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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364846215
Report Date: 01/23/2023
Date Signed: 01/23/2023 10:53:18 AM

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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/24/2022 and conducted by Evaluator Karrene Turner
COMPLAINT CONTROL NUMBER: 09-CC-20221024124822
FACILITY NAME:CANFIELD FAMILY CHILD CAREFACILITY NUMBER:
364846215
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
01/23/2023
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Haley Canfield, LicenseeTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Personal RIghts - Licensee isolated infant
INVESTIGATION FINDINGS:
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On 01/23/2023, Licensing Program Analyst (LPA) Kay Turner arrived at Canfield Family Child Care to conclude the investigation regarding the above allegation. LPA conducted a tour of the facility and the census was taken. During the investigation interviews were conducted with pertinent parties and documentation was collected.

On October 24, 2022, a complaint was received alleging the facility was violating personal rights. The complaint stated the licensee isolated an infant while in care. During the course of the investigation, the licensee disclosed to isolating an infant in a room alone for at least 15 minutes and reported to sitting directly outside of the doorway. However, upon reviewing information from documentation collected, the licensee not only states the child was separated from the other children at the facility, but also to leaving the child alone resulting in the infant screaming once the licensee exited the area. The licensee explained the child’s isolation in the room was due to incidents of biting/attempted biting of the other children in care at the facility.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023
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 09-CC-20221024124822
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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CANFIELD FAMILY CHILD CARE
FACILITY NUMBER: 364846215
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/03/2023
Section Cited
CCR
102423(a)(4)
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Each child receiving services from a family child care home shall have certain rights...(4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to:
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Licensee agrees to provide a plan/policy as to how the facility will deal with children with difficult behaviors. Licensee can contact Resource and Referral at (909) 384-8000 for resources.
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 interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

Licensee disclosed to keeping an child isolated in another room separate from other children at the facility due to difficult behaviors.
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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: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 09-CC-20221024124822
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CANFIELD FAMILY CHILD CARE
FACILITY NUMBER: 364846215
VISIT DATE: 01/23/2023
NARRATIVE
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The room was observed to be a smaller room adjacent to the living room that was set up with clean, safe and appropriate toys. There is a safety gate at the door. The licensee has the ability to sit outside the doorway and observe children in the room and children in the living room of the family child care home. The LPA was unable to ascertain the number of instances this occurred within the facility, but based on documentation collected it was on more than one instance. LPA Turner informed the licensee that each child must provided healthful and comfortable accommodations while in care.

Based on all the information obtained from pertinent parties, documentation, records review during inspection, the department has determined the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

See LIC 9099-D for deficiencies.

Exit interview was conducted with Haley Canfield, licensee. A copy of this report, Notice of Site Visit, and Appeal Rights were provided A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023
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
CCLD Regional Office, 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
10/24/2022 and conducted by Evaluator Karrene Turner
COMPLAINT CONTROL NUMBER: 09-CC-20221024124822

FACILITY NAME:CANFIELD FAMILY CHILD CAREFACILITY NUMBER:
364846215
ADMINISTRATOR:CANFIELD, HALEYFACILITY TYPE:
810
ADDRESS:819 TRIBUNE STREETTELEPHONE:
(951) 207-0723
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:8CENSUS: DATE:
01/23/2023
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Haley Canfield, LicenseeTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Lack of Care/Supervision – Infant sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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On 01/23/2023, Licensing Program Analyst (LPA) Kay Turner arrived at the family child care home to conclude the investigation regarding the above allegations. LPA conducted a tour of the home and the census was taken. During the investigation interviews were conducted with pertinent parties and documentation was collected.

On October 24, 2022, a complaint was received alleging there was a lack of care/supervision. The complaint stated an infant sustained unexplained injury while in care. Review of documentation indicated that while an infant possibly did sustain minor scratches while in care at the home, the infant’s authorized representative/parent spoke with the licensee approximately one week later. The licensee was unaware of any incidents that would present the formation of injuries. However, the licensee agreed to pay closer attention.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023
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 09-CC-20221024124822
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CANFIELD FAMILY CHILD CARE
FACILITY NUMBER: 364846215
VISIT DATE: 01/23/2023
NARRATIVE
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Based on the interviews conducted, the review of the pertinent documentation coupled with the time lapse of the injuries, the allegations are UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegations occurred.

No deficiencies were found at this time.

The report was reviewed and an exit interview was conducted with the licensee, Haley Canfield. A Notice of Site Visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. A copy of this report was provided to the licensee.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5