting hygiene needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sumayya Habeebulla arrived at the facility for the purpose of conducting a complaint visit, which includes concluding the investigation and delivering the investigation findings regarding the compliant investigation initiated on 05/12/23. LPA met with Director Linda Bednar and discussed the above allegation.

On 05/17/23 LPA Habeebulla conducted interviews with 4 staff and 3 children who all are pertinent to this investigation. Along with interviews, the investigation revealed that: There is an allegation that Staff did not assist daycare child with toileting hygiene needs.

See LIC 9099C for continuation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
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-20230512152237
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: JAN PETERSON CHILD DAY CARE CENTER
FACILITY NUMBER: 334807214
VISIT DATE: 06/14/2023
NARRATIVE
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Interviews revealed that the classroom has a structure of routinely taking the children to use the restroom every 2 hours. If in between the child needs to use the restroom, they will approach the staff. Staff and students also stated that if the children need to be changed, they approach the staff who is supervising during the restroom break or if the staff notices the clothing needs to be changed, they do so immediately. Staff stated the stains or soiling of the clothing occurs due to improper wiping and that they do not have permission to wipe the child but only to assist the child. Interviews further revealed that there has not been an incident where a parent has approached staff stating their child came home with soiled clothing. In addition, due to complaint being anonymous, LPA was unable to gather pertinent information for child that was alleged to have been sent home with dry poop and/or urine.

From the information received through interviews with pertinent parties the above allegation of Personal Rights cannot be verified. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with the Director Linda Bedanar, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.

The licensee understands the Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
LIC9099 (FAS) - (06/04)
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