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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846066
Report Date: 09/26/2024
Date Signed: 09/26/2024 10:47:08 AM

Document Has Been Signed on 09/26/2024 10:47 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 CENTERFACILITY NUMBER:
364846066
ADMINISTRATOR/
DIRECTOR:		SOARES, CHERYLFACILITY TYPE:
850
ADDRESS:205 SOUTH ALLEN STREETTELEPHONE:
(909) 383-2025
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92408
CAPACITY: 160TOTAL ENROLLED CHILDREN: 160CENSUS: 69DATE:
09/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Cheryl SoaresTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 09/26/2024 Licensing Program Analyst (LPA) Justin Giese made an unannounced visit to the facility to follow-up on the submission of an Unusual Incident Report (UIR). The UIR outlined a alleged incident which occurred on 09/19/2024. LPA met with Administrative Supervisor, Cheryl Soares and discussed the following.

The UIR stated that on 09/19/2024 a pertinent individual had reported to facility management a child in care was observed to have a small red mark on their face after being picked up from the facility, It was their presumption the mark was caused by a staff member hitting the child. A verbal altercation ensued shortly after with facility staff and this individual.

At time of this visit LPA met with Administrative Supervisor (AS), as well as staff involved. through course of interviews it was disclosed that on the day of the incident, the child in question was picked up from the facility while they were still napping and asleep in their respected classroom. It was disclosed the individual entered the classroom, woke the child up, gathered their belongings and left the facility. They returned to the facility lobby shortly after leaving and made verbal accusations the child had received a small red mark on their face due to staff hitting them.

LPA's investigation into this matter did not reveal any corroborating statements or fact to support what was alleged in the submitted UIR. The child in question was not available for interview and has not been in attendance of the facility since the incident was alleged to have occurred.

Therefore due to conflicting information recorded during the investigation from what was alleged to have occurred in the UIR, the incident may have happened, or is valid, but there is no preponderance of evidence to prove the alleged incident did or did not occur, therefore the incident is unsubstantiated.

An exit interview was conducted, LPA provided Administrative Supervisor, Cheryl Soares with a copy of this report and a notice of site visit on 09/26/2024.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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