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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600573
Report Date: 07/30/2026
Date Signed: 07/30/2026 12:45:34 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
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 Dana Stevens
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20260608105129
FACILITY NAME:PARENT CARE FAMILY RECOVERY CENTER-INFANTFACILITY NUMBER:
376600573
ADMINISTRATOR:ANGELA ROWEFACILITY TYPE:
830
ADDRESS:4990 WILLIAMS AVENUETELEPHONE:
(619) 668-4210
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:11CENSUS: 2DATE:
07/30/2026
UNANNOUNCEDTIME BEGAN:
09:58 AM
MET WITH:Beth ReynoldsTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff did not properly secure a daycare child in a highchair.
INVESTIGATION FINDINGS:
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On 07/30/2026 Licensing Program Analyst (LPA) Dana Stevens conducted an unannounced complaint inspection in regard to the above allegation. LPA met with Site Director, Beth Reynolds, and informed her of the reason for the visit. There were 2 infants present with 2 staff at the time of the inspection.

During the investigation, LPA conducted interviews with Director, staff, and daycare parents, inspected and took photos of infant equipment and collected facility records.

During interview, Director stated on June 5, 2026, around 10:20 am, Child 1 (C1) fell out of a low feeding chair due to not being secured in the feeding chair's three-point harness. C1 sustained a bump and bruise on their forehead due to the fall and 911 was called. C1 was transported to Rady Children's where they recieved medical care and was released to return home the same day. Director reported the incident timely to licensing via a LIC 624 (Unusual Incident Report). During interview, Staff 1(S1) stated that at the time of the incident, she was attending to other infants in high chairs, and observed C1 stand up in their feeding chair but was unable to get to C1 in time to prevent them from falling. Interviews with daycare parent provided similar information as provided by Director and staff. LPA inpsected the feeding chair used by C1 and found the chair to be age-appropriate and had no broken or missing parts.

Based on information obtained in interviews, the preponderance of evidance standard is met and the allegation of Staff did not properly secure a daycare child in a highchair is found substantiated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rajani Goudreau
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
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 20-CC-20260608105129
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: PARENT CARE FAMILY RECOVERY CENTER-INFANT
FACILITY NUMBER: 376600573
VISIT DATE: 07/30/2026
NARRATIVE
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Per California Code of Regulations, (Title 22, division 12 & Chapter 1) one (1) Type A citation is being cited on the attached LIC9099D.

LPA Stevens informed Director that this report dated 07/30/2026 document(s) one (1) Type A citation which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Stevens informed the Director to provide a copy of this licensing report dated 07/30/2026 that documents the Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and copy of this report and appeal rights provided to Director. Notice of site visit must be posted for thirty (30) days.
SUPERVISORS NAME: Rajani Goudreau
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 20-CC-20260608105129
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: PARENT CARE FAMILY RECOVERY CENTER-INFANT
FACILITY NUMBER: 376600573
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/06/2026
Section Cited
CCR
101439(e)(4)
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101439 Infant Care Center Fixtures, Furniture, Equipment and supplies...(e) High chairs or low-wheeled feeding tables and any such equipment used for seating an infant shall have broad-base legs...(4) An infant shall not be permitted to stand up in a high chair. This requirement was not met as evidenced by,

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Director will provide proof of completion of training on the proper use of feeding chairs for all infant staff within 7 days.
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Based on interviews, the facility did no meet this requirement when C1 was allowed to stand up in their feeding chair and fell, resulting in an injury that required medical treatment, which posed an immediate risk to the health, safety and personal right 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.
SUPERVISOR'S NAME: Rajani Goudreau
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3