<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334845929
Report Date: 07/18/2023
Date Signed: 07/18/2023 10:33:28 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 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
03/16/2023 and conducted by Evaluator Raymond Moorehead
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20230316094154
FACILITY NAME:RODRIGO FAMILY CHILD CAREFACILITY NUMBER:
334845929
ADMINISTRATOR:RODRIGO,KIVINIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 854-4232
CITY:EASTVALESTATE: CAZIP CODE:
91752
CAPACITY:14CENSUS: 10DATE:
07/18/2023
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Licensee Kivini RodrigoTIME COMPLETED:
10:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Adult residing in the daycare home inappropriately touched daycare child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Raymond Moorehead and Licensing Program Manager (LPM) Aaron Ross arrived at the facility to deliver the findings of the investigation regarding the above allegation. Findings are based on the Investigation Report of Community Care Licensing Investigations Branch Investigator Georgina Tallagua.

During the course of the investigation, Investigator Georgina Tallagua conducted interviews, obtained information/documentation, and concluded that it was disclosed that no inaprropriate interactions were observed with a resident and a daycare child. The Licensee stated that the children are always under constant visual supervision. The Licensee also stated that she implemented precautionary mesaures in an effort to ensure safety of the children in care. However, inconsistent statements were obtained during interviews with pertient individuals. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview was conducted with the Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
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