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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334816704
Report Date: 10/23/2025
Date Signed: 10/23/2025 10:23:42 AM

Substantiated


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
09/09/2025 and conducted by Evaluator Gabriela Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20250909113710
FACILITY NAME:PALMA FAMILY CHILD CAREFACILITY NUMBER:
334816704
ADMINISTRATOR:PALMA, CRUZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(442) 324-5188
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 8DATE:
10/23/2025
UNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Cruz PalmaTIME COMPLETED:
08:00 AM
ALLEGATION(S):
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Uncleared adult assisting with children in care
INVESTIGATION FINDINGS:
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On 10/23/2025 at 7:30 a.m., Licensing Program Analyst (LPA) Gabriela Hernandez conducted an unannounced subsequent complaint visit to the licensed family child care home (FCCH). Upon arrival, LPA met with Licensee Cruz Palma and explained the purpose of the visit. As part of the investigation, LPA conducted confidential interviews, made observations, and collected relevant documentation.

The complaint, received by Community Care Licensing (CCL) on September 9, 2025, alleged that an uncleared adult was assisting with children in care, specifically noting that Staff 1 (S1) was transporting children in an unsafe manner. Through two confidential interviews, it was confirmed that S1 had been assisting with transportation duties since the start of the school year on August 20, 2025. On September 16, 2025, LPA observed S1 leaving the FCCH at approximately 1:41 p.m. and returning at 2:57 p.m. with eight children. A review of records and interviews confirmed that S1 did not have fingerprint clearance.

See 9099C for continuation...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
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 10-CC-20250909113710
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: PALMA FAMILY CHILD CARE
FACILITY NUMBER: 334816704
VISIT DATE: 10/23/2025
NARRATIVE
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Based on these findings, the allegation was substantiated, and the facility was cited for violating Title 22, Section 102370(d)(1) regarding Criminal Record Clearance. The deficiency is documented on the LIC 9099D form. A civil penalty of $500.00 was assessed for this violation, as noted on the LIC 421BG.

A Notice of Site Visit was issued and must be posted near the facility’s main entrance for 30 days. Failure to do so will result in a $100 penalty. The Licensee was informed that this report must be shared with all current parents or guardians by the next business day (or the next time children are in care), and with all newly enrolled families for the next 12 months. A signed acknowledgment form (LIC 9224) or written confirmation must be maintained in each child’s file.

An exit interview was conducted, during which Licensee Cruz Palma received a copy of this report, the LIC 9224 form, and information regarding appeal rights.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20250909113710
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: PALMA FAMILY CHILD CARE
FACILITY NUMBER: 334816704
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/23/2025
Section Cited
CCR
102370(d)(1)
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102370(d)(1) Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This was not met as evidenced by...
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Licensee will submit statement in writing confirming they understand regulations pertaining to Criminal Background Fingerprint Clearances. LPA verified Francisco Bracamontes has obtained fingerprint clearance since the initial visit conducted on 09/16/2025.
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Based on LPA's observation and admission of licensee on 09/16/2025, licensee allowed an uncleared adult identified as Francisco Bracamontes to pick up and drop off children from school. This poses an immediate health and safety 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: Pauline Beschorner
LICENSING EVALUATOR NAME: Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3