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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334830366
Report Date: 11/16/2023
Date Signed: 11/16/2023 01:54:45 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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/07/2023 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20231107092203
FACILITY NAME:SCHOOL TIME CHILDREN'S LEARNING CENTERFACILITY NUMBER:
334830366
ADMINISTRATOR:BRIANA CHAVEZFACILITY TYPE:
850
ADDRESS:4655 TEXAS AVENUETELEPHONE:
(951) 785-9001
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:40CENSUS: 25DATE:
11/16/2023
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Eresha Wedanarachchi, TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff did not notify authorized representative of child's rash.
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 received on 11/07/23. An initial visit was conducted on 11/08/23, at which time LPA conducted interviews and reviewed records. LPA was given access to the facility by the Director, Eresha Wedanarachchi and Assistant Director, Rocio Maravilla. LPA discussed purpose of visit, took census, and toured the facility. LPA met with the Directors to further discuss the complaint allegations and deliver findings.
It was alleged staff did not notify authorized representatives of a child’s rash. During the investigation, LPA interviewed all pertinent parties, including facility staff.
All pertinent party interviews acknowledged while the child was being picked up, a rash (bumps and skin redness) was observed on the child’s face, back, torso and arms. Staff stated they did not see any rash develop prior to pick up, and attributed possible cause to something eaten at lunch time which proceeded nap time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
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-20231107092203
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: 11/16/2023
NARRATIVE
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LPA reviewed the following records: attendance form, medical document, photographs, and daily incident report. Records noted child was picked up at 1:01pm and a daily report was written at 1:10pm. Records time stamped at 1:30pm corroborated the child had a rash on their face, arms, front/back of torso, and the child received additional medical follow up for an allergic reaction.

Due to conflicting information obtained from interviews and records, LPA is unable to definitively identify time incident occurred, and whether incident was reported in a timely manner to authorized representatives. 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 the Director, Eresha 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: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2