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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360908889
Report Date: 07/10/2025
Date Signed: 07/10/2025 05:03:53 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
06/18/2025 and conducted by Evaluator Raymond Moorehead
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20250618132411
FACILITY NAME:FAITH LUTHERAN DAY CARE CENTERFACILITY NUMBER:
360908889
ADMINISTRATOR:JOY KIRBYFACILITY TYPE:
830
ADDRESS:12449 CALIFORNIA STREETTELEPHONE:
(909) 790-1816
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY:12CENSUS: 6DATE:
07/10/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Denise Simpson, Interim DirectorTIME COMPLETED:
05:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not keeping facility free of odor (Buildings and Grounds)
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conclude a complaint investigation. LPA met with Interim Director DeDe Simpson, toured the facility, took census, and discussed the following.

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

It was alleged that staff are not keeping facility free of odor, in which is a allegation regarding the facilty's Buildings and Grounds. Further, it was alleged that a teacher at the facility had a strong odor of marijuana on them after exiting the adult bathroom.

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

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
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 09-CC-20250618132411
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: 360908889
VISIT DATE: 07/10/2025
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
During the visit conducted on 06/24/2025, LPA conducted a walk through of the facility, observed the environment, and spoke with several staff members. No unusual or strong odors were detected during the visit, including in or around the adult bathroom.

During the initial investigation process, interviews were conducted with staff members; however, consistent statements were not received. The information collected lacked cohesion, and there was not a substantial amount of evidence available at the time to support or verify the reported allegation. As a result, the complaint was originally concluded as unsubstantiated due to insufficient and conflicting information.

Following the closure of the initial investigation, LPA received new and relevant information regarding the complaint allegation. It was reported that the subject teacher was sent home and subsequently terminated by the facility for allegedly smoking marijuana on-site during break times. It was also reported and noted that the teacher carried a strong odor of marijuana at the time of the incident.

During today’s visit, LPA obtained additional documentation, including a written disciplinary notice issued to the subject teacher regarding smoking at the facility and the odor of marijuana. This documentation, along with the previously received information, provided sufficient basis to now substantiate the allegation.

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 of Buildings and Grounds is found to be Substantiated. See LIC 9099-D for cited deficiency.

Due to the severity of the allegation, a consultation was held with the Interim Director. Interim Director provided LPA with a updated employee handbook policy that includes and enforces Hygiene and a Drug-Free Workplace. The new policy includes a Hygiene and a Drug-Free Workplace, Personal Hygiene, Prohibited Items, and Reporting Suspicious Activity.

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 Interim Director DeDe Simpson.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20250618132411
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: 360908889
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/10/2025
Section Cited
CCR
101238(a)
1
2
3
4
5
6
7
Title 22 Regulation - 101238(a) (Building and grounds) states: The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Interim Director provided LPA with a updated employee handbook policy that includes and enforces Hygiene and a Drug-Free Workplace. The new policy includes a Hygiene and a Drug-Free Workplace, Personal Hygiene, Prohibited Items, and Reporting Suspicious Activity.
8
9
10
11
12
13
14
Staff reports and interviews indicating the subject teacher carried a strong odor of marijuana and had allegedly smoked on-site during break times. LPA collected a disciplinary write-up confirming the teacher was sent home and later terminated due to the incident.
8
9
10
11
12
13
14
Plan of correction was received and cleared on 07/10/2025.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: 07/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3