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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376603754
Report Date: 10/04/2022
Date Signed: 10/05/2022 09:45:01 AM

Unsubstantiated


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
09/27/2022 and conducted by Evaluator Jessica M Rubio
COMPLAINT CONTROL NUMBER: 10-CC-20220927101701
FACILITY NAME:RODRIGUES, ROSINEY FAMILY DAY CAREFACILITY NUMBER:
376603754
ADMINISTRATOR:RODRIGUES, ROSINEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 941-5218
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:12CENSUS: 6DATE:
10/04/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Rosiney RodriguesTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Licensee hit child
INVESTIGATION FINDINGS:
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On October 4, 2022 at 1:30 pm, Licensing Program Analyst (LPA) Jessica Rubio arrived unannounced to the Rosiney Rodrigues Family Day Care (FCCH) to investigate the above stated allegation. LPA advised licensee of an open investigation. LPA conducted a census. During the investigation, LPA conducted interviews with licensee, assistant (S1), four children (C1, C2, C3 and C4) and obtained records.

On September 27, 2022, a complaint was received alleging licensee hit child, specifically that licensee hit C1 when C1 sat up after being told to lay down. Interviews revealed C1 attended the FCCH for approximately two weeks from 9/12/2022 – 9/23/2022. Confidential interviews revealed C1 did not have trouble with napping, however did cry the last few days of attending the FCCH stating C1 missed their parent.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2022
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 2
Control Number 10-CC-20220927101701
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: RODRIGUES, ROSINEY FAMILY DAY CARE
FACILITY NUMBER: 376603754
VISIT DATE: 10/04/2022
NARRATIVE
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One confidential interview revealed LIC hit C1 on the cheek, while other interviews revealed licensee has not been seen to hit C1 or any other children in care. Licensee and S1 both denied they have hit C1 or any other children in care.

Based on conflicting statements, the allegation that licensee hit C1 may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report, LIC 811 Confidential Names List and appeal rights were given and explained to Licensee Rosiney Rodrigues. A notice of site visit was also provided and must remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2