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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364842706
Report Date: 06/26/2024
Date Signed: 06/26/2024 10:13:06 AM

Unsubstantiated


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
06/12/2024 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240612124330
FACILITY NAME:CORTEZ FAMILY CHILD CAREFACILITY NUMBER:
364842706
ADMINISTRATOR:CORTEZ, LUPEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 586-5789
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91739
CAPACITY:14CENSUS: 5DATE:
06/26/2024
UNANNOUNCEDTIME BEGAN:
08:19 AM
MET WITH:Luz Cortez/licenseeTIME COMPLETED:
10:40 AM
ALLEGATION(S):
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Provider handled day care child in a rough manner
Provider fed day care child food listed as an allergy
INVESTIGATION FINDINGS:
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On 6/26/24 at 8:17 am, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation. LPA met with licensee and was granted access into the facility. LPA toured facility and took a census. Interviewed children and staff.

Allegation: Provider handled day care child in a rough manner.

It was alleged a child was placed in a highchair in an aggressive manner. LPA interviewed all pertinent parties, including the licensee. Licensee stated the child was not placed in a highchair in an aggressive manner. Licensee stated she placed the child in the highchair normally and then fastened the belt.
Based on interviews conducted, there is conflicting information from what was alleged. The above allegation is unsubstantiated; meaning, 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.
(Cont on 9099C)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024
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-20240612124330
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: CORTEZ FAMILY CHILD CARE
FACILITY NUMBER: 364842706
VISIT DATE: 06/26/2024
NARRATIVE
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Allegation: Provider fed day care child food listed as an allergy.

It was alleged the licensee gave a child a lick of a food even though the licensee knew the child was allergic to the food. LPA interviewed all pertinent parties, including licensee. Licensee stated if a child is allergic to a food, the child’s authorized representative will note on a licensing form and will verbally tell her. Licensee stated they do not serve food to a child if the child is allergic to the food and was never told the child was allergic to any food.

Based on interviews conducted, there is conflicting information from what was alleged. The above allegation is unsubstantiated; meaning, 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.

Exit interview conducted with licensee, report, appeal rights and notice of site visit issued.

Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2