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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334843821
Report Date: 11/13/2024
Date Signed: 11/13/2024 02:44:57 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
11/05/2024 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20241105132500
FACILITY NAME:ORTEGA FAMILY CHILD CAREFACILITY NUMBER:
334843821
ADMINISTRATOR:ORTEGA, KRISTABELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 208-2159
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92551
CAPACITY:14CENSUS: 7DATE:
11/13/2024
UNANNOUNCEDTIME BEGAN:
11:38 AM
MET WITH:Kristabell Ortega, LicenseeTIME COMPLETED:
02:59 PM
ALLEGATION(S):
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Provider is withholding day care child's medications.
Child sustained injury due to lack of supervision.
INVESTIGATION FINDINGS:
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On 11/13/2024 at approximately 11:38 AM, Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced visit to open an investigation into the above allegations. LPA met with Licensee Kristabell Ortega and informed them on the purpose of this visit and conducted a tour of the facility.

It was alleged that the Licensee is witholding day care child's (Child #1) C1 belongings and medications, (Device #1) D1, and (Medication #1) M1. LPA conducted interviews with staff, a witness, reviewed records, and made observations. Witness interview relayed that D1 was, in fact, picked up on 11/3/24; however, M1 was missing. Licensee interview relayed that M1 was inside the box that D1 was in.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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 10-CC-20241105132500
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: ORTEGA FAMILY CHILD CARE
FACILITY NUMBER: 334843821
VISIT DATE: 11/13/2024
NARRATIVE
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Licensee stated that they placed a bag containing D1 and M1 outside on the porch for pickup by C1's mother on 11/3/2024. LPA reviewed video footage at the facility and found at approximately 02:26 PM the bag of C1's belongings were left for pickup. During the time-frame of 02:26 PM - 05:05 PM, LPA found that no one, took, or disrupted the bag until it was picked up at 05:05 PM. Other staff interview relayed that D1 was included with C1's belongings. LPA conducted a record review, and found no mention of M1 in the form related to D1 upon C1's admission to the facility. Thus, due to the conflicting information obtained through interviews conducted with Licensee, staff, witnesses and a review of evidence obtained, the allegation is Unsubstantiated.

It was reported that C1 sustained an injury on 10/30/2024 due to lack of supervision. Photographic evidence obtained showed a small circular bruise to C1's lower back. Evidence provided by the Licensee showed that on 10/30/2024, there were 8 children, and 3 staff inside the facility. Interview with Licensee stated that they were unaware of an injury to C1 until C1's mother notified them after C1 got home. 2 of 2 other staff interviews revealed that C1 did not have a fall or another event that would cause injury to C1 on 10/30/2024. Thus, due to the conflicting information obtained through interviews conducted with Licensee, staff, witnesses and a review of evidence obtained, the allegation is Unsubstantiated.

A finding of UNSUBSTANTIATED means that 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.

An exit interview was conducted where a copy of this report was reviewed with and provided along with a copy of the LIC811 (confidential names list), and Appeal Rights. A notice of site visit was also provided and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2