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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300189
Report Date: 03/15/2024
Date Signed: 03/15/2024 03:20:12 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
01/18/2024 and conducted by Evaluator Amber Shaw
COMPLAINT CONTROL NUMBER: 10-CC-20240118120157
FACILITY NAME:TRIPP FAMILY CHILD CAREFACILITY NUMBER:
336300189
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
03/15/2024
UNANNOUNCEDTIME BEGAN:
02:33 PM
MET WITH:Nakita TrippTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Licensee left day care children unattended.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Amber Shaw and Cindy Hamilton, made a subsequent unannounced complaint investigation visit to deliver the findings for the above referenced allegations. LPA met with Nakita Tripp, licensee, who was informed of the decision rendered. LPA’s toured facility and took census.

On January 18, 2024, Community Care Licensing (CCL) received a complaint alleging that Licensee left day care children unattended. During course of investigation, LPA conducted interviews with staff and children and was able to obtain pertinent information regarding allegation. Per interviews conducted, LPA confirmed that children were allowed to play in the backyard without the supervision of an adult/licensee and were left under the care of a minor during playtime.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Amber ShawTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
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 5
Control Number 10-CC-20240118120157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: TRIPP FAMILY CHILD CARE
FACILITY NUMBER: 336300189
VISIT DATE: 03/15/2024
NARRATIVE
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Further interviews revealed that this happened on more than one occasion while the licensee was inside the daycare taking care of the infants enrolled. Based on the information obtained, the allegation that Licensee left day care children unattended is SUBSTANTIATED.

An exit interview was conducted, and a copy of this report, LIC 9099-D, and appeal rights was provided to Licensee Nakita Tripp. A notice of Site Visit was issued and must be posted for 30 days. This report must be made available at the facility for 3 years for public review upon request.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Amber ShawTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
01/18/2024 and conducted by Evaluator Amber Shaw
COMPLAINT CONTROL NUMBER: 10-CC-20240118120157

FACILITY NAME:TRIPP FAMILY CHILD CAREFACILITY NUMBER:
336300189
ADMINISTRATOR:TRIPP,NAKITAFACILITY TYPE:
810
ADDRESS:12809 FREDERICK ST, APT 101TELEPHONE:
(562) 357-0716
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY:8CENSUS: 1DATE:
03/15/2024
UNANNOUNCEDTIME BEGAN:
02:33 PM
MET WITH:Nakita TrippTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Day care child sustained unexplained injuries due to lack of licensee supervision.
Day care child wandered from the facility due to lack of licensee supervision.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA), Amber Shaw, made a subsequent unannounced complaint investigation visit to deliver the findings for the above referenced allegations. LPA met with Nakita Tripp, licensee, who was informed of the decision rendered. LPA’s toured facility and took census.

On January 18, 2024, Community Care Licensing (CCL) received a complaint alleging that Day care child sustained unexplained injuries due to lack of licensee supervision. Per interviews conducted, LPA was unable to confirm that the marks were sustained at the facility. According to the licensee, she was approached by the parent who questioned the scratches, but was unable to provide an answer because the child did not complain or cry while in care and there were no marks observed when the child was picked up by the parent.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Amber ShawTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 10-CC-20240118120157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: TRIPP FAMILY CHILD CARE
FACILITY NUMBER: 336300189
VISIT DATE: 03/15/2024
NARRATIVE
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Additionally, per pertinent interviews and evidence gathered, it was revealed that the child plays alone and does not normally engage with other children. In addition, LPA was unable to interview child due to child’s age and was unable to corroborate allegation. Based on the information obtained, the allegation that Day care child sustained unexplained injuries due to lack of licensee supervision is UNSUBSTANTIATED.

On January 18, 2024, Community Care Licensing (CCL) received a complaint alleging that Day care child wandered from the facility due to lack of licensee supervision. During course of investigation, LPA confirmed that the licensee would allow children to play in the front of the daycare and would place a child gate as a perimeter and to preclude children from wandering off. On one occasion, the licensee confirmed that while supervising the children, including C1, the child removed the gate and walked out; however, the licensee was able to catch C1 and redirect C1 to go back inside. The licensee stated that she reported the incident to the parent and took a picture because she wanted to make them aware of what happened but denied that there was a lack of supervision. Based on the information obtained, the allegation that day care child wandered from the facility due to lack of licensee supervision is UNSUBSTANTIATED.


An exit interview was conducted with Nakita Tripp, Licensee. A copy of this report, appeal rights and Notice of Site Visit were provided.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Amber ShawTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20240118120157
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: TRIPP FAMILY CHILD CARE
FACILITY NUMBER: 336300189
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/29/2024
Section Cited
CCR
102417(a)
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102417(a) Operation of a Family Childcare Home The licensee shall be present in the home and shall ensure that children in care are supervised at all times...the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence....Temporary absences shall not exceed 20 percent...This requirement is not being met as evidenced by:
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Licensee will provide a written statement ensuring children are supervised at all times.
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Based on interviews, the licensee did not supervise children in care, which poses a potential health, safety or personal rights risk to persons 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: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Amber ShawTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5