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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334845437
Report Date: 02/27/2024
Date Signed: 02/27/2024 10:34:04 AM

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
02/22/2024 and conducted by Evaluator Anastasia Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240222151505
FACILITY NAME:WOLFF WATERFACILITY NUMBER:
334845437
ADMINISTRATOR:ANDREA GOMEZFACILITY TYPE:
850
ADDRESS:47795 DUNE PALMS ROADTELEPHONE:
(760) 771-3096
CITY:LA QUINTASTATE: CAZIP CODE:
92253
CAPACITY:43CENSUS: 25DATE:
02/27/2024
UNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Margie SanchezTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Child is not being picked up at bus drop off location.
INVESTIGATION FINDINGS:
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On February 27, 2024, at 9:03AM, Licensing Program Analyst (LPA) Anastasia Flores, arrived for the purpose of opening an investigation in regard to the above stated allegation. LPA was granted access to the facility by Site Supervisor, Lizeth Oulette. LPA informed licensee the purpose of the visit to open an investigation in regard to the above stated allegation. During the visit, LPA took a census, and observed that during this time the facility was operating within ratio.

During initial inspection, LPA gathered pertinent information, records were reviewed for Child #1 (C1), and interviews were conducted. Three out of three staff admitted to C1 was not picked up from the bus on at least one or more occasion resulting in C1 being returned back to the school district. Plan of correction was implemented on 2/23/24, to prevent the incident from happening in the future.

Based on records review and interviews, the preponderance of evidence has been met and the allegation that Licensee did not pick up the child from bus drop off location in a timely manner, is substantiated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024
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-20240222151505
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: WOLFF WATER
FACILITY NUMBER: 334845437
VISIT DATE: 02/27/2024
NARRATIVE
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The facility is being cited for Title 22, Section 101229(a) Responsibility for Providing Care and Supervision which poses a potential health, safety and/or personal rights risk to children in care.

An exit interview was conducted, a copy of this report, 9099D, Appeal Rights and Notice of Site Visit were provided to Director, Margie Sanchez. The licensee was reminded that the Notice of Site visit must remain posted for 30 consecutive days and violation of this regulation may result in civil penalties.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20240222151505
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: WOLFF WATER
FACILITY NUMBER: 334845437
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
03/06/2024
Section Cited
CCR
101229(a)
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101229(a) Responsibility for Providing Care and Supervision; The licensee shall provide care and supervision as necessary to meet the children's needs. This was not met as evidenced by…
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Director has purchased a timer for the school staff to utilize as a reminder for the staff to be ready and outside for the child who rides the bus to and from school. Director will have all staff sign a plan of correction training that they understant the plan for children who ride the bus to and from school, and submit to LPA Flores by 3/06/24 via email.
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Based on record review and interview with three out of three staff, child #1 was not picked up in a timely manner from the bus stop, resulting in the parent of C1 to retrieve the child from the school district on at least two or more occasions. This poses a potential health, safety and/or 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: 02/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3