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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300783
Report Date: 07/19/2023
Date Signed: 07/19/2023 03:29:35 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
07/12/2023 and conducted by Evaluator William M Chancellor Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230712103342
FACILITY NAME:RUTHERFORD FAMILY CHILD CAREFACILITY NUMBER:
336300783
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
07/19/2023
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Porcha RutherfordTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Licensee did not reveal facility license number in an advertisement.
INVESTIGATION FINDINGS:
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On 7/19/23 Licensing Progam Analyst (LPA) WIlliam Chancellor arrived to the facility to open an investigation into the above allegation. LPA Chancellor met with licensee Porcha Rutherford at the address cited above, 27008 Cornel St. Hemet, CA 92544 and shared the reason for the investigation.
Investigation consisted of: interview with licensee Rutherford and the reporting party.
Documents obtained were advertisements and photos of banners on the home, not depicting the licensing number.

Based on LPA observations, interviews conducted and a review of records, the preponderance of evidence standard has been met. Therefore the above allegation(s) is/are found to be SUBSTANTIATED. California Code of Regulations: Title 22, Division 12, Chapter 1 are being cited on the attached LIC 9099D.

Appeal rights were reviewed and a notice of site visit will be provided.
An exit interview was conducted and a copy of this report will be provided to licensee Porcha Rutherford.
Substantiated
Estimated Days of Completion: 12
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023
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-20230712103342
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: RUTHERFORD FAMILY CHILD CARE
FACILITY NUMBER: 336300783
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/04/2023
Section Cited
CCR
102359(a)
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Advertisements and License Number:
Licensees shall reveal each facility license number in all advertisements, publications, or announcements made with the intent to attract clients.
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Licensee Porcha Rutherford agrees to email or text LPA Chancellor proof of updated advertisements including licensing number.
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This requirement was not met as evidenced by: all advertisements posted on home and flyers used for the communities for the intent to attract clients, were missing proof of licensing number.
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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: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2