334830366-7-27-2023-09-CC-GSEA-CUHTRY-20230808145816

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334830366
Report Date: 07/27/2023
Date Signed: 07/27/2023 08:56:23 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 ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/03/2023 and conducted by Evaluator Giselle Carbullido

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20230703083705

FACILITY NAME:	SCHOOL TIME CHILDREN'S LEARNING CENTER		FACILITY NUMBER:	334830366
ADMINISTRATOR:	BRIANA CHAVEZ		FACILITY TYPE:	850
ADDRESS:	4655 TEXAS AVENUE		TELEPHONE:	(951) 785-9001
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92504
CAPACITY:	40	CENSUS: 11	DATE:	07/27/2023
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Gayani Wedanarachchi		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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Facility staff left children unsupervised for extended amount of time.

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 the above complaint, which was received on 07/03/2023. An initial visit was conducted on 07/07/23, at which time, LPA conducted interviews and reviewed records. LPA was given access to the facility by the Licensee, Gayani Wedanarachchi. LPA took census, toured the facility, and met with the Licensee to further discuss the complaint allegations and deliver findings.
It was alleged children were left unsupervised during a staff’s work break. During the investigation, LPA reviewed records and interviewed all pertinent parties, including two facility staff.
Staff stated it is standard protocol, every day, staff are relieved by other staff to cover breaks and lunches. Staff stated they recall stating an injury to a child did occur while they were on break but didn’t state the children were left unsupervised.
Due to conflicting information obtained during interviews from what was alleged, LPA was unable to

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

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 09-CC-20230703083705

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: SCHOOL TIME CHILDREN'S LEARNING CENTER	FACILITY NUMBER: 334830366
	VISIT DATE: 07/27/2023

NARRATIVE

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determine if children were left unsupervised; therefore, the evidence collected was not sufficient to substantiate or refute the above allegation. Although the allegation may have happened, or is 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 License, Gayani Wedanarachchi. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

LIC9099 (FAS) - (06/04)

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