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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334815353
Report Date: 07/02/2024
Date Signed: 07/02/2024 08:35:57 AM

Unsubstantiated


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
06/13/2024 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240613130711
FACILITY NAME:FSA-ARLANZA CDCFACILITY NUMBER:
334815353
ADMINISTRATOR:CHERYL HAYESFACILITY TYPE:
850
ADDRESS:7801 GRAMERCY PLACETELEPHONE:
(951) 352-2810
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY:48CENSUS: 8DATE:
07/02/2024
UNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Amber BurtonTIME COMPLETED:
08:40 AM
ALLEGATION(S):
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Staff member hit child in care.
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido arrived at the facility to investigate regarding the above complaint received on 06/13/24. An initial visit on 06/18/24 and a collateral visit on 06/21/24 were conducted at which time LPA conducted interviews and reviewed records. LPA was given access to the facility by the Director, Amber Burton. LPA discussed purpose of visit, took census, and toured the facility. LPA met with the Director to further discuss the complaint allegations and deliver findings.
It was alleged a staff hit a child in care. During the investigation, LPA interviewed all pertinent parties, including facility staff and children.
Staff denied mishandling children nor have witnessed any individual mishandle children. Staff stated they offer all authorized representatives to volunteer and/or observe children in the classroom. Children interviews revealed conflicting information from what was alleged.
Due to conflicting information obtained from interviews and records from what was alleged, LPA is unable
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
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 2
Control Number 09-CC-20240613130711
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: FSA-ARLANZA CDC
FACILITY NUMBER: 334815353
VISIT DATE: 07/02/2024
NARRATIVE
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to determine if staff hit a child in care. The evidence collected was not sufficient to substantiate or refute the above allegations. Although the allegation may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
Appeal rights issued and discussed with licensee and their signature on this form acknowledges receipt of these rights. An exit interview was conducted, a copy of this report and Notice of Site Visit was provided to Amber Burton. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THREE YEARS.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2