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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364819798
Report Date: 03/04/2025
Date Signed: 03/04/2025 11:06:10 AM

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
12/11/2024 and conducted by Evaluator Raymond Moorehead
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20241211130406
FACILITY NAME:INGRAM FAMILY CHILD CAREFACILITY NUMBER:
364819798
ADMINISTRATOR:INGRAM, NICOLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 422-9938
CITY:GRAND TERRACESTATE: CAZIP CODE:
92313
CAPACITY:14CENSUS: 4DATE:
03/04/2025
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Nicole Ingram, LicenseeTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is operating out of ratio (Ratio)
Licensee is not present at the facility (License)
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/04/2025 Licensing Program Analysts (LPAs) Raymond Moorehead and Elyse Jones arrived at the facility to deliver the findings of the investigation regarding the above allegations. The complaint investigation was initiated on 12/19/2024. LPAs met with Licensee Nicole Ingram, toured the facility, took census, and discussed the following. Present during inspection were Licensee, Elizabeth Cuevas-Lopez, Assistant, and one adult visitor.

During the course of the investigation, LPAs conducted interviews with pertinent individuals, made observations, reviewed files, and obtained pertinent documentation. It was reported that the facility is operating out of ratio and that the Licensee is not present at the facility.

Throughout the course of the investigation, it was revealed that the facility operated out of ratio several times.

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

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
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-20241211130406
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: INGRAM FAMILY CHILD CARE
FACILITY NUMBER: 364819798
VISIT DATE: 03/04/2025
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
It was revealed that the facility operated with 9 children and 1 staff member. It was also confirmed that the 9 children were children of preschool age, and not children of school age or enrolled in school. Title 22 Regulations state that in order to have 8 children in care, at least one child must be enrolled in and attending kindergarten or elementary school and a second child is at least six years of age. Further, Title 22 Regulations also states that another assistant/staff member is required to be present if exceeding 8 children in care.

The course of the investigation also revealed that there has been times where the Licensee was not present at the home for 80% of the time of the day. Also, the Department received additional documentation that discloses that the Licensee is not the resident at the home in which she is licensed. LPAs informed the Licensee that according to Title 22 Regulations, the Licensee must reside in the home in which they are licensed to.

Based on all pertinent information obtained during the course of the investigation, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated.

LPAs informed Licensee that this report dated 03/04/2025 documents two Type A citations which shall be posted for 30 consecutive days as there was an immediate risk to the health, safety, or personal rights of children in care.

Also, LPAs informed Licensee to provide a copy of this licensing report dated 03/04/2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with Licensee Nicole Ingram, 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. A copy of this report must be made available for the next three years. See LIC 9099-D for cited deficiencies.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20241211130406
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: INGRAM FAMILY CHILD CARE
FACILITY NUMBER: 364819798
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/05/2025
Section Cited
CCR
102416.5(e)
1
2
3
4
5
6
7
102416.5 - Staffing Ratio and Capacity(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
1
2
3
4
5
6
7
Licensee has been provided with a visual diagram of ratio capacity requirements. Licensee agrees to submit a written statement of understanding of the ratio requirements and a statement stating that she agrees to not go out of ratio moving forward.
8
9
10
11
12
13
14
This requirement is not met as evidenced by:

Based on pertinent interviews and documentation obtained by the Department, it was determined that the facility has operated out of ratio several times. The investigation also revealed that the facility has operated with 9 children and 1 staff member.
8
9
10
11
12
13
14
Further, Licensee agrees to provide the Department a written schedule for children in care that shows how she will not continue to operate her Family Child Care Home over ratio. Plan of correction is due by close of business on 03/05/2025.
Type A
03/05/2025
Section Cited
CCR
102417(a)
1
2
3
4
5
6
7
102417 - Operation of a Family Child Care Home (a) The licensee shall be present in the home..
1
2
3
4
5
6
7
Licensee understand she must be living at the facility and be present 80% of the time. Licensee agrees to submit a statement of understanding and a plan to get back into compliance to the Department on or by Plan of correction due date of 03/05/2025.
8
9
10
11
12
13
14
This requirement is not met as evidenced by:

Based on pertinent interviews and documentation obtained by the Department, it was determined that the Licensee does not reside in the home and was not present 80% of the time.
8
9
10
11
12
13
14
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: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3