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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300495
Report Date: 08/11/2023
Date Signed: 08/11/2023 09:18:55 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 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
07/24/2023 and conducted by Evaluator Keely Messerschmidt
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230724161932
FACILITY NAME:LEWIS FAMILY CHILD CAREFACILITY NUMBER:
336300495
ADMINISTRATOR:LEWIS, AMANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 784-9335
CITY:TEMECULASTATE: CAZIP CODE:
92591
CAPACITY:14CENSUS: 7DATE:
08/11/2023
UNANNOUNCEDTIME BEGAN:
08:57 AM
MET WITH:Marissa SantillanTIME COMPLETED:
09:35 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Daycare child sustained an injury while in care
Facility did not provide a safe and comfortable environment for daycare child
Facility did not meet daycare child's needs
Facility is unsanitary
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On the above date and time listed, Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility for the purpose of delivering the complaint findings on the above-referenced allegations. LPA met with Authorized Representative Marissa Santillan. LPA toured the facility, conducted census, and verified facility staff and children enrollment. LPA discussed with Authorized Representitive the conclusion of the complaint investigation.
On July 26th, 2023, Community Care Licensing (CCL) received a complaint alleging that daycare child (C1) sustained an injury while in care, facility did not provide a safe and comfortable environment for daycare child, facility did not meet daycare child's needs and facility is unsanitary. In regard to the allegation that the child sustained an injury, LPA conducted pertinent interview with the Licensee and other parties involved and was unable to corroborate allegation. LPA observed a picture of the child with a red mark; however, based on the information gathered, the facility and staff were unaware the child had sustained an injury until the parent made contact an hour later after pick-up.
See LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023
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 2
Control Number 10-CC-20230724161932
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: LEWIS FAMILY CHILD CARE
FACILITY NUMBER: 336300495
VISIT DATE: 08/11/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The Licensee stated that she did not see the child hurt herself at the day-care, nor did anyone witness the child have any type of accident. Regarding the allegation that the facility did not provide a safe environment for a day-care child, it was revealed that C1 was placed in a push car and a picture was sent to the parent; however, the parent did not want the child in the push car for safety reasons and requested the child to be removed. LPA confirmed that the incident occurred but was informed that the child was fastened properly and in direct supervision during the short period of time the child sat in the push car. In regard to the allegation that facility did not meet day-care child's needs, LPA conducted interviews and confirmed that the child was placed in a highchair for a short period of time, but was informed that the child was placed there so that the Licensee could serve lunch to the other children in care. According to the licensee, this was a common practice since she did not like to leave the children on the floor during meal time.

It was disclosed that certain items were left behind at the day-care once services were terminated. The items in question, were a bottle and a bib that remained in the child's cubby from the last day of attendance, which was on July 7th, and weren’t picked up until July 24th. LPA confirmed that the bottle was cleaned after use and both items were subsequently placed in the child’s cubby where it stayed there for approximately 17 days until the items were picked up by parents.

Based on the information obtained during this investigation, it has been determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and this report was reviewed with the Authorized Representative Marissa Santillan, and a copy was provided. Appeal rights were discussed and provided during the exit interview.

A Notice of Site visit was given, and Authorized Representative understands that it must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2