334844377-3-20-2024-10-CC-CMAZ-D45T4X-20240408142441

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334844377
Report Date: 03/20/2024
Date Signed: 03/20/2024 09:49:13 AM

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
02/07/2024 and conducted by Evaluator Sumayya Habeebulla

COMPLAINT CONTROL NUMBER: 10-CC-20240207101250

FACILITY NAME:	ROARK FAMILY CHILD CARE		FACILITY NUMBER:	334844377
ADMINISTRATOR:	ROARK, SAMANTHA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 243-5456
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92555
CAPACITY:	14	CENSUS: 12	DATE:	03/20/2024
		UNANNOUNCED	TIME BEGAN:	09:08 AM
MET WITH:	Samantha Roark		TIME COMPLETED:	10:08 AM

ALLEGATION(S):

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- Staff do not prevent daycare child from sustaining injuries
- Staff do not properly supervise day care child
- Licensee operates the facility of ratio

INVESTIGATION FINDINGS:

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On 03/20/2024, at 9:08 am, Licensing Program Analysts (LPAs) Sumayya Habeebulla and Amber Shaw arrived unannounced at the facility and met with Licensee Samantha Roark to deliver the investigative findings for the above stated allegations. During the investigation, confidential interviews were conducted with staff (S1-S3) and Children (C1-C2). LPA also obtained copies of pertinent records that included: facility roster, ouch reports, pictures, and communication records.

On February 07, 2024, complaints were received by the department alleging Staff does not prevent daycare child from sustaining injuries, staff do not properly supervise day care child, and facility operates over ratio.

See LIC 9099C for continuation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024

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-20240207101250

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: ROARK FAMILY CHILD CARE	FACILITY NUMBER: 334844377
	VISIT DATE: 03/20/2024

NARRATIVE

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The first allegation is that Staff do not prevent daycare child from sustaining injuries. As per facility records and interviews, it was revealed that C1 has sustained injuries while at the facility on 2 different occasions. The first one occurred on August 16th, 2023, when C1 was running in the playroom area and jumped off the couch and bumped their head on the floor. The second incident happened on February 6, 2023, when C1 was running in the playroom area and bumped their forehead near the eyebrow on the bottom part of the slide. According to interviews, both incidents happened during playtime and were observed by the staff but were unable to prevent it from happening even after providing redirection and advising the children to stop running. Further interviews revealed that the children, including C1, were constantly told to stop running but were unable to prevent C1 from getting hurt because the incidents happened so quickly that staff were unable to prevent it. Staff confirmed that C1 was provided first aid and parents were notified via text immediately after the incidents.

The second allegation is Staff do not properly supervise day care child. Pertinent interviews were conducted with staff and children but was unable to corroborate allegation. As per the interviews, LPA confirmed that there is one staff always supervising children in the playroom area. The licensee stated the children enrolled at the facility are very active and facility staff is continuously redirecting them and trying to calm them down. LPA confirmed that staff were present and observed both incidents where C1 got hurt but denied that it happened due to a lack of supervision.

The third allegation is Licensee operates the facility of ratio. During the initial visit conducted by LPA on 02/14/24, LPA observed that there were 3 staff and 12 children. On the subsequent visit conducted on 03/20/24, there were 2 staff and 12 children present. As per the interviews, the facility ensures that they do not exceed the capacity limits as stated on the license. In addition, the licensee denied allegations and stated that she usually has 2 assistants during the day-care hours of operation.

From the information received through interviews with staff, and facility documents the above allegations cannot be verified. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations did or did not occur, therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted with Licensee Ms. Samantha Roark, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024

LIC9099 (FAS) - (06/04)

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