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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334846609
Report Date: 08/03/2026
Date Signed: 08/03/2026 01:26:05 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
07/30/2026 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20260730112252
FACILITY NAME:MELODY LANE CHILDREN'S CENTERFACILITY NUMBER:
334846609
ADMINISTRATOR:M.D. SOCORRO CAMACHO AYALAFACILITY TYPE:
860
ADDRESS:9191 COLORADO AVENUETELEPHONE:
(714) 944-9959
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY:93CENSUS: 38DATE:
08/03/2026
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH: M. Socorro Camacho Ayala-DirectorTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Facility is operating out of ratio
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido arrived at the facility to investigate in regard to the above complaint received on 07/30/26. LPA was granted access to the facility by Director, M. Socorro Camacho Ayala. LPA discussed purpose of visit, took census, and toured the facility. LPA met with Director, M. Socorro Camacho Ayalato to further discuss the complaint allegations and deliver findings.
During the investigation, LPA interviewed pertinent parties, including facility staff.
It was alleged the facility is operating out of ratio, specifically not having adequate staffing.
During tour of the facility, LPA took a census and observed teacher child ratio was not met in all classrooms. LPA observed preschool portable with 2 classrooms connected by a doorway. LPA observed with Director present, 8 children in the first classroom with no staff present. LPA entered the connected classroom and observed 7 children with 1 staff present. Additionally, staff interview acknowledged a staff was alone in the preschool portable with 15 children beginning to nap between two classrooms.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2026
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 09-CC-20260730112252
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: MELODY LANE CHILDREN'S CENTER
FACILITY NUMBER: 334846609
VISIT DATE: 08/03/2026
NARRATIVE
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Based on LPA observation and interviews conducted, the Department has determined the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED, per the California Code of Regulations, Title 22, Division 12. See LIC9099D for deficiency cited.

An exit interview was conducted, and appeal rights discussed. LPA Carbullido provided facility representative, M. Socorro Camacho Ayala-Director with a copy of this report, notice of site visit and appeal rights. LPA observed the Notice of Site Visit was posted by staff. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20260730112252
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: MELODY LANE CHILDREN'S CENTER
FACILITY NUMBER: 334846609
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/07/2026
Section Cited
CCR
101216.3(a)
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101216.3 Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
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Facility will submit a wrtitten plan of action to ensure teacher/staff ratio is met thorugout the day and to include a written statement of understanding of 101216.3(a) to the department by POC due date 08/07/26.
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Based on LPA observation, 8 awake children were observed with no teacher present in the preschool portable. This is a potential risk to the health and safety of 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.
SUPERVISOR'S NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3