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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336301201
Report Date: 03/05/2026
Date Signed: 03/05/2026 10:45:39 AM

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
03/02/2026 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20260302142254
FACILITY NAME:OJEDA ORTIZ FAMILY CHILD CAREFACILITY NUMBER:
336301201
ADMINISTRATOR:OJEDA ORTIZ, HERLENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 531-3058
CITY:MENIFEESTATE: CAZIP CODE:
92585
CAPACITY:14CENSUS: 3DATE:
03/05/2026
UNANNOUNCEDTIME BEGAN:
08:34 AM
MET WITH:Herlene Ojeda Ortiz, LicenseeTIME COMPLETED:
11:10 AM
ALLEGATION(S):
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Adult present in the home without a background clearance.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced complaint visit to the facility. LPA met with Licensee Herlene Ojeda Ortiz and informed them of the purpose of this visit. During this investigation, LPA conducted an interview with Licensee, witnesses, and reviewed and obtained copies of facility documentation.

It was alleged that the facility had an adult present in the home without a background clearance. Interview with the Licensee stated Staff One (S1) was inside the facility on February 18, 2026 for approximately 3 hours helping with preparing food for the children, and cleaning the kitchen.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
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 5
Control Number 10-CC-20260302142254
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: OJEDA ORTIZ FAMILY CHILD CARE
FACILITY NUMBER: 336301201
VISIT DATE: 03/05/2026
NARRATIVE
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This day was a day the Licensee was in operation and stated they had 6 children in care. Record review showed S1 did not have a cleared background on February 18, 2026.

Based on interview with the Licensee, and record review, the allegation was Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted, and a copy of this report, LIC9099-D (deficiency page), LIC421-BG and the Appeal Rights were provided. A Notice of Site visit was given, and the Licensee understands that it must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
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
03/02/2026 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20260302142254

FACILITY NAME:OJEDA ORTIZ FAMILY CHILD CAREFACILITY NUMBER:
336301201
ADMINISTRATOR:OJEDA ORTIZ, HERLENEFACILITY TYPE:
810
ADDRESS:27783 CLOUD DANCE CTTELEPHONE:
(909) 531-3058
CITY:MENIFEESTATE: CAZIP CODE:
92585
CAPACITY:14CENSUS: 3DATE:
03/05/2026
UNANNOUNCEDTIME BEGAN:
08:34 AM
MET WITH:Herlene Ojeda Ortiz, LicenseeTIME COMPLETED:
11:10 AM
ALLEGATION(S):
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Licensee did not notify authorized representative of incident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced complaint visit to the facility. LPA met with Licensee Helena Ojeda Ortiz and informed them of the purpose of this visit. During this investigation, LPA conducted an interview with Licensee, witnesses, and reviewed and obtained copies of facility documentation.

It was alleged the Licensee did not notify an authorized representative of an incident. LPA conducted interviews with the Licensee, and outside witnesses confirming on February 26, 2026, Child One (C1) fell backwards onto their bottom and then rolled sideways onto their head. Witness interview confirmed that C1’s authorized representative was notified verbally at pick up, the same day.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
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-20260302142254
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: OJEDA ORTIZ FAMILY CHILD CARE
FACILITY NUMBER: 336301201
VISIT DATE: 03/05/2026
NARRATIVE
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All interviews conducted confirm that C1’s authorized representative was notified the same day. Due to this, the allegation was found to be Unsubstantiated.

A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted, and a copy of this report, was provided along with a copy of the Appeal Rights. A Notice of Site visit was given, and the Licensee understands that it must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20260302142254
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: OJEDA ORTIZ FAMILY CHILD CARE
FACILITY NUMBER: 336301201
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/05/2026
Section Cited
CCR
102416(d)(1)
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Personnel Requirements
(d) Prior to employment or initial presence in the child care home, all employees and volunteers subject to a criminal record review shall:(1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations.. This requirement was not being met as evidenced by:
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As of today's date, S1 has a cleared background, and is associated to the facility. POC clear.
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Based on Licensee's admission, and record review, S1 was inside the facility for 3 hours while in operation assisting with children's food. This is an immediate health and safety risk to 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.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5