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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360904126
Report Date: 06/06/2025
Date Signed: 06/06/2025 05:35:08 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/15/2025 and conducted by Evaluator Raymond Moorehead
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20250515105812
FACILITY NAME:FAITH LUTHERAN DAY CARE CENTERFACILITY NUMBER:
360904126
ADMINISTRATOR:JOY KIRBYFACILITY TYPE:
850
ADDRESS:12449 CALIFORNIA STREETTELEPHONE:
(909) 790-1816
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY:30CENSUS: 10DATE:
06/06/2025
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Director Joy KirbyTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Facility is not following terms outlined in Admission Agreement (Admission Agreement)
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conclude a complaint investigation which was initiated on 05/23/2025. LPA met with Director Joy Kirby, toured the facility, took census, and discussed the following.

During the investigation, LPA made observations, reviewed pertinent documentation, and conducted interviews with pertinent individuals.

It was alleged that the facility is not following terms outlined in Admission Agreement. Further, it was alleged that the facilty sent a child home prematurely in contradiction to the current Admission Agreement.

Continued on LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2025
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 5
Control Number 09-CC-20250515105812
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: FAITH LUTHERAN DAY CARE CENTER
FACILITY NUMBER: 360904126
VISIT DATE: 06/06/2025
NARRATIVE
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Throughout the course of the investigation, LPA conducted interviews and collected documentation. Through documentation and interviews, the following was discovered: It was reported that a child was sent home after experiencing two loose bowel movements within a 45-minute period. The Admission Agreement was referenced, in which states that a child is to be sent home after having three loose bowel movements in one hour or four within a single day. In response, the Director explained that the Admission Agreement had recently been updated due to an increase in cases of diarrhea and similar symptoms among children. The Director acknowledged that the revised policy had not yet been distributed to families but stated it was scheduled to be shared by the end of the month.


Title 22 Regulation 101219 (f) regarding Admission Agreements, states that the licensee shall comply with all terms and conditions set forth in the admission agreement. It was determined that the facility failed to comply with the terms of the admission agreement, as the updated Admission Agreement referenced by the Director had not yet been distributed to or signed by parents/authorized representatives. As such, the original Admission Agreement remains the active agreement, and enforcing the revised Admission Agreement was not in accordance with the current Admission Agreement. Child #3 was sent home after experiencing two loose bowel movements in 45 minutes, which does not meet the criteria outlined in the current agreement requiring three loose bowel movements within one hour or four total loose bowel movements in a day.

Based on interviews of pertinent individuals that were conducted, and a review of additional pertinent information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

See LIC 9099-D for cited deficiency.

An exit interview was conducted with Director Joy Kirby, Appeal Rights were discussed and issued, a copy of this report was provided, and a Notice of Site Visit (LIC 9213) was issued.

The Notice of Site Visit shall be posted where the parent/guardian of children enter and exit the facility. The Notice of Site Visit must remain posted for 30 consecutive days. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2025
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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/15/2025 and conducted by Evaluator Raymond Moorehead
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20250515105812

FACILITY NAME:FAITH LUTHERAN DAY CARE CENTERFACILITY NUMBER:
360904126
ADMINISTRATOR:JOY KIRBYFACILITY TYPE:
850
ADDRESS:12449 CALIFORNIA STREETTELEPHONE:
(909) 790-1816
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY:26CENSUS: 10DATE:
06/06/2025
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Director Joy KirbyTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Staff speak inappropriately to children in care (Personal Rights)
Staff targetting specific children in care (Personal Rights)
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conclude a complaint investigation which was initiated on 05/23/2025. LPA met with Director Joy Kirby, toured the facility, took census, and discussed the following.

During the investigation, LPA made observations, reviewed pertinent documentation, and conducted interviews with pertinent individuals.

It was alleged that staff speak inappropriately to children in care and staff are targetting specific children in care. Further, it was reported that a teacher was seen yelling at the children in care and that children have been targeted so that they would be disenrolled from the facility.

Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 09-CC-20250515105812
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: FAITH LUTHERAN DAY CARE CENTER
FACILITY NUMBER: 360904126
VISIT DATE: 06/06/2025
NARRATIVE
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During the course of the investigation, LPA conducted pertinent interviews and collected pertinent documentation.

Allegations were made that staff members spoke inappropriately to children and targeted certain children in care. Additionally, it was reported that a teacher was observed yelling at the children, and that some children were targeted out with the intention of having them disenrolled from the facility.

In regards to the allegation of staff members speaking inappropriately to children in care, several staff interviews denied hearing or witnessing what was alleged. Specifically, the subject teacher denied allegations of yelling at children in care. Further, the subject teacher emphasized using a loud and stern tone for children when needed, but never yelling. Subject teacher also stated that they would never and has never yelled at children to belittle or label them.

In regards to the allegation of some children being targeted, due to the their behaviors, staff interviews disclosed working with several challenging behaviors at the facility. Further, staff interviews disclosed that the facility has implemented several methods in order to help address the challenging behaviors that were being displayed by children at the facility. It was also stated that the behavioral forms were assessed at the facility, if children displayed behaviors of aggression towards other children or even teachers.

Child interviews were conducted, but did not provide sufficient information in order to substantiate the allegation of Personal Rights.

This agency has investigated the complaint regarding the above allegations of Personal Rights. Based on the interviews conducted, review of pertinent documentation, the allegations are UNSUBSTANTIATED. A finding of unsubstantiated means, although the allegations may have happened, or are valid, there is not a preponderance of the evidence to prove the allegation occurred.

No deficiencies were cited pertaining to this specific set of allegations. A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview conducted and report was reviewed with Director Joy Kirby.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 09-CC-20250515105812
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: FAITH LUTHERAN DAY CARE CENTER
FACILITY NUMBER: 360904126
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/20/2025
Section Cited
CCR
101219(f)
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Admission Agreements
101219 (f) states that the licensee shall comply with all terms and conditions set forth in the admission agreement.
This requirement was not met as evidenced by: Facility did not comply with the admission agreement...
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Director agrees to distribute the updated Admission Agreement to all parents and authorized representatives and to ensure that all required signatures are obtained. Additionally, Director agrees to conduct a training session with all staff members to review the new Parent Handbook.
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 as the updated admission agreement had not been distributed or signed by parents and was therefore not in effect. Child #3 was sent home after two loose bowel movements in 45 minutes, despite the current agreement requiring three in one hour or four total in a day.
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Director agrees to ensure that each staff member understands and agrees to adhere to all policies outlined in the Admission Agreement. Director agrees to submit proof of correction to LPA no later than June 20, 2025.
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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: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

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

DATE: 06/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5