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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364845323
Report Date: 09/23/2024
Date Signed: 09/23/2024 12:34:06 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
08/19/2024 and conducted by Evaluator Taityana Benson
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240819141218

FACILITY NAME:QUIJADA FAMILY CHILD CAREFACILITY NUMBER:
364845323
ADMINISTRATOR:QUIJADA, MONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 229-0813
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY:14CENSUS: 10DATE:
09/23/2024
UNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Monica Quijada, LicenseeTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Reporting Requirements - Licensee did not properly report an incident involving a daycare child.

INVESTIGATION FINDINGS:
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On September 23, 2024, Licensing Program Analyst (LPA) Taityana Benson arrived at the facility to conclude the investigation regarding the above allegation, a previous inspection was conducted on August 22, 2024. LPA met with Licensee, Monica Quijada and conducted a tour of the facility inside and outside. During the investigation, interviews were conducted with pertinent parties and documentation was collected.

On August 19, 2024, a complaint was received alleging, and the licensee did not properly report the incidents involving the daycare child who sustained bruising on their forehead and back while in care during the week of August 05,2024. The child attended the facility during the operating hours on two separate occasions during the week of August 05, 2024, when bruises were observed by their parent. It should also be noted, the parent of the daycare child did not discover either bruise at pick up from the facility but at later time.

Report Continued On LIC9099-A-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 09-CC-20240819141218
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: QUIJADA FAMILY CHILD CARE
FACILITY NUMBER: 364845323
VISIT DATE: 09/23/2024
NARRATIVE
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 It was disclosed that the licensee and their assistant did not observe any bruises on the subject child on the days the incident occurred at the facility but made the parent aware of the incidents during pick up verbally. However, it was disclosed that the parent of the day care was not made aware of the incidents until they informed the licensee of the two bruises on the day care child’s forehead and back. Therefore, the licensee did not observe bruises on the day care child forehead or back upon drop off or throughout the day of either incident. Therefore, the department is not able to determine if the licensee informed the day care child’s parent of the incident immediately, at pick up, or when the parent observed the bruises and informed the licensee of the bruises.

Although the allegation regarding the licensee did not properly report an incident involving a day care child 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.

No deficiencies cited at this time.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and report was reviewed with Licensee, Monica Quijada.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4