<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334840129
Report Date: 07/08/2026
Date Signed: 07/08/2026 02:26:38 PM

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
06/08/2026 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20260608111244
FACILITY NAME:WILLIAMS FAMILY CHILD CAREFACILITY NUMBER:
334840129
ADMINISTRATOR:WILLIAMS, RENEEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 961-4644
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:14CENSUS: 6DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Renee WilliamsTIME COMPLETED:
02:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not provide parents rights.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido conducted a subsequent complaint investigation to deliver final findings. An initial visit was conducted on 06/08/26 at which time LPA conducted interviews and reviewed records. LPA met with Licensee, Renee Williams; toured the facility and took a census.
During the investigation, LPA reviewed records and interviewed pertinent parties, including facility staff and children.
It was alleged the licensee did not provide parent rights form. Licensee stated they attempted to give parental rights to the guardian but did not ensure documents were received. Other interviews reported having access and prior knowledge of parent rights information. Additionally, LPA observed at front entry required posting of parent rights form. During the investigation, LPA determined the missing documentation poses no health and safety risk to children in care and did not affect the overall operation of the facility. This is considered a technical violation, and no citation is being issued currently.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
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 2
Control Number 09-CC-20260608111244
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: WILLIAMS FAMILY CHILD CARE
FACILITY NUMBER: 334840129
VISIT DATE: 07/08/2026
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
Based on information gathered from staff interviews and records, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 12 .
Appeal rights issued and discussed with facility representative and their signature on this form acknowledges receipt of these rights.
An exit interview was conducted and a copy of this report and notice of site visit were provided to facility representative, Renee Williams. A copy of this report must be made available to the public upon request for three years
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2