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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334841661
Report Date: 10/09/2024
Date Signed: 10/09/2024 04:42:11 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 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
09/05/2024 and conducted by Evaluator Claudia Caywood
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240905101532
FACILITY NAME:GOMEZ FAMILY CHILD CAREFACILITY NUMBER:
334841661
ADMINISTRATOR:GOMEZ, MARICELDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 340-3639
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:14CENSUS: 4DATE:
10/09/2024
UNANNOUNCEDTIME BEGAN:
04:35 PM
MET WITH:Maricelda Gomez, LicenseeTIME COMPLETED:
04:55 PM
ALLEGATION(S):
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Personal Rights-Licensee did not transport day care children in a motor vehicle in a safe manner.
INVESTIGATION FINDINGS:
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On 10-9-2024 at 4:35 PM Licensing Program Analyst (LPA) Claudia Caywood conducted a subsequent complaint investigation to deliver final findings. A 10-day inspection was initiated by LPA Caywood on 09/12/2024. LPA met with Licensee, Griselda Gomez, toured facility, and census was taken. The following was discussed with licensee:

Allegation: Licensee did not transport day care children in a motor vehicle in a safe manner.

During the investigation, LPA conducted interviews with all pertinent parties, including staff and children, reviewed child, and staff records, and toured the facility.

It was alleged the provider is not transporting children in a safe manner while running errands. Pertinent individuals stated they viewed a child forward facing in a car seat although they should have been rear facing based on their weight and age. Pertinent individuals disclosed infant children are always placed in their own car seat provided by authorized representatives and in a rear facing position. (Cont. 9099-C)



Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
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-20240905101532
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GOMEZ FAMILY CHILD CARE
FACILITY NUMBER: 334841661
VISIT DATE: 10/09/2024
NARRATIVE
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Based on interviews with all pertinent parties, conflicting information was obtained from what was alleged. 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.

An exit interview was conducted, and a copy of this report was provided to Licensee, Griselda Gomez.

A Notice of Site Visit was also provided and posted which must stay posted for 30 days.

THIS REPORT MUST BE AVAILABLE TO THE PUBLIC, UPON THEIR REQUEST, FOR THREE YEARS.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2