334830639-9-17-2021-09-CC-AROS-C76M2M-20210924091344

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334830639
Report Date: 09/07/2021
Date Signed: 09/17/2021 11:58:45 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
06/07/2021 and conducted by Evaluator Andrea Taylor

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20210607144420

FACILITY NAME:	KIDD STREET PRESCHOOL OF RIVERSIDE		FACILITY NUMBER:	334830639
ADMINISTRATOR:	MELISSA HAWTHORNE		FACILITY TYPE:	850
ADDRESS:	10250 KIDD STREET		TELEPHONE:	(951) 688-4242
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92503
CAPACITY:	155	CENSUS: 56	DATE:	09/07/2021
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Jeni Gonzalez-Executive Director		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Child got bitten by another child due to a lack of supervision

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Andrea Taylor conducted an inspection to conclude the investigation concerning the above allegations. LPA Andrea Taylor met with Jeni Gonzalez, Executive Director. LPA Andrea Taylor and Jeni Gonzalez toured the facility inside and out.
There were 56 preschool children present. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Previously, on 6/16/21, LPAs Elyse Jones and Kim Leung informed Melissa Hawthorne about the allegations and purpose of the inspection. On that day LPAs Elyse Jones and Kim Leung requested a current children’s Roster, Personnel Report, Parents Hand Book, a copy of the Enrollment Agreement, Incident Reports, Children’s records, Staff Records and Attendance Records for Children.
Licensing Program Analyst (LPA) Andrea Taylor investigated the above allegations, interviewed all persons pertinent to the investigation and reviewed records.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021

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-20210607144420

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: KIDD STREET PRESCHOOL OF RIVERSIDE	FACILITY NUMBER: 334830639
	VISIT DATE: 09/07/2021

NARRATIVE

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The following was gathered during the investigation:

Interviews disclosed children were standing in line to go out to the playground when Child 2 decided they wanted to be first in line. Child 2 went to the front of the line and attempted to get in front of Child 1 who was at the front of the line. Child 1 would not allow Child 2 to be in the front of the line therefore, Child 2 bit Child 1 on the stomach. The staff observed Child 2 starting to bite Child 1 and attempted to stop Child 2 from biting Child 1. The staff was unable to reach Child 2 quick enough to prevent the biting from occurring.
The staff member who witnessed and assisted the child who was bitten wrote a statement regarding what had occurred. This staff member was the only adult witness. The children interviewed denied that the incident occurred.

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.

In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

An exit interview was completed.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021

LIC9099 (FAS) - (06/04)

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