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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334806287
Report Date: 01/11/2024
Date Signed: 01/11/2024 12:00:54 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/30/2023 and conducted by Evaluator Anastasia Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20231130084124
FACILITY NAME:BOEHM CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334806287
ADMINISTRATOR:KNUDSEN, CATHYFACILITY TYPE:
850
ADDRESS:74-200 COUNTRY CLUB DRIVETELEPHONE:
(760) 346-6829
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:66CENSUS: 41DATE:
01/11/2024
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Cathy Knudsen TIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Daycare child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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On January 11, 2024, at 11:15 AM, Licensing Program Analyst (LPA) Anastasia Flores, arrived to deliver the findings on the above stated allegation. On December 7, 2023, at 8:43 AM, LPA’s A. Flores and A. Shaw conducted a health and safety inspection of the facility, and no immediate health and safety concerns were observed. Copies of pertinent evidence and videos of children during naptime were obtained. Interviews were conducted with six out of six staff and two confidential interviews.

On November 30, 2023, this agency received an allegation that child #1 (C1) received unexplained injuries while in care. It was reported that C1 had received several self-inflicted injuries while in care of facility. Review of C1 photos dated 11/29/23, revealed a deep scratch on the right upper cheek bone, and patches of hair missing from the back of the neckline area. Interview with director denied knowledge of any child in the facility using self-injurious behaviors at any time. Interview with two out of five staff denied knowledge of C1 harming themselves during naptime on 11/28/23.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
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 2
Control Number 10-CC-20231130084124
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: BOEHM CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 334806287
VISIT DATE: 01/11/2024
NARRATIVE
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Interview with assistant director, denied knowledge of the incident on 11/28/23, only that S5 informed her that C1 had scratches and the previous teacher (S3) knew about the scratches. Video footage from 11/28/23 reviewed by LPA’s and Investigator,J. Munoz observed C1 being moved from one area to another by S2 due to C1 unable to fall asleep, no evidence of any staff cleaning the self-inflicted wound during the time of 12:15 PM to 2:30 PM. Daily communication log sent home to parents of C1 stated the incident occurred at 12:32 PM, and the area was washed with water and child was given tender loving care.
Based on confidential interviews and record review, the allegation that child sustained unexplained injuries due to lack of supervision, while in care may have occurred, however is not supported, or proven by evidence. Therefore, the allegation is unsubstantiated.

A copy of this report, appeal rights and Notice of Site Visit were provided to Director, Cathy Knudsen.

The Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2