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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334830639
Report Date: 11/08/2022
Date Signed: 11/08/2022 01:51:20 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
08/05/2022 and conducted by Evaluator Karrene Turner
COMPLAINT CONTROL NUMBER: 09-CC-20220805094214
FACILITY NAME:KIDD STREET PRESCHOOL OF RIVERSIDEFACILITY NUMBER:
334830639
ADMINISTRATOR:MARIA TEELFACILITY TYPE:
850
ADDRESS:10250 KIDD STREETTELEPHONE:
(951) 688-4242
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY:155CENSUS: 64DATE:
11/08/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lucy Casillas, Director
Jeni Gonzalez, Executive Director		TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Personal Rights - Daycare child sustained injuries while in care
Reporting Requirements - Staff did not notify day care child's authorized representative of incidents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kay Turner arrived at the facility to provide investigation findings of the reported above allegations. LPA met with the director, Lucy Casillas, and stated the purpose of today’s inspection. LPA Turner toured the facility, and a census was taken.

The allegations state that while in care at the facility, a daycare child sustained injuries. In addition, it was disclosed that staff did not notify daycare child’s authorized representative of incidents.Regarding the child sustaining injuries at the facility, the child never disclosed to staff at the facility of any incidents. In addition, the child denied being bitten while at the facility. LPA was unable to obtain information of the child sustaining any injuries while in care. The teachers reported being in close proximity and observing the child during the times it is alleged injuries occurred. The authorized representative for the child was not notified per staff at the facility as they indicated there was no occurrence of incident at the facility site. The facility follows the following protocol: 1) provide daily reports to the authorized representative regarding any child’s day at the facility and 2) provide incident reports to the authorized representative
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
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 2
Control Number 09-CC-20220805094214
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: 11/08/2022
NARRATIVE
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regarding any occurrence that results in an injury on site.There were additional measures taken by both, the authorized representative and the facility, to ensure the safety of the children.

Based on the interviews conducted, the review of the pertinent documentation and conflicting information, the allegations are UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegations occurred.

No deficiencies were found at this time.

The report was reviewed, and an exit interview was conducted with the Director, Lucy Casillas. A Notice of Site Visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. A copy of this report was provided to the licensee.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2