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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364842024
Report Date: 04/01/2022
Date Signed: 04/01/2022 12:07:22 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/14/2022 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220314140415
FACILITY NAME:SMITH FAMILY CHILD CAREFACILITY NUMBER:
364842024
ADMINISTRATOR:SMITH, TANINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 948-2180
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:14CENSUS: 5DATE:
04/01/2022
UNANNOUNCEDTIME BEGAN:
10:57 AM
MET WITH:Tanina SmithTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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9
Day care children left unattended
INVESTIGATION FINDINGS:
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On 04/01/2022 at 10:57 am, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation to deliver final findings. LPA was granted access into the facility. LPA met with Tanina Smith/licensee toured facility and took a census.

It was alleged day-care children are left unattended in a vehicle while staff pick up/drop off children at school. During the investigation, LPA Berry Interviewed all pertinent parties.
Licensee stated there has been times when she left her own children in a vehicle when picking up and dropping off from school however, she has never left day-care children unattended.



(Cont on 9099C)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2022
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 09-CC-20220314140415
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: SMITH FAMILY CHILD CARE
FACILITY NUMBER: 364842024
VISIT DATE: 04/01/2022
NARRATIVE
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Based on interviews conducted, there is conflicting information on whether day-care children are left unattended, did or did not occur, therefore allegation Day care children left unattended is unsubstantiated..

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, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted with licensee, report, appeal rights and Notice of Site Visit provided to licensee.

LPA observed licensee post Notice of Site Visit. Notice of Site visit must be posted for 30 days.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2