100400329-1-15-2020-04-CC-DLEN-BLARQB-20200129121312

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100400329
Report Date: 01/15/2020
Date Signed: 01/15/2020 09:41:33 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/07/2019 and conducted by Evaluator Angelica Slaughter

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20191107120940

FACILITY NAME:	KIDS KARE OLIVE AVE		FACILITY NUMBER:	100400329
ADMINISTRATOR:	KRAMPE, KRISTIN		FACILITY TYPE:	850
ADDRESS:	2765 E OLIVE AVE		TELEPHONE:	(559) 485-6271
CITY:	FRESNO	STATE: CA	ZIP CODE:	93701
CAPACITY:	50	CENSUS: 39	DATE:	01/15/2020
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Kristin Krampe		TIME COMPLETED:	09:40 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Child required hospitalization due to swallowing rocks/gravel.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On this date, Licensing Program Analyst (LPA) Angelica Slaughter conducted an unannounced follow up complaint inspection to the facility. LPA met with Director Kristen Krampe. The purpose of the inspection was to deliver the findings for the above complaint allegation.

During the course of the investigation, LPA collected information and conducted interviews with the Director, staff and parent of child who previously attended the facility. The interviews revealed inconsistencies in the above allegation.

Although the allegtion may have happened or may be valid, there is not a preponderance of the evidence to prove neglect by staff resulted in child requiring hospitalization due to swallowing rocks/gravel; therefore, the allegation is unsubstantiated.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency is cited during today’s inspection. A Notice of Site Visit is to be posted on parent board.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica Slaughter	TELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020

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