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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334844363
Report Date: 05/27/2025
Date Signed: 05/27/2025 02:33:30 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/30/2025 and conducted by Evaluator Laura Mejorado
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20250430162346
FACILITY NAME:KIRKLAND FAMILY CHILD CAREFACILITY NUMBER:
334844363
ADMINISTRATOR:ALICIA KIRKLANDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 809-2224
CITY:RIVERSIDESTATE: CAZIP CODE:
92501
CAPACITY:14CENSUS: 8DATE:
05/27/2025
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Alicia KirklandTIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Child received unexplained injuries while in care
Provider did not report injuries to child's authorized representative
INVESTIGATION FINDINGS:
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On this date and time, Licensing Program Analyst (LPA) Laura Mejorado arrived at the facility to conclude a complaint investigation which was initiated on 5/2/25. LPA met with Licensee Alicia Kirkland, toured the facility, took census, and discussed the following.

During the investigation, LPA made observations, reviewed pertinent documentation, and conducted interviews with pertinent parties. It was alleged, a child received unexplained injuries while in care and provider did not report injuries to child's authorized representative. LPA investigated the allegation and gathered the following information:

Please see LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025
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 4
Control Number 09-CC-20250430162346
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KIRKLAND FAMILY CHILD CARE
FACILITY NUMBER: 334844363
VISIT DATE: 05/27/2025
NARRATIVE
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Child received unexplained injuries while in care

It was reported on 4/29/25 a child’s hair was pulled causing a bald spot. The child had their hair in braids and a braid was observed to be missing after the child left the daycare and there was a visible bald spot. While conducting interviews it was disclosed during outside play staff observed the child playing on the swings and moments later the child was crying stating their head hurt. Staff stated they did not see the child get hurt and thought the child may have bumped their head. Staff stated they did not see any visible injuries. Later staff asked amongst themselves if the child was missing a braid or if there was a gap in the child’s hair, but staff were unsure if a braid was missing. After the child went home their authorized representative contacted the Licensee asking what happed to their child’s hair as they were missing a braid. At this point the Licensee was unaware of the incident and asked their staff what happened. The Licensee inspected the swing area where the child was playing and found the child’s braid on the floor near the swing. Although there were staff outside with the children during outside play, no staff saw the child get injured or knew what happened to the child.

Provider did not report injuries to child's authorized representative

It was reported on 4/29/25 a child received an injury in care and the authorized representative was not informed. While in care a child’s braided hair was pulled off causing a visible bald spot. While conducting interviews it was disclosed during outside play staff observed the child playing on the swings and moments later the child was crying stating their head hurt. Staff stated they did not see the child get hurt and thought the child may have bumped their head. Due to staff not seeing any visible injuries an accident report was not written, and the authorized representative was not informed. Staff stated generally if a child sustains a minor injury that can be treated with tender loving care (TLC) no accident report is written, and authorized representative is not contacted. If a child sustains small cut or bump, an accident report is written and message is sent to the authorized representative. If a child sustains an extreme injury or a head injury the authorized representative is called to pick up the child and an accident report is written. Although staff were aware of a child sustaining a head injury the authorized representative was not informed.

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 09-CC-20250430162346
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KIRKLAND FAMILY CHILD CARE
FACILITY NUMBER: 334844363
VISIT DATE: 05/27/2025
NARRATIVE
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Based on LPA observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation’s are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC9099D.

LPA Mejorado informed licensee Alicia Kirkland that this report dated 5/27/25 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Also, LPA Mejorado informed the licensee Alicia Kirkland to provide a copy of this licensing report dated 5/27/25 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the licensee Alicia Kirkland.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 09-CC-20250430162346
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KIRKLAND FAMILY CHILD CARE
FACILITY NUMBER: 334844363
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/28/2025
Section Cited
CCR
102417(a)
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102417(a) - The licensee shall be present in the home and shall ensure that children in care are supervised at all times… This requirement is not met as evidenced by:
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Licensee agrees to have an in-service training with staff regarding supervision. Licensee agrees to submit agenda and participation list to CCL by 5/28/25
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Based on interviews, staff did not observe child get injured or knew what happened, which poses an immediate health, safety and personal rights risk to children in care.
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LPA provided a copy of 102417 Operation of a Family Child Care Home and link for Supervising Children in Family Child Care video.

ccld.childcarevideos.org
Type B
05/28/2025
Section Cited
CCR
102416.2(f)
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102416.2(f) - As soon as possible but no later then the same business day, the licensee shall notify a child's parent or authorized representative regardless of the injuries or acts that affect that child... This requirement is not met as evidenced by:
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Licensee agrees to have an in-service training with staff regarding reporting requirements. Licensee agrees to submit agenda and participation list to CCL by 5/28/25
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Based on interviews, facility did not notify authorized representative of injury, which poses a potential health, safety and personal rights risk to children in care.
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LPA provided a copy of 102416.2 Reporting Requirements.
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: Ana Noble
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4