364843182-5-27-2025-09-CC-GSEA-DH9MEL-20250602093251

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364843182
Report Date: 05/27/2025
Date Signed: 05/27/2025 12:13:58 PM

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
05/05/2025 and conducted by Evaluator Patricia Berry

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20250505153410

FACILITY NAME:	CASTELLANOS FAMILY CHILD CARE		FACILITY NUMBER:	364843182
ADMINISTRATOR:	CASTELLANOS, JANET		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 714-5086
CITY:	FONTANA	STATE: CA	ZIP CODE:	92335
CAPACITY:	14	CENSUS: 7	DATE:	05/27/2025
		UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Janet Castellanos/licensee		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

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Child's dietary needs were not met
Child terminated due to retaliation

INVESTIGATION FINDINGS:

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On 5/27/25at 11:40 am, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation to deliver final findings. LPA met with licensee and was granted access into the facility. LPA toured facility and took a census.

Allegation: Child's dietary needs were not met.

It was alleged the licensee did not follow dietary needs for a child by giving food that contained wheat, which the child is allergic to. Allegedly, the allergy to wheat was listed on the Consent for Medical Treatment form and was told verbally to the licensee. LPA interviewed all pertinent parties, including the licensee, reviewed documentation, and reviewed written communication.

(Cont on 9099C)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20250505153410

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: CASTELLANOS FAMILY CHILD CARE	FACILITY NUMBER: 364843182
	VISIT DATE: 05/27/2025

NARRATIVE

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Licensee stated she was never told verbally the child was allergic to wheat and the allergy to wheat was not listed on the Consent for Medical Treatment form. Staff stated they introduced foods to the child, communicated with the child’s authorized representative of the foods introduced, and the child has never had an allergic reaction to the foods. LPA reviewed the Consent for Medical Treatment form, and the allergy to wheat was not listed. LPA reviewed text communications from the licensee to the child’s authorized representative of the foods introduced.

Based on interviews conducted, there is conflicting information as whether the licensee was told verbally of the child’s allergies to certain foods; therefore, 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.

Allegation: Child terminated due to retaliation.

LPA interviewed all pertinent parties, including the licensee. Licensee stated, almost daily, they had verbal conversations regarding the child’s behavior. Staff stated the child had aggressive behaviors and care was terminated to protect the other children. LPA observed during record review there was nothing in in writing that addressed termination of care.

Based on interviews conducted, there is conflicting information as whether a child was terminated due to retaliation; therefore, 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: 05/27/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025

LIC9099 (FAS) - (06/04)

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