334812837-9-27-2022-10-CC-SHUK-CJS2DF-20220930171813

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334812837
Report Date: 09/27/2022
Date Signed: 09/27/2022 03:20:03 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
08/05/2022 and conducted by Evaluator Lorena Valenzuela

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20220805164928

FACILITY NAME:	DIAZ FAMILY CHILD CARE HOME		FACILITY NUMBER:	334812837
ADMINISTRATOR:	EDGAR/MARIBEL DIAZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 636-0060
CITY:	PALM DESERT	STATE: CA	ZIP CODE:	92211
CAPACITY:	14	CENSUS: 1	DATE:	09/27/2022
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Edgar Diaz, licensee		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee hit day care child

INVESTIGATION FINDINGS:

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

On September 27, 2022 at 2:45 PM, Licensing Program Analyst (LPA) Lorena Valenzuela met with Licensee, Edgar Diaz to deliver the findings of the above allegation.
On August 11, 2022 at 2:32 pm, LPA’s Lorena Valenzuela and Ana Noble conducted a health and safety inspection of the facility and no immediate concerns were noted. Copies of children’s roster, and other facility documents were obtained. Interviews were conducted with licensees, three confidential adult interviews, interviews were attempted with Child #1 (C1) and Child #2 (C2), however, LPA Valenzuela was unable to interview C2 due to C2’s young age and limited verbal skills.
On August 5, 2022, the Department received the allegation that licensee hit a day care child. It was reported Licensee #1 (L1) slapped Child #1 (C1) after C1 threw food on the ground. Confidential interviews revealed that C3 did throw food on the floor to signal C1 was done eating. Additional interviews revealed L1 did not slap C3. In addition, licensee stated they do not use corporal punishment as a form of discipline. Other interviews revealed there were no concerns regarding the care provided by the licensees.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

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-20220805164928

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: DIAZ FAMILY CHILD CARE HOME	FACILITY NUMBER: 334812837
	VISIT DATE: 09/27/2022

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 interviews and records review, the allegation that Licensee #1 slapped Child #1, may have occurred, however 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 licensee, Edgar Diaz.

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

SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 2