334843745-11-5-2025-10-CC-CMAZ-DNEQGE-20251114110924

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334843745
Report Date: 11/05/2025
Date Signed: 11/05/2025 03:39:39 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
09/18/2025 and conducted by Evaluator Cindy Hamilton

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20250918083440

FACILITY NAME:	MANSELL FAMILY CHILD CARE		FACILITY NUMBER:	334843745
ADMINISTRATOR:	AMANI MANSELL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 208-4087
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92555
CAPACITY:	14	CENSUS: 13	DATE:	11/05/2025
		UNANNOUNCED	TIME BEGAN:	03:05 PM
MET WITH:	Amani Mansell		TIME COMPLETED:	03:50 PM

ALLEGATION(S):

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Child sustained unexplained injury while in care.
Provider is not keeping children in care out of off-limit areas in the home.
Provider is not maintaining child’s admissions documentation on file.

INVESTIGATION FINDINGS:

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On November 5, 2025, at 3:10 pm., Licensing Program Analyst (LPA), Cindy Hamilton met with licensee Amani Mansell (FCCH) to deliver the findings for the above stated allegations.  During the investigation, LPA Hamilton conducted interviews with one staff, licensee and reporting party.  LPA Hamilton conducted health and safety inspection of the FCCH on 09/25/2025 and no safety concerns were noted.  LPA obtained and reviewed pertinent documents from the facility’s files.

On September 18, 2025, Community Care Licensing (CCL) received information stating that a child sustained unexplained injury while in care, provider is not keeping children in care out of off-limit areas in the home and provide is not maintaining child’s admissions documentation on file. It was alleged that a child went home with a scratch and bruise on their eye after being at the FCCH. Confidential interviews and record review revealed to LPA that the child in questions is not enrolled at the FCCH and is the child of a family friend. A confidential interview also revealed that the disclosure of the child’s injuries to staff was after the fact and was unable to determine if injuries occurred at the FCCH.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025

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 10-CC-20250918083440

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: 11/05/2025

NARRATIVE

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Confidential interviews also disclosed that the alleged injury/incident was not observed during child’s visit to FCCH.

Regarding allegation that provider is not keeping children in care out of off-limit areas in the home, It was alleged that licensee has a child in a bedroom that is supposed to be off-limits. Confidential interviews disclosed that the child in question is a friend of the family and does go into the off-limit area upstairs with the parent. Other interview disclosed that the child in question was observed during a face-time call in an off-limit bedroom.

Regarding the allegation that provider is not maintaining admissions documentation on file, it was alleged there is a child in the FCCH without the proper paperwork on file. Confidential interviews disclosed that the child in question is the child of a family friend, visits the FCCH, but is not enrolled. During visit on 09/25/2025, LPA reviewed facility files and confirmed that the child in question is not enrolled and does not require a file. Licensee did confirm that the child and child’s parent have been present at the facility. During today's visit licensee provided LPA with a file for the child and stated child is now enrolled as of 09/29/2025.

Based on observations, interviews and records review the allegations that child sustained unexplained injury while in care, provider is not keeping children in care out of off-limit areas in the home and provider is not maintaining child’s admissions documentation on file, may have occurred, however are not supported or proven by evidence. Therefore, the allegations are unsubstantiated.

An exit interview was conducted and a copy of this report, appeal rights and Notice of Site Visit were discussed and provided to licensee Amani Mansell. Licensee was reminded that the Notice of Site Visit must remain posted for 30 consecutive days.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025

LIC9099 (FAS) - (06/04)

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