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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334818811
Report Date: 06/23/2026
Date Signed: 06/23/2026 12:19:43 PM

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
05/21/2026 and conducted by Evaluator Kelli Waters
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20260521112300
FACILITY NAME:CALVARY CHAPEL ACADEMY PRESCHOOLFACILITY NUMBER:
334818811
ADMINISTRATOR:MICHELLE CORTESFACILITY TYPE:
850
ADDRESS:26121 HEMET STREETTELEPHONE:
(951) 927-4395
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:54CENSUS: 9DATE:
06/23/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Danielle RuizTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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-Staff handled day care child in a rough manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Kelli Waters, made a subsequent unannounced complaint investigation visit to deliver the findings for the above-mentioned allegation. LPA toured the facility, conducted a census and met with Danielle Ruiz, Director, who was informed of the decision rendered.

On 05/21/26, Community Care Licensing (CCL) received a complaint alleging that staff handled daycare child in a rough manner.

During the investigation, LPA Waters conducted confidential interviews, viewed video footage, and reviewed records. Interviews revealed staff had witnessed an incident where a child (C1) had been handled in a rough manner by staff (S1) and concerns about S1’s interactions with children in care had been shared. LPA Waters observed video footage of an incident in the outside play area where S1 is seen following and then running after C1. S1 is then observed to pick up C1 in a forceful manner around the torso/chest area from behind.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelli Waters
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026
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-20260521112300
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: CALVARY CHAPEL ACADEMY PRESCHOOL
FACILITY NUMBER: 334818811
VISIT DATE: 06/23/2026
NARRATIVE
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S1 then proceeded to carry C1 several feet with C1’s arms waving above head and legs moving indicating that C1 was being held and moved against their will and a violation of C1’s personal rights.

Based on confidential interviews, and video footage, the preponderance of evidence has been met and the allegation that a staff member handled daycare child in a rough manner is SUBSTANTIATED. California Code of Regulations, Title 22, Section 101223(a)(3), is being cited on the attached LIC 9099D.

An exit interview was conducted, and a copy of this report was provided along with copies of the Appeal Rights were provided.

A Notice of Site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelli Waters
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20260521112300
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: CALVARY CHAPEL ACADEMY PRESCHOOL
FACILITY NUMBER: 334818811
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2026
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights (a)(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...

This requirement has not been met as evidenced by:
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Director will conduct Personal Rights training for all staff and will submit a sign-in roster from meeting and training materials provided/covered. Director will submit documents via email by 07/24/26.
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Based on interviewsand video footage, the facility did not ensure the personal rights of C1, therefore the licensee did not comply with the section cited above, which posed an immediate health, safety or personal rights risk to persons 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.
SUPERVISOR'S NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelli Waters
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3