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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334809549
Report Date: 06/25/2026
Date Signed: 06/25/2026 01:45:23 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
05/06/2026 and conducted by Evaluator Angelica Vargas
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20260506124624
FACILITY NAME:MARTHA'S VILLAGE & KITCHENFACILITY NUMBER:
334809549
ADMINISTRATOR:ROSA VERDUZCOFACILITY TYPE:
850
ADDRESS:83-791 DATE AVENUETELEPHONE:
(760) 347-4741
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY:50CENSUS: 35DATE:
06/25/2026
UNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Carmen RobledoTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff handled child in a rough manner
Staff did not provide a safe environment for child in care
Staff do not report incidents to appropriate parties
INVESTIGATION FINDINGS:
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On 06/25/2026 at 1:37 PM, Licensing Program Analyst (LPA) Angelica Vargas and Licensing Program Manager (LPM) Pauline Beschorner arrived unannounced at Martha’s Village and Kitchen and met with Assistant Director, Carmen Robledo. The purpose of the visit was to deliver the investigative findings regarding the allegation referenced above. As part of the investigation, LPA conducted an initial visit on May 14, 2026, during which staff were interviewed and relevant documentation was obtained. On June 2, 2026, LPA continued the investigation by interviewing additional staff and children and collecting further documentation.

On May 6, 2026, Community Care Licensing received a complaint alleging that staff handled a child in a rough manner, staff did not provide a safe environment for children in care, and staff did not report incidents to the appropriate parties. Regarding the allegations that staff handled children roughly and did not provide a safe environment, confidential interviews revealed staff 1 (S1) was tickling a child in a manner that made the child uncomfortable and caused the child to cry.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Angelica Vargas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026
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 3
Control Number 10-CC-20260506124624
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: MARTHA'S VILLAGE & KITCHEN
FACILITY NUMBER: 334809549
VISIT DATE: 06/25/2026
NARRATIVE
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 S1 then placed a bean bag on top of a child after the child began to cry. Additional interviews and a review of records indicated that S1 has been known to be rough with children, ridicule children, and fail to treat children with dignity, safety, and respect.

Regarding the allegation that staff did not report incidents to appropriate parties, interviews revealed that multiple staff members were aware of incidents involving staff being rough with children. However, based on interviews, record reviews, and documentation, these incidents were not reported to Community Care Licensing or to the parents as required.

Based on LPA’s observations, interviews, and record review, the preponderance of evidence standard has been met; therefore, the above allegations are determined to be substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, 101223(a)(1) and 101212(d)(1)(D) are being cited on the attached LIC 9099D. LPA Angelica Vargas informed the licensee, Martha’s Village and Kitchen, that this report dated 04/15/2026 documents two Type B citations.

An exit interview was conducted, and a copy of this report, appeal rights, and a Notice of Site Visit were provided to Assistant Director, Carmen Robledo. The Notice of Site Visit must remain posted in a prominent location visible to families and caregivers for 30 consecutive days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Angelica Vargas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20260506124624
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: MARTHA'S VILLAGE & KITCHEN
FACILITY NUMBER: 334809549
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/15/2026
Section Cited
CCR
101223(a)(1)
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101223(a)(1) Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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Assistant Director agrees to contact RCOE to provide a training on Personal Rights by July 15 and send information to the Department. Once training is completed a copy of the training and a Sign-In of all Staff present will be provided to LPA.
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Based on interviews and records reviewed, S1 violated the personal rights of children by ridiculing them, handling them roughly, and failing to treat them with dignity, safety, and respect. These actions create a potential risk to the health and safety of children in care.
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Type B
07/15/2026
Section Cited
CCR
101212(d)(1)(D)
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101212(d)(1)(D) Reporting Requirements Upon the occurrence, during the operation of the child care center of any of the events specified …, a report shall be made to the Department by telephone or fax within the Department’s next working day and during its normal business hours. In addition, a written report containing the information … shall be submitted to the Department within seven days following the occurrence of such event. This requirement was not met as evidenced by:
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Licensee agrees to read through title 22 on Reporting Requirement and provide an attestation that has read, agrees and understands all related to Reporting Requirements to LPA by end of business day of July 15.
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Based on interviews, and records reviewed, the Department was not notified of any physical abuse by S1 and the facility did not report any such abuse to the parents of the child/children involved. 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: Angelica Vargas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3