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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334830481
Report Date: 09/07/2022
Date Signed: 09/07/2022 01:57:12 PM

Substantiated


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
08/25/2022 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220825132019
FACILITY NAME:CHILDRENS LIGHTHOUSE OF RIVERSIDE, CAFACILITY NUMBER:
334830481
ADMINISTRATOR:BONNIE ACOSTAFACILITY TYPE:
850
ADDRESS:19743 LURIN AVENUETELEPHONE:
(951) 653-6688
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY:128CENSUS: 60DATE:
09/07/2022
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Bonnie AcostaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Facility is operating out of ratio
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido arrived at the facility to conduct an investigation regarding the above complaint received on 08/25/2022. A prior visit was conducted on 8/30/22 in which LPA conducted interviews and reviewed records. LPA was given access to the facility by the Bonnie Acosta, Site Director. LPA discussed purpose of visit, took census and toured the facility. During today's visit LPA reviewed records and conduted addtional interviews. LPA met with the Director to further discuss the complaint allegations and deliver findings.

Facility is operating out of ratio. It was alleged facility is operating out of ratio. LPA made unannounced visits on 08/30/22 and 09/07/22 and facility was in ratio on both visits. LPA interviewed 8 staff. All Staff interviews reported facility has operated out of ratio with one staff during the following: In the mornings from 6:30AM up to 8AM- 20 or more children are outside with one staff; after transitioning into classrooms that are combined due to staff shortage and during nap time when children get up and do not sleep.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022
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 6
Control Number 09-CC-20220825132019
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: 09/07/2022
NARRATIVE
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LPA record reviews from facility classroom management and ratio logs revealed the following ratio checks: On 08/09/22: One teacher to 16 children at 2:45PM in classroom 9 On 08/15/22: One teacher to 16 children at 2:45PM in classroom 7 On 08/17/22: One teacher to 14 children at 8:00AM in classroom 9

Based on interviews conducted and documents reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED per California Code of Regulations, Title 22, Division 12. See LIC9099D for cited deficiencies.



LPA Carbullido informed Bonnie Acosta this report dated 09/07/22 documents one Type A citation, which shall be posted for 30 consecutive days, as there was an immediate risk to the health, safety, or personal rights of children in care. LPA Carbullido informed Bonnie Acosta to provide a copy of this licensing report dated 09/07/22 to parents/guardians of all children currently enrolled by the next business day, or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted, and appeal rights discussed. A copy of this report, Notice of Site Visit, and appeal rights were provided to Bonnie Acosta. This report must be made available to the public upon request for three years.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 09-CC-20220825132019
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/08/2022
Section Cited
CCR
101216.3(a)
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101216.3(a)Teacher-Child ratio: a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
This requirement is not met as evidenced by:
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Facility will submit staff schedule showing coverage for supervision in the mornings and a letter stating understanding of regulation 101216.3(a) and how the teacher-child ratio will be met througout the day. (nap times, staff shortages, AM coverage) by 09/08/22.

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Based on record reviews and interviews conducted with staff and Assistant Director admissions the facility did not meet the section above and operated out of ratio on 08/09/22,08/15/22 and 08/17/22, and addtionally at morning check ins and during nap times. This is an immediate health and safety risk to persons in care.
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Facility will submit proof of completion of LIC 9224 for all children enrolled in preschool program.
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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: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 6
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
08/25/2022 and conducted by Evaluator Giselle Carbullido
COMPLAINT CONTROL NUMBER: 09-CC-20220825132019

FACILITY NAME:CHILDRENS LIGHTHOUSE OF RIVERSIDE, CAFACILITY NUMBER:
334830481
ADMINISTRATOR:BONNIE ACOSTAFACILITY TYPE:
850
ADDRESS:19743 LURIN AVENUETELEPHONE:
(951) 653-6688
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY:128CENSUS: 60DATE:
09/07/2022
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Bonnie AcostaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Facility staff do not have required qualifications (ECE units)
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido arrived at the facility to conduct an investigation regarding the above complaint received on 08/25/2022. A prior visit was conducted on 8/30/22 in which LPA conducted interviews and reviewed records. LPA was given access to the facility by the Bonnie Acosta, Site Director. LPA discussed purpose of visit, took census and toured the facility. LPA met with the Director to further discuss the complaint allegations and deliver findings.

Facility staff do not have required qualifications. It was alleged the facility is operating with staff without proper ECE units. LPA made unannounced visits on 08/30/22 and 09/07/22. LPA record reviews of staff qualifications revealed that 2 staff did not have required ECE units. On 08/30/22 during the tour, LPA observed one of the staff staff working alone in classroom number 6. LPA interviewed 8 staff. Some Staff interviews disclosed self admissions for working in the capacity of a teacher without all the required ECE units.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 09-CC-20220825132019
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/14/2022
Section Cited
CCR
101216.1(c)(1)
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101216.1(c)(1) Teacher qualifications.(1) Twelve post-secondary semester... in early childhood education or child development completed,... and at least six months of work experience in a licensed child care center or comparable group child care program. This requirement is not met as evidenced by:
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Facility will submit by classroom staff qualifications for the preschool program, noting fully qualified teachers, assistant teachers and aides to the department by POC date of 09/14/2022
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Based on LPA record reviews and interviews conducted, 2 out of 8 teachers are working in the capacity of fully qualified teacher without all required ECE units. This is a potential 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: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 09-CC-20220825132019
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: 09/07/2022
NARRATIVE
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Director interview also acknowledged not reviewing all teacher qualifications from temporary staff agency.

Based on interviews conducted and documents reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED per California Code of Regulations, Title 22, Division 12. See LIC9099D for cited deficiencies.



An exit interview was conducted, and appeal rights discussed. A copy of this report, Notice of Site Visit, and appeal rights were provided to Bonnie Acosta. This report must be made available to the public upon request for three years.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 6