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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334843952
Report Date: 05/28/2024
Date Signed: 05/28/2024 01:24:19 PM

Substantiated


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
05/22/2024 and conducted by Evaluator Anastasia Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240522161810
FACILITY NAME:REYNOLDS FAMILY CHILD CAREFACILITY NUMBER:
334843952
ADMINISTRATOR:REYNOLDS, JENNIFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 880-4972
CITY:LA QUINTASTATE: CAZIP CODE:
92253
CAPACITY:14CENSUS: 12DATE:
05/28/2024
UNANNOUNCEDTIME BEGAN:
12:03 PM
MET WITH:Jennifer ReynoldsTIME COMPLETED:
01:34 PM
ALLEGATION(S):
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Licensee was overcapacity
INVESTIGATION FINDINGS:
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On May 28, 2024, at 12:03PM, Licensing Program Analyst (LPA) Anastasia Flores, arrived for the purpose of opening an investigation. LPA informed licensee was the purpose of the visit to open an investigation in regard to the above stated allegation.
During this visit, LPA took a census and reviewed records. During the visit, LPA observed the Family Child Care to be operating within ratio.
Based on record review and interview, the preponderance of evidence has been met, and the allegation that licensee was overcapacity on at least one occasion is substantiated.

An exit interview was conducted, a copy of this report, 9099D, LIC857 (Children’s Record Review) & appeal rights, along with a Notice of Site Visit was handed to licensee, Jennifer Reynolds.
The Licensee understands that it must remain posted for the next 30 days.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
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-20240522161810
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: REYNOLDS FAMILY CHILD CARE
FACILITY NUMBER: 334843952
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/04/2024
Section Cited
CCR
102416.5(a)
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102416.5 (a) Staffing Ratio and Capacity:The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This was not met as evidenced by....
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Licensee will write a statement of how she will remain under capacity limit and submit to LPA Flores via email by 06/04/2024.
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Based on record review and interview, the licensee was over capacity on 5/22/2024. This poses a potential health, safety and personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2