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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700296
Report Date: 06/26/2026
Date Signed: 06/26/2026 04:19:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/13/2026 and conducted by Evaluator William M Chancellor Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20260513090335
FACILITY NAME:A CREATIVE BEGINNINGFACILITY NUMBER:
376700296
ADMINISTRATOR:ROSEMARY FISHERFACILITY TYPE:
830
ADDRESS:409 EAST FALLBROOK STTELEPHONE:
(760) 728-7600
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY:18CENSUS: 15DATE:
06/26/2026
UNANNOUNCEDTIME BEGAN:
03:41 PM
MET WITH:Rosemary Risher, DirectorTIME COMPLETED:
04:35 PM
ALLEGATION(S):
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1. Staff are not documenting infant 15-minute sleep checks or position.
INVESTIGATION FINDINGS:
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On June 26, 2026, at 3:41 PM, Licensing Program Analyst (LPA) William Chancellor arrived unannounced at A Creative Beginning (CCC) and met with Director Rosemary Fisher to deliver the findings regarding the above referenced allegation. As part of the investigation, LPA conducted an initial visit on May 22, 2026, during which confidential interviews were completed, observations were made, and relevant documentation was obtained.

The Department received the complaint on May 13, 2026, alleging that staff were not documenting infant 15 minute sleep checks. Four of four confidential interviews corroborated that infant staff were not consistently documenting the required 15 minute sleep checks, including the child’s name, date, time of each check, and the initials of the staff member conducting the check. Observation and record review further confirmed that during an audit of the Brightwheel App, management discovered that staff had not recorded sleep logs for the entire previous week.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
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 5
Control Number 10-CC-20260513090335
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: A CREATIVE BEGINNING
FACILITY NUMBER: 376700296
VISIT DATE: 06/26/2026
NARRATIVE
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Based on interviews and record review, the preponderance of evidence standard has been met, and the allegation is substantiated. Violations of California Code of Regulations, Title 22, section 101429(a)(2)(c)(3) is being cited on the attached LIC 9099D.

An exit interview was conducted, and a copy of this report, along with appeal rights, was provided to Director Rosemary Fisher. A Notice of Site Visit was also issued and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20260513090335
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: A CREATIVE BEGINNING
FACILITY NUMBER: 376700296
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2026
Section Cited
CCR
101429(a)(2)(C)
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Responsibility for Providing Care and Supervision for Infants
(a) … the following shall apply (2) Sleeping infant(s) shall be directly observed by sight and sound at all times. (C) Documentation shall be maintained in the infant’s file and be available to the Department for review…This requirement was not met as evidenced by:
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DIR will email LPA a training agenda, including staff sign-in on topics of safe sleep, sleep log requirements and staff understanding of Title 22 101429.
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Based on interviews and record review the facility did not document 15-minute sleep checks on sleeping infants over the last month. This poses a potential risk to the health and safety of children in care.
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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: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/13/2026 and conducted by Evaluator William M Chancellor Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20260513090335

FACILITY NAME:A CREATIVE BEGINNINGFACILITY NUMBER:
376700296
ADMINISTRATOR:ROSEMARY FISHERFACILITY TYPE:
830
ADDRESS:409 EAST FALLBROOK STTELEPHONE:
(760) 728-7600
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY:18CENSUS: DATE:
06/26/2026
UNANNOUNCEDTIME BEGAN:
03:41 PM
MET WITH:Rosemary Risher, DirectorTIME COMPLETED:
04:35 PM
ALLEGATION(S):
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1. Unqualified staff are providing care and supervision.
2. Staff are not changing diapers in a timely manner.
INVESTIGATION FINDINGS:
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On June 25, 2026, at 3:41 PM, Licensing Program Analyst (LPA) William Chancellor arrived unannounced at A Creative Beginning (CCC) and met with Director Rosemary Fisher to deliver the findings regarding the above referenced allegations. As part of the investigation, LPA conducted an initial visit on May 22, 2026, during which confidential interviews were completed, observations were made, and relevant documentation was obtained.

The Department received the complaint on May 13, 2026, alleging that unqualified staff were providing care and supervision. It was specifically alleged that when a fully qualified lead teacher separated from employment, management did not hire a qualified replacement, resulting in unqualified staff supervising infants. Record review confirmed that aide qualified staff were primarily assigned to the infant classroom; however, there were no additional witnesses who could confirm that fully qualified staff were not assisting during the interim. Three of five confidential interviews could not recall a specific time frame in which the infant classroom lacked a fully qualified teacher.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20260513090335
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: A CREATIVE BEGINNING
FACILITY NUMBER: 376700296
VISIT DATE: 06/26/2026
NARRATIVE
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The complaint also alleged that staff were not changing diapers in a timely manner. Three of five confidential interviews reported that staff sometimes entered diaper changes into the Brightwheel App proactively and later edited the purpose or details of the change. The same majority of interviews denied intentionally leaving infants in soiled diapers or exceeding a two-hour interval between changes. While staff reported changing children when diapers were visibly soiled, the investigation could not corroborate human error in electronic documentation.

Based on the information obtained, LPA is unable to determine that unqualified staff were providing care and supervision or that staff failed to change diapers in a timely manner. Although the allegations may have occurred or may be valid, there is not a preponderance of evidence to prove or disprove them; therefore, the allegations are unsubstantiated.

An exit interview was conducted, and a copy of this report, along with appeal rights, was provided to Director Rosemary Fisher. A Notice of Site Visit was also issued and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5