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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334830481
Report Date: 09/30/2021
Date Signed: 09/30/2021 10:40:57 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
07/12/2021 and conducted by Evaluator Taadhimeka Zeigler
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210712102459
FACILITY NAME:CHILDRENS LIGHTHOUSE OF RIVERSIDE, CAFACILITY NUMBER:
334830481
ADMINISTRATOR:JANICE WILSONFACILITY TYPE:
850
ADDRESS:19743 LURIN AVENUETELEPHONE:
(951) 653-6688
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY:128CENSUS: 56DATE:
09/30/2021
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Janice WilsonTIME COMPLETED:
10:55 AM
ALLEGATION(S):
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- Staff did not properly supervise a day care child while in care.
- Staff do not follow a licensed physician's orders as noted.
INVESTIGATION FINDINGS:
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On date and time listed, Licensing Program Analyst (LPA) Taadhimeka Zeigler arrived at the facility to complete a complaint investigation into the above allegations. LPA met with Director, Janice Wilson. LPA discussed the purpose of the visit. The facility was toured and the census was taken.

During the investigation, LPA Zeigler reviewed facility documentation, conducted observations, and conducted interviews with children and staff who are pertinent to this investigation.

Regarding the allegation staff did not properly supervise a day care child while in care, Interviews revealed that child #1 was attempting to climb on a small child’s bookcase and slipped. con't on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Taadhimeka Zeigler
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021
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 4
Control Number 09-CC-20210712102459
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: CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA
FACILITY NUMBER: 334830481
VISIT DATE: 09/30/2021
NARRATIVE
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 The child had been repeatedly told to stop climbing on the bookcase but continued to do so. Both teachers that were present at that time, witnessed the child slip on the bottom lip of the bookcase. First aid was provided and child #1s representative was notified. Based on all information obtained, this allegation is UNSUBSTANTIATED.

Regarding the allegation that staff did not follow a licensed physician's orders as noted, interviews revealed that the staff followed the doctor’s orders as presented to them and to the best of their ability. Child #1 was allowed to return to school on modified activities and with a medical boot. The school restricted the child from high impact activities per the return to school order. Interviews also revealed that child #1 is very active and needed constant redirection in order to not be re-injured. Based on all information obtained, this allegation is UNSUBSTANTIATED.

This agency has investigated the complaint allegations and have found that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are UNSUBSTANTIATED.



An exit interview was conducted with Director, Janice Wilson, and Appeal Rights were explained. A copy of this report as well as a copy of the Appeal Rights were provided to Director, Janice Wilson on this date and time.

A Notice of Site Visit was posted and must remain posted for 30 days for public review.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Taadhimeka Zeigler
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021
LIC9099 (FAS) - (06/04)
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