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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334843991
Report Date: 02/17/2023
Date Signed: 02/17/2023 10:21:21 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 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
02/13/2023 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230213110836
FACILITY NAME:RSD-BOULDER RIDGE PRESCHOOLFACILITY NUMBER:
334843991
ADMINISTRATOR:JESSICA HUFFMANFACILITY TYPE:
850
ADDRESS:27327 JUNIPERO ROADTELEPHONE:
(951) 928-2924
CITY:MENIFEESTATE: CAZIP CODE:
92585
CAPACITY:25CENSUS: 12DATE:
02/17/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Jessica HuffmanTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility has pests
INVESTIGATION FINDINGS:
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At 9:10AM on February 17, 2023, Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced complaint visit. LPA met with Director Jessica Huffman, to discuss and deliver findings on the above stated allegation.

Investigation consisted of: admission from Director and review of pictures.

On 02/13/2023, a complaint allegation was received by the Community Care Licensing (CCL) office that facility has pest. On 02/10/2023, Director Jessica Huffman contacted LPA and advised the facility would need to close one day for deep cleaning, sanitizing, disinfecting and extermination of classroom to address a mice issue at the facility. In addition, this complaint was accompanied by pictures, which showed mice droppings throughout the facility.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
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 3
Control Number 10-CC-20230213110836
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: RSD-BOULDER RIDGE PRESCHOOL
FACILITY NUMBER: 334843991
VISIT DATE: 02/17/2023
NARRATIVE
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Based on Director's admission and LPAs observation, the preponderance of evidence standard has been met and the allegation that facility has pest is found to be SUBSTANTIATED. The facility is being cited in accordance with Title 22 Child Care Center Regulations, Division 12, Chapter 1, Section 101238(a)(1): Buildings and Grounds . This poses a potential risk to the health, safety, or personal rights to the children in care. See LIC9099D for cited deficiency.

Exit interview conducted. A copy of this report and appeal rights were discussed and provided to the Director Jessica Huffman on this date.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20230213110836
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: RSD-BOULDER RIDGE PRESCHOOL
FACILITY NUMBER: 334843991
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/10/2023
Section Cited
CCR
101238(a)(1)
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Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.
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Director advised on 02/15/23, class was out so she removed all toys from shelves, washed, rinsed, sanitized all the toys and placed them in bins, to prepare for next weeks deep cleaning of carpet and walls. She decluttered the preschool hallway, so there is no longer a huge pile. Also, the Maintenance
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The requirement is not met as evidenced by:
On 02/10/23, Director contacted LPA, to advise the facility would need to close for one day to address a mice issue at the facility, which poses/posed a potential health, safety or personal rights risk to children in care.
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Team has brought out pest control, and put down traps, and they have ramped up cleaning from custodians. They will now clean in the AM and PM. Next week, all furniture will be removed and there will be a wall to wall deep cleaning. Parents have been notified of issue and plan of action.
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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: Carlos Martinez
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3