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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300549
Report Date: 06/25/2025
Date Signed: 06/25/2025 04:54:34 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
06/16/2025 and conducted by Evaluator Gabriela Hernandez
COMPLAINT CONTROL NUMBER: 10-CC-20250616144343
FACILITY NAME:MORA FAMILY CHILD CARFACILITY NUMBER:
336300549
ADMINISTRATOR:MARITZA MORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 906-1663
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 7DATE:
06/25/2025
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Martiza MoraTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Provider is operating out of ratio
INVESTIGATION FINDINGS:
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On June 25, 2025, at 1:15 pm, Licensing Program Analyst (LPA) Gabriela Hernandez arrived unannounced at the facility and met with Licensee Maritza Mora for the purpose of conducting a complaint investigation, regarding the above allegation. LPA conducted census and met with Licensee Martiza Mora. At the time of LPA’s arrival, Licensee did not have an assistant present.

On June 16, 2025, a complaint was received by the department alleging Provider is operating out of ratio. The allegation is Licensee operates the facility out of ratio. On June 25, 2025, at the time of LPA’s arrival in the facility, there were 7 children present with Licensee during inspection (C1, C2, C3, C4, C5, C6, C7). Prior to entering the facility, LPA G. Hernandez conducted surveillance and observed C8 leave the facility at approximately 12:52. During 12:52 pm and 1:15 pm, LPA G. Hernandez did not observe any other adult or child leave the facility.

See LIC 9099C for continuation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
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-20250616144343
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: MORA FAMILY CHILD CAR
FACILITY NUMBER: 336300549
VISIT DATE: 06/25/2025
NARRATIVE
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As per the interview conducted on 06/25/2025, LPA G. Hernandez confirmed the facility was operating out of ratio. LPA confirmed there were a total of 8 children present on 06/25/2025 without an assistant present, LPA was unable to verify the amount of time Licensee was left without an assistant. Licensee was not able to provide a time frame on when their assistant left today. Per record review and observation, LPA confirmed there were 2 infants and 6 toddlers present with Licensee, without an assistant present. Licensee also stated they misunderstood the requirement that the additional 2 have to meet the following requirement: one child is enrolled in and attending kindergarten and a second child is at least six years of age. The facility failed to ensure this regulation requirement was met.

Based on evidence collected and interviews conducted, the preponderance of evidence standard has been met and the allegation that the Provider was operating out of ratio have been made substantiated. Licensee is being cited under Title 22 Regulation - Health and Safety code 1597.44(a) for Staffing Ratio and Capacity are being cited on the attached LIC 9099D.

An exit interview was conducted with Licensee Maritza Mora, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20250616144343
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: MORA FAMILY CHILD CAR
FACILITY NUMBER: 336300549
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/06/2025
Section Cited
HSC
1597.44(a)
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A small family day care home may provide care for more than 6 and up to 8 children... if all of the following conditions are met:
(a) At least one child is enrolled in and attending kindergarten... and a second child is at least six years of age.
This requirement is not met as evidenced by:
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Licensee agrees to submit a written plan detailing how they will assure that the ratios/capacity regulations will be applied to be in compliance. Licensee agrees to submit proof of the written plan to Community Care Licensing (CCLD) by the end of the business day on the POC due date of 06/30/2025.
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Based on observation, the licensee did not comply with the section cited above as the licensee was providing care and supervision for 8 children without an assistant present between the ages of 8 months to 5 years of age 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.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3