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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334843597
Report Date: 03/11/2022
Date Signed: 03/11/2022 03:50:35 PM

Substantiated


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
02/08/2022 and conducted by Evaluator Ana Noble
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220208100206
FACILITY NAME:QUEVEDO FAMILY CHILD CAREFACILITY NUMBER:
334843597
ADMINISTRATOR:IVE QUEVEDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 902-1473
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 0DATE:
03/11/2022
UNANNOUNCEDTIME BEGAN:
02:09 PM
MET WITH:Ive QuevedoTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Lack of Supervision-Children in care had inappropriate interactions with each other.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Ana Noble and James Wilkerson arrived at the facility to conclude an investigation into the above allegation; prior visit was made on 2/14/2022. LPAs Noble and Wilkerson met and conducted interview with Licensee, Ive Quevedo. The facility was toured and observed the following. present today was the Licensee, spouse, adult brother and Licensee minor children. No day-care children were present and the following is the finding:

It was alleged that Children in care had inappropriate interactions whith each other.

During the course of the investigation, information was obatined through interviews which were conducted with Licensee and relevent parties and documentation collected during the investigation. The investigation revealed that in or around February, Child #1 (C1) disclosed to the Licensee that, C1 and Child #2 (C2) had engaged in inappropriate interactions with each other while in care. In addition to Licensee own admission this indicents has take place. Licensee admitted not be aware or known when and where these incidents actually too place, while in care.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022
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-20220208100206
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: QUEVEDO FAMILY CHILD CARE
FACILITY NUMBER: 334843597
VISIT DATE: 03/11/2022
NARRATIVE
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Based on LPAs investigation - Licensee's own admission, interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the allegation, Lack of Supervision - Children in care had inappropriate interactions with each other is found to be SUBSTANTIATED. See LIC9099D for cited deficiency. Appeal rights discussed and a copy of this report was provided to the licensee on this date.

An LIC 9224 (Acknowledgement of Receipt of Licensing Reports) was provided to Licensee during visit.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20220208100206
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: QUEVEDO FAMILY CHILD CARE
FACILITY NUMBER: 334843597
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/12/2022
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home.The licensee shall be present in the home and shall ensure that children in care are supervised at all times. This requirement was not met as evidenced by: The evidence gathered during the investigation corroborates the allegation that children in care had
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Licensee agrees to submit a written statement regarding, Licensee’s understanding of this regulation and Licensee plan to ensure supervision to all children in care, at all times. A non-compliance conference may be scheduled at the discretion of Licensing Program Manager, to prevent further violations
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inappropriate interactions with each other due to lack of supervision, while Licensee engaged in other activities while day-care children were present. This is an immediate risk to the health & safety of children in care.
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regarding violation.
A Non Compliance Conference will be held in the future to develop a more formalized plan of compliance to prevent further violations regarding supervision.
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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: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3