364846217-8-7-2025-09-CC-AROS-DKHU36-20250813151301

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364846217
Report Date: 08/07/2025
Date Signed: 08/07/2025 11:51:33 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
06/06/2025 and conducted by Evaluator Taityana Benson

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20250606093818

FACILITY NAME:	CARING HEARTS CHILD DEVELOPMENT CENTER LLC		FACILITY NUMBER:	364846217
ADMINISTRATOR:	GILLYARD, SOPHIA		FACILITY TYPE:	850
ADDRESS:	1558 W BASELINE ST		TELEPHONE:	(909) 571-5499
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92411
CAPACITY:	34	CENSUS: 6	DATE:	08/07/2025
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Sophia Gillyard, Director		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights: Staff left day-care children in soiled diapers.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Taityana Benson arrived at the facility to deliver the findings of the above complaint allegation. LPA was greeted by Teacher Alyssa Trujillo upon arrival to the facility. LPA conducted a tour of the facility inside, outside, and took a census. LPA Benson met Director Sophia Gillyard who arrived at the facility at 8:40 a.m. An in-person 10-day inspection was initiated by LPA Benson on June 11, 2025. During the initial inspection, LPA Benson met with the Director Sophia Gillyard and Assistant Director Marvella. During the investigation, interviews were conducted with pertinent parties and documentation was collected.

On June 06, 2025, a complaint was received alleging staff did not ensure day-care children were provided with water. During the investigation, interviews were conducted with pertinent parties, documentation was collected, and records were reviewed.

Report Continued On LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:	DATE: 08/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025

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

LIC9099 (FAS) - (06/04)

Page: 5 of 7

Control Number 09-CC-20250606093818

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: CARING HEARTS CHILD DEVELOPMENT CENTER LLC	FACILITY NUMBER: 364846217
	VISIT DATE: 08/07/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Pertinent parties disclosed that some of the day-care children enrolled at the facility are not potty trained and use diapers or pull-ups. It was discovered that the facility utilized a daily activity report to record non-potty-trained children’s activity throughout the day. The activity report documented the date, time, child’s name, activity type, activity information, and staff name. It was discovered that on at least one occasion during the week of April 20, 2025, a day-care child required diaper changing and a staff did not immediately change the child’s diaper because of the type of diaper being utilized by the child. It was discovered that at least one day-care child activity report documents the child was wet, twice within one hour before the diaper was changed. It was discovered the facility policy changes a non-potty-trained child at least once per hour. It was disclosed that staff experience challenges with diapering changing but do their best with documenting diapering activity. It was disclosed that non-potty-trained children are moved back and forth to the classroom equipped with the changing table. It was discovered staff members are not adhering to the facility diapering policy and procedures.

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.

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 Director Sophia Gillyard.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:	DATE: 08/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025

LIC9099 (FAS) - (06/04)

Page: 6 of 7

Control Number 09-CC-20250606093818

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: CARING HEARTS CHILD DEVELOPMENT CENTER LLC	FACILITY NUMBER: 364846217
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/07/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/28/2025 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	To be free from...humiliation…including... interference with functions of daily living including... sleeping or toileting; ...or aids to physical functioning. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Immediately, licensee agrees to ensure children’s personal rights are not violated by providing and maintain adequate diapering changing to children. Licensee also agrees to provide an in-service diapering training, including proof of staff participation by
	8 9 10 11 12 13 14	Based on record review and interviews, the facility did not provide a child with adequate diapering changing on at least one occasion during the week of 04/20/25. A staff member left a wet diaper on a child, twice in one hour, which poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14	submitting a copy of diapering training participants to Community Care Licensing by 08/28/25.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: 08/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025

LIC9099 (FAS) - (06/04)

Page: 7 of 7