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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334844667
Report Date: 10/06/2022
Date Signed: 10/06/2022 03:50:55 PM

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
08/25/2022 and conducted by Evaluator Anastasia Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220825135112
FACILITY NAME:WAFER FAMILY CHILD CAREFACILITY NUMBER:
334844667
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
10/06/2022
UNANNOUNCEDTIME BEGAN:
03:36 PM
MET WITH:Carlette WaferTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Licensee slapped child
Adult in home cussing at child
Adult in home choked child
INVESTIGATION FINDINGS:
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On October 6, 2022 at 3:36 PM, Licensing Program Analyst (LPA) Anastasia Flores met with Licensee, Carlette Wafer to deliver the findings of the above allegations. On August 31, 2022 at 3:05 PM, LPA conducted a health and safety inspection of the facility and no immediate concerns were noted. Copies of child roster and pertinent information were obtained. LPA conducted interviews with staff #1, #2 (S1, S2), two children and other confidential interviews were conducted.
On August 25, 2022 this agency received allegations that child #1 (C1) was slapped by licensee, that an adult in the facility is cussing at child and that an adult in the facility choked a child. Confidential interviews disclosed that C1 was slapped by S1 on at least one occasion on the bottom. Interview with S1denied allegation of hitting any child in her care at any time. Other confidential interviews revealed that S2 cusses at the children, no known date or time was noted. Interview with S1 and S2 denied allegation that anyone cusses around or near the children when working in the facility or at anytime. Other confidential interviews disclosed that an adult in the facility choked C1 while in care no known date or time is noted
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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-20220825135112
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: WAFER FAMILY CHILD CARE
FACILITY NUMBER: 334844667
VISIT DATE: 10/06/2022
NARRATIVE
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Interview with S1, S2 denied allegations of putting hands on any child in care. Interview with S1 and S2 revealed that the discipline in the facility is positive redirection. Other confidential interviews disclosed that C1 does not tell the truth sometimes and sometimes says there are monkeys in the car. Confidential interviews disclosed that no one had witnessed or been made aware of concerns regarding any child being inappropriately touched by any staff. Confidential interviews denied witnessing S1,S2 placing hands on any child in care, or using bad language in the facility. Other confidential interviews disclosed no marks or bruises were observed on child #1 (C1) at any time while in care of licensee.

Based on confidential interviews, LPA was unable to corroborate allegation and/or gather supporting evidence. Therefore, the allegation is unsubstantiated.  Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted and copy of this report, appeal rights and Notice of Site Visit were provided to Licensee. Licensee was reminded that the Notice of Site Visit must be posted in the facility in a visible area for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2