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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 100404094
Report Date: 11/08/2019
Date Signed: 11/08/2019 10:57:35 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
08/26/2019 and conducted by Evaluator Angelica Slaughter
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20190826095127
FACILITY NAME:FUSD-WEBSTER CHILD DEVELOPMENT CENTERFACILITY NUMBER:
100404094
ADMINISTRATOR:MADDEN, KATHERINE (KAY)FACILITY TYPE:
850
ADDRESS:930 N. AUGUSTATELEPHONE:
(559) 457-3000
CITY:FRESNOSTATE: CAZIP CODE:
93701
CAPACITY:66CENSUS: DATE:
11/08/2019
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Charlotte Miranda/Laura MitchellTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff hit daycare child while in care.
Staff inappropriately restrained daycare child while in care.
INVESTIGATION FINDINGS:
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On this date, Licensing Program Analyst (LPA) Angelica Slaughter conducted a follow-up complaint inspection to the facility and met with Charlotte Miranda and Laura Mitchell. The purpose of the inspection was to deliver the findings for the above complaint allegations.

During the course of the investigation, LPA conducted interviews with staff of the facility. Three witnesses provided details of the alleged incidents. Staff #1 was seen patting the back of child #1 in an aggressive manner during nap time. Child #1 stated staff #1 was hurting them. Staff #1 was also observed placing both of her hands on child #1's back pushing them down. Based on the information obtained during the investigation, there is a preponderance of the evidence to prove staff hit daycare child while in care and staff inappropriately restrained daycare child while in care; therefore, the allegations are substantiated.

Per California Code of Regulation, Title 22, Division 12, deficiencies were cited (continued on next page, 809 D).
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
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
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
08/26/2019 and conducted by Evaluator Angelica Slaughter
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20190826095127

FACILITY NAME:FUSD-WEBSTER CHILD DEVELOPMENT CENTERFACILITY NUMBER:
100404094
ADMINISTRATOR:MADDEN, KATHERINE (KAY)FACILITY TYPE:
850
ADDRESS:930 N. AUGUSTATELEPHONE:
(559) 457-3000
CITY:FRESNOSTATE: CAZIP CODE:
93701
CAPACITY:66CENSUS: DATE:
11/08/2019
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Charlotte Miranda/Laura MitchellTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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9
Staff inappropriately grabbed daycare child while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Slaughter conducted a follow up complaint inspection to discuss and provide findings regarding the above allegation. LPA met with Charlotte Miranda and Laura Mitchell. LPA discussed the finding and took a census. This allegation was previously self-reported and investigated. During the course of the investigation, LPA interviewed staff and reviewed facility records.

This allegation was previously self-reported by the facility and investigated. On 6/5/18, LPA Kathie Campbell conducted a Case Management Inspection. According to information received, it was reported that staff #1 was yelling and grabbed child #1 by the arm rough enough to make the child cry. The above allegation is found to be SUBSTANTIATED.

Continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 04-CC-20190826095127
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FUSD-WEBSTER CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 100404094
VISIT DATE: 11/08/2019
NARRATIVE
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Per Title 22, Division 12, Chapter 3, a type A deficiency was cited on 6/5/18 during the case management inspection. No additional citations are being issued on this date.

An exit interview was conducted with Charlotte Miranda and Laura Mitchell.

LIC 9213 NOTICE OF SITE INSPECTION FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 04-CC-20190826095127
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FUSD-WEBSTER CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 100404094
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/09/2019
Section Cited
CCR
101223(a)(3)
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Personal Rights. Each child shall be free from corporal or unusual punishment, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature. Staff #1 hit daycare child while in care and staff inappropriately restrained daycare child while in care. This regulation was not met as evidenced
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SIte Supervisor stated staff #1 is not working with children at this center and is currently on administrative leave. Human Resources will contact CCL regarding staff's future employment status when determined.
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by: interviews conducted with staff and written statements collected. This is an immediate risk to the health, safety and/or personal rights 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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 04-CC-20190826095127
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FUSD-WEBSTER CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 100404094
VISIT DATE: 11/08/2019
NARRATIVE
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* Any Licensing reports indicating a type A deficiency shall be posted immediately and for the next 30 days and copies provided of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Health and Safety Section 1596.859(a) shall be cited and a civil penalty of $100.00 for failure to provide copies to parents/guardians of children in care and newly enrolled children, and for failure to maintain written verification of receipt of licensing reports indicating a Type A violation (LIC 9224).

Charlotte Miranda, was provided a copy of the report, appeal rights, and a LIC 9213 - NOTICE OF SITE VISIT form, which is required to be posted for 30 days.

SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
LIC9099 (FAS) - (06/04)
Page: 5 of 5