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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364846066
Report Date: 09/03/2025
Date Signed: 09/03/2025 11:37:49 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
08/04/2025 and conducted by Evaluator Taityana Benson
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20250804084529
FACILITY NAME:PSD/MILL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364846066
ADMINISTRATOR:ANA AVILAFACILITY TYPE:
850
ADDRESS:205 SOUTH ALLEN STREETTELEPHONE:
(909) 383-2025
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92408
CAPACITY:160CENSUS: 50DATE:
09/03/2025
UNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Ana Avila, Site SupervisorTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Personal Rights: Staff restrained a day care child.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Taityana Benson and Perla Ordonez arrived at the facility to deliver the findings of the above complaint allegation. LPAs met with Site Supervisor Ana Avila, conducted a tour of the facility and took a census. An in-person 10-day inspection was initiated by LPAs Taityana Benson and Perla Ordonez on August 06, 2025. During the initial inspection, LPAs met with the Site Supervisor Ana Avila.

On August 04, 2025, a complaint was received alleging staff restrained a day care child. During the investigation, LPAs made observations, conducted interviews with pertinent parties, reviewed records, and obtained pertinent documentation.

Pertinent parties disclosed that staff members were observed utilizing inappropriate barrier techniques with a day care child during rest time.

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

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
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 4
Control Number 09-CC-20250804084529
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: PSD/MILL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 364846066
VISIT DATE: 09/03/2025
NARRATIVE
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It was discovered that on at least one occasion during the week of July 28, 2025, a staff member arched their legs over a child lying on a cot during naptime. It was disclosed this method was utilized by this staff member to create vibrations while their feet were placed on the edge of the cot. Furthermore, it disclosed the staff member has utilized this method with the child on at least one additional occasion.

The investigation revealed that at least two additional staff members were observed using inappropriate barrier techniques with a day care child during rest time. It was disclosed that within the month of July 2025 an additional staff member was observed with their legs over a child’s back while the child was lying on a cot during naptime. Furthermore, it was disclosed that on at least one occasion, while a child was lying on a cot during naptime, a different staff member placed their hand on the child’s back. This method was utilized by this staff member to make their presence known.

It was disclosed during the investigation; the child’s authorized representative was unaware and did not consent to the barriers utilized by staff. It was also discussed that staff members were encouraged to utilize inappropriate barrier techniques amongst staff members. Therefore, a child encountered the use of inappropriate barrier techniques on at least 2 occasions in the month of July 2025 and on at least 1
occasion in the month of August 2025 by a staff member, that restricted the child’s ability to move freely.

Based on interviews with pertinent parties and records obtained throughout the investigation, the department has determined the preponderance of evidence standard has been met, therefore the allegation of personal rights is found to be SUBSTANTIATED. See LIC9099-D for deficiency cited per California Code of Regulations Title 22, Division 12.

LPA Taityana Benson informed Site Supervisor Ana Avila, that this report dated 09/03/2025 documents a Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

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.

Report Continued On LIC9099-C

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 09-CC-20250804084529
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: PSD/MILL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 364846066
VISIT DATE: 09/03/2025
NARRATIVE
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Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Also, LPA Taityana Benson informed the Site Supervisor Ana Avila, to provide a copy of this licensing report dated 09/03/2025 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, and the report was reviewed with Site Supervisor Ana Avila.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Citations on this Visit Report are Under Appeal!

Control Number 09-CC-20250804084529
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: PSD/MILL CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 364846066
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
09/04/2025
Section Cited
CCR
101223(a)(3)
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(a) The licensee shall ensure...(3) To be free from corporal or unusual punishment... including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
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 Immediately, Site Supervisor agrees to ensure children’s personal rights are not violated by ceasing the use of inappropriate barrier techniques by staff members. (Pt 1) Site Supervisor also agrees to establish a written policy regarding appropriate techniques to assist children during naptime,
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Based on observation, interviews and records reviewed, several staff members utilized inappropriate barrier techniques that restraint a day care child during rest time in the month of July 2025, which is an immediate risk to the health and safety of children in care.
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submit a copy to CCLD by the COB on the POC due date of 9/4/25. (Pt 2) Site Supervisor also agrees to provide an in-service training on appropriate techniques to assist children during naptime, including proof of staff participation, and submit a copy to CCLD by COB 9/18/25.
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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: Taityana Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4