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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334843745
Report Date: 11/16/2023
Date Signed: 11/16/2023 12:51:49 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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/13/2023 and conducted by Evaluator Sumayya Habeebulla
COMPLAINT CONTROL NUMBER: 10-CC-20231013185149
FACILITY NAME:MANSELL FAMILY CHILD CAREFACILITY NUMBER:
334843745
ADMINISTRATOR:AMANI MANSELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 208-4087
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92555
CAPACITY:14CENSUS: 6DATE:
11/16/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Ruth JonesTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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- Staff was driving in an irresponsible and reckless manner while transporting children
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Sumayya Habeebulla and Amber Shaw arrived at the facility for the purpose of conducting a subsequent complaint visit, which includes concluding the investigation and delivering the investigation findings regarding the compliant investigation initiated on 10/13/23. LPAs met with Facility Representative Ruth Jones and discussed the above allegation.

On 10/17/23 LPAs Habeebulla and Shaw conducted interviews with Licensee and staff who are pertinent to this investigation. Along with interviews, the investigation revealed that: There is an allegation that Staff was driving in an irresponsible and reckless manner while transporting children.

See LIC 9099C for continuation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
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 10-CC-20231013185149
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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MANSELL FAMILY CHILD CARE
FACILITY NUMBER: 334843745
VISIT DATE: 11/16/2023
NARRATIVE
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During investigation, LPA confirmed that on 10/12/2023, Staff 1 was dropping of a child at the Elementary school when a verbal disagreement between an administrative school staff and S1 ensued because the childcare van was in the wrong lane in the drop off area. According to the licensee and S1, the school admin staff asked S1 to exit the bus drop off zone area in a manner that was not possible for S1 to maneuver the van and was not safe due to traffic. LPA confirmed that the principal eventually stepped in and resolved the disagreement by allowing the van to exit in a safe manner. In addition, due to LPA being unable to interview reporting party, LPA could not corroborate allegation, therefore, the allegation that Staff was driving in an irresponsible and reckless manner while transporting children is Unsubstantiated.

From the information received through interviews with pertinent parties the above allegation of Personal Rights Home cannot be verified. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Facility Representative Ruth Jones, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.

The licensee understands the Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2